Shoulder Case 1 History/Physical Exam

The patient is usually in severe pain with the arm held across the trunk in adduction and internal rotation. The coracoid process may be especially prominent, and the humeral head may be palpable as fullness beneath the acromion. There is often no obvious deformity. The patient will not be able to range the shoulder. Neurovascular injuries are less common in posterior dislocations but should be sought nonetheless.