Half Moon Sign
Home Up Location Diagnosis
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Atlas of Signs in Musculoskeletal Radiology is approved by the ARRS (American Roentgen Ray Society) and is included in AJR Webreview
A. Gentili,MD, M. Beller, MD, S. Masih, MD, L.L. Seeger, MD

Diagnosis:

Absent in posterior dislocation of the shoulder

Discussion:

Normal left shoulder x-ray (A) and second abnormal left shoulder x-ray (B) with posterior dislocation; notice the lack of overlap of the humeral head with the glenoid. Normally the medial part of the head of the humerus overlaps the glenoid fossa to form a shadow shaped like a half-moon which reaches down to the inferior border of the fossa. This disappears in posterior dislocation.


Normal - Click on the image for a larger versionAPosterior dislocation - Click on the image for a larger versionB

References:

bulletNobel W: Posterior traumatic dislocation of the shoulder. J Bone Joint Surg [Am] 1962, 44:523-538.
bulletSchild H, Muller HA, Klose K: The halfmoon sign. Australas Radiol 1982 Nov;26(3):273-7.          [See related articles]

 

 

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Atlas of Signs in Musculoskeletal Radiology is approved by the ARRS (American Roentgen Ray Society) and is included in AJR Webreview
A. Gentili,MD, M. Beller, MD, S. Masih, MD, L.L. Seeger, MD