Ponytail

This radiograph shows a left anterior shoulder dislocation in a trauma patient. The humeral head projects inferior and medial to the glenoid. No associated fracture is evident, though dedicated shoulder imaging should be performed to evaluate for Bankart and Hill-Sachs lesions. The patient’s hair is in a ponytail with an elastic band which can be seen projecting over the cervical spine and should not be confused with a foreign body. The remainder of the exam is unremarkable.