A Case of Simultaneous Bilateral Anterior Shoulder Dislocation

Patil, Mallangouda

doi:10.13107/jocr.2250-0685.100

Cited by 4 publications

(10 citation statements)

References 7 publications

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“…The delayed presentation was a result of belief in traditional bonesetters, poverty, and the acceptable adaptive function of shoulders. Patients rarely had previous unilateral 17,56,69,114 or bilateral 54,82 shoulder dislocations. Unilateral 17 and bilateral 29,54,82 recurrences were reported in traumatic cases.…”

Section: Discussionmentioning

confidence: 99%

“…The delayed presentation was a result of belief in traditional bonesetters, poverty, and the acceptable adaptive function of shoulders. Patients rarely had previous unilateral 17,56,69,114 or bilateral 54,82 F I G U R E 1 Clinical aspect of shoulders of an acute bilateral symmetric anterior shoulder dislocations in a 30-yearold man (Case 1) on the front (A), right-side (B), back (C), and left-side views. We noted bilateral square shoulders with arms fixed in abduction and external rotation shoulder dislocations.…”

Section: Epidemiologymentioning

confidence: 99%

“…We noted bilateral square shoulders with arms fixed in abduction and external rotation shoulder dislocations. Unilateral 17 and bilateral 29,54,82 recurrences were reported in traumatic cases.…”

Section: Epidemiologymentioning

confidence: 99%

“…Acute BSASD are mainly managed by closed reduction (CR). 7,8,13,14,17,22,24,[27][28][29][30]32,33,35,42,45,[47][48][49][50][51][52]54,56,58,60,62,63,65,66,[68][69][70][71][72][74][75][76][77][80][81][82]84,[86][87][88][90][91][92][93][94][96][97]…”

Section: Treatment and Outcomementioning

confidence: 99%

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Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Diallo

Soulama

Kaboré

et al. 2020

Clinical Case Reports

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Bilateral shoulder dislocations are a rare occurrence. 1-6 The two humeral heads dislocate from the scapular glenoid fossa in the same direction (bilateral symmetric shoulder dislocations or BSSD) or in different directions (bilateral asymmetric shoulder dislocations or BASD). There are three subtypes of BSSD (posterior, 1,2 anterior, 3 and inferior 4). BASD are classified as anteroposterior (one side anterior and the other side posterior) 5 or anteroinferior (one side anterior and the other side inferior). 6 Dislocations are acute or recent when recognized in the 21 days from the trauma. After 21 days, dislocations are called chronic or old. Bilateral symmetric posterior shoulder dislocations are the most common type since Cooper in 1839 1 and Myenter in 1902 2 reported the first cases. The literature found less commonly bilateral symmetric anterior shoulder dislocations (BSASD). 7 We report two cases of BSASD, one acute and one chronic case, both after epileptic seizures. We discuss the epidemiology, etiology, mechanism of injury, treatment, and outcome features through an extensive literature review of 133 BSASD reported cases. 3,7-118 2 | CASE HISTORY 2.1 | Case 1 A 30-year-old male patient complained of bilateral shoulder pain at our ED. The patient woke up at night on the ground, a few minutes after falling from bed, but with no recollection of the fall. He had no prior history of epilepsy nor diabetes. An inaugural epileptic grand mal seizure was suspected. At admission, he presented with bilateral shoulder sulcus signs with an inability to rotate his arm internally (Figure 1). The neurovascular status was normal at both shoulders. Bilateral shoulder AP and Bloom-Obata views revealed bilateral subcoracoid anteromedial glenohumeral dislocation without associated fracture (Figure 2). Closed reduction of both shoulders was performed under general anesthesia. With the patient in the supine position,

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“…The delayed presentation was a result of belief in traditional bonesetters, poverty, and the acceptable adaptive function of shoulders. Patients rarely had previous unilateral 17,56,69,114 or bilateral 54,82 shoulder dislocations. Unilateral 17 and bilateral 29,54,82 recurrences were reported in traumatic cases.…”

Section: Discussionmentioning

confidence: 99%

“…The delayed presentation was a result of belief in traditional bonesetters, poverty, and the acceptable adaptive function of shoulders. Patients rarely had previous unilateral 17,56,69,114 or bilateral 54,82 F I G U R E 1 Clinical aspect of shoulders of an acute bilateral symmetric anterior shoulder dislocations in a 30-yearold man (Case 1) on the front (A), right-side (B), back (C), and left-side views. We noted bilateral square shoulders with arms fixed in abduction and external rotation shoulder dislocations.…”

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Treatment and Outcomementioning

confidence: 99%

See 2 more Smart Citations

Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Diallo

Soulama

Kaboré

et al. 2020

Clinical Case Reports

View full text Add to dashboard Cite

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“…Honner et al [ 6 ], described the largest series of bilateral posterior dislocations and most of these dislocations occurred following seizures. Bilateral anterior dislocations are even rarer and only 13 cases [ 7 - 17 ] have been reported so far. Even a case of bilateral inferior dislocation has been reported [ 2 ], but there are only 2 previous reports of an asymmetrical dislocation of bilateral shoulders [ 3 , 5 ] and only one case of a asymmetrical fracture dislocation shoulder that occurred following an electric shock [ 18 ] however our case exemplifies that such a violent mechanism may not always be required to produce these injuries.…”

Section: Discussionmentioning

confidence: 99%

Asymmetrical Fracture Dislocation of Shoulder – A Case Report and Review of Literature

Sharma

Maharajan

Natraj

et al. 2013

Journal of Orthopaedic Case Reports

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Introduction:A bilateral shoulder dislocation is an extremely rare injury with only a few reported cases in English literature, and most of these cases have occurred following a seizure episode or an electric shock. We present the first ever reported case of simultaneous bilateral anterior and posterior fracture dislocation of shoulders and its unique mechanism of injury in a 48 year old diabetic male.Case Report:A 48 year old male presented to our emergency department with pain and restriction of movements involving both shoulders following a fall. The patient was standing by the side of a two wheeler when he had a sudden syncopal attack and toppled on the other side of the vehicle. On examination there was flattening of deltoid contour with a positive Dugas test in both sides. Humeral head was palpable posteriorly on the right side and anteriorly on the left side. Plain radiograph anteroposterior view of both shoulders showed posterior dislocation of right shoulder with a fracture of greater tuberosity and anterior dislocation of left shoulder with a greater tuberosity fracture. Closed reduction was achieved for both shoulders under general anaesthesia. After a couple of weeks, complete range of motion exercises was started. X-ray of bilateral shoulders, at 3 months, showed complete union of the fracture.Conclusion:Bilateral shoulder dislocation is suspected only following a violent mechanism of injury, however, we would like to point out, giving an example of our case that this injury may also occur after a trivial fall. And if associated with a fracture sometimes, the characteristic attitude of the limb may not be seen leading to a missed diagnosis. However a thorough clinical examination and the knowledge that such injuries may occur after a simple fall will help prevent missing these injuries.

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Bilateral Anterior Shoulder Dislocation Occurring Separately from the Same Injury: A Case Report

Tanaka

Nomura

Honma

et al. 2020

J St. Marianna Univ

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Bilateral anterior shoulder dislocation is a relatively rare condition. In a patient presenting with bilateral shoulder pain, a posteroanterior radiograph of the shoulders easily reveals the diagnosis. A 76-year-old woman presented to our emergency room with complaints of bilateral shoulder pain. She had fallen forward with both elbows hitting the ground and also hit her right shoulder. A posteroanterior radiograph revealed a right anterior shoulder dislocation with no remarkable changes noted on the left shoulder. The right shoulder dislocation was resolved, and she was sent home. Six hours later, she was brought back to our emergency room with left shoulder pain. A repeat posteroanterior radiograph of the left shoulder revealed left shoulder dislocation. Bilateral anterior shoulder dislocation occurring after 6 hours is an extremely rare condition. We report this case with a review of the literature.

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A Case of Simultaneous Bilateral Anterior Shoulder Dislocation

Cited by 4 publications

References 7 publications

Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Asymmetrical Fracture Dislocation of Shoulder – A Case Report and Review of Literature

Bilateral Anterior Shoulder Dislocation Occurring Separately from the Same Injury: A Case Report

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