An unusual case of bilateral anterior shoulder and mandible dislocations

Mofìdi, Mani; Kianmehr, Nahid; Farsi, Davood; Yazdanpanah, Reza; Majidinezhad, Saeed; Asadi, Peiman

doi:10.1016/j.ajem.2009.09.024

Cited by 11 publications

(10 citation statements)

References 8 publications

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“…Brown et al described three ways in which forces directed simultaneously may result in bilateral dislocation: simultaneous traction on the arms in flexion, simultaneous deceleration forces and a fall with the shoulders fixed in extension, abduction and internal rotation [9]. Furthermore, seizure activity secondary to electric shock, diabetic hypoglycaemia, poisoning, stroke or myasthenia gravis may lead to bilateral glunohumeral dislocations, as a result of pre- SHOULDER DISLOCATION AFTER SEIZURE dominate action of the more powerful muscles of shoulder [9,16].…”

Section: Discussionmentioning

confidence: 99%

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review

et al. 2019

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Anterior shoulder dislocations following an epileptic event are considered rare. An extremely rare case of a 41 year old female suffering from bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures after an epileptic seizure is presented. The patient presented to the outpatient orthopaedic clinic due to persistent pain and restriction of shoulders movement, 4 weeks after an epileptic seizure. Clinical examination and radiological evaluation established the diagnosis of bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures. Closed reduction was performed under general anesthesia. There are 12 such cases in the literature, including the present one. Thirty percent of these cases had a delayed diagnosis. It is of paramount importance to have a high clinical suspicion for myoskeletal injuries and especially for shoulder dislocations following an epileptic episode, even in the absence of a traumatic event.

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Section: Discussionmentioning

confidence: 99%

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review

et al. 2019

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“…One case of bilateral TMJ dislocation has been observed in a 36-year-old Korean woman [ 1 ]. Mofidi et al reported an unusual case of anterior dislocation that had a bilateral anterior dislocation of the shoulder simultaneously in a 30-year-old man, which occurred after a course of generalized tonic–clonic seizure [ 2 ]. Large series concerning seizure-related injuries did not report more than one case of TMJ dislocation [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Muscular forces generated during seizure may lead to dislocation of the jaw. Other factors that may contribute to its occurrence are as follows: insertion of objects like spoon into the mouth during seizure, like in our case [ 3 ]; falls [ 4 ]; some neuroleptics like carbamazepine, which may induce articular bones and tendons alteration [ 2 ]; and prior dislocation [ 1 , 2 ].…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular joint dislocation during status epilepticus

Rakotomavo¹,

Raotoson

Rasolonjatovo

et al. 2016

Oxf Med Case Rep

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“…Shoulder dislocations are common because of unstable configuration of shoulder joint i.e, shallow glenoid with globular head , with wide range of movements in the joint predisposing for dislocation. Bilateral dislocations are also seen with associated fractures of humerus [ 2 , 3 , 4 ]. Here, we are reporting a case of simultaneous bilateral anterior dislocation (SBAD) of shoulder following fall.…”

Section: Introductionmentioning

confidence: 99%

“…Here, we are reporting a case of simultaneous bilateral anterior dislocation (SBAD) of shoulder following fall. There are few reports of such cases in literature [ 2 - 6 ] and this report intends to add to the body of existing knowledge about this relatively rare entity.…”

Section: Introductionmentioning

confidence: 99%

A Case of Simultaneous Bilateral Anterior Shoulder Dislocation

Patil¹

2013

Journal of Orthopaedic Case Reports

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Introduction:Anterior dislocation of shoulder is commonest dislocation one encounters in day to day Orthopaedic practice. But bilateral shoulder dislocations are relatively uncommon frequently posterior and secondary to violent muscle contraction. Simultaneous bilateral anterior dislocations of shoulder following trauma is rare occurrence.Case Report:35 year old male presented to emergency department with history fall by tripping on a stone (fall on outstretched hand). He complained of pain and difficulty in moving both the shoulders. On clinical examination, patient's both upper limbs were abducted and externally rotated. Bilaterally shoulder contour was lost with flattening. Other classical signs of shoulder dislocation viz, Bryants test, Callway sign, Hamilton's ruler test were positive. Diagnosis was confirmed on X rays. Both shoulders were reduced in emergency operation theater under general anaesthesia by Kocher's method and were immobilised in sling.Conclusion:Though bilateral shoulder dislocations are commonly posterior, usually either secondary to convulsions or electric shock, anterior dislocation has to be kept in mind , especially in post traumatic injuries. This bilateral dislocation also presents with practical problems immobilization and day to day care of patients.

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An unusual case of bilateral anterior shoulder and mandible dislocations

Cited by 11 publications

References 8 publications

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review

Temporomandibular joint dislocation during status epilepticus

A Case of Simultaneous Bilateral Anterior Shoulder Dislocation

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