Bilateral Anterior Dislocation of the Shoulder: Review of Seventy Cases and Proposal of a New Etiological-mechanical Classification

Ballesteros, Rafaél; Benavente, P.; Bonsfills, Nuria; Chacón, Marta; García-Lázaro, Francisco J.

doi:10.1016/j.jemermed.2012.07.047

Cited by 36 publications

(67 citation statements)

References 41 publications

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“…Seizures of different causes such as epilepsy, hypoglycemia, toxic, or hypoxic can lead to shoulder dislocation [3][4][5]. When the bilateral posterior dislocation (BPD) of shoulders is present, it is almost resulted from the subsequent of seizures.…”

Section: Types Of Shoulder Dislocation Related To Seizuresmentioning

confidence: 99%

“…Posterior dislocations accounts for 2-4 percent of all shoulder dislocations [9,10] and approximately fifteen percent of these cases are categorized as BPD type [8]. Although, the most of bilateral shoulder dislocations resulting from seizures are posterior, anterior dislocation also may occur [2,3,8,11,12]. Seizures account for thirty percent of causation of bilateral anterior shoulder joint dislocation which is frequently misdiagnosed in patients with post-ictal phase [11][12][13][14][15][16][17][18][19][20].…”

Section: Types Of Shoulder Dislocation Related To Seizuresmentioning

confidence: 99%

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Bilateral Posterior Dislocation of the Shoulder Caused by Seizure after Tramadol Usage; A Case Report And Literature Review

Aghabiklooei¹,

Nabizadeh²,

Hanie³

2017

J Clinic Toxicol

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Posterior dislocation of the shoulder accounts for 2-4% of all shoulder dislocations. Non-epileptic seizures resulting from drug usage, is an important cause of posterior shoulder dislocation. In this case report, we described a case of bilateral posterior shoulder dislocation due to convulsion after tramadol usage and reviewed the literature recapitulating the causations of drug-induced seizures, non-traumatic shoulder dislocation, the mechanisms of dislocation related to seizure, and which are detected by imaging techniques.

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Section: Types Of Shoulder Dislocation Related To Seizuresmentioning

confidence: 99%

Section: Types Of Shoulder Dislocation Related To Seizuresmentioning

confidence: 99%

Bilateral Posterior Dislocation of the Shoulder Caused by Seizure after Tramadol Usage; A Case Report And Literature Review

Aghabiklooei¹,

Nabizadeh²,

Hanie³

2017

J Clinic Toxicol

View full text Add to dashboard Cite

show abstract

“…8 Closed reduction followed by immobilisation for three weeks in bilateral sling is the standard protocol. 12,35 But bilateral immobilisation of the upper extremities makes the patient dependent and his routine suffers. For this reason some authors recommend the use of upper extremities for personal hygiene and feeding purpose only during the period of immobilisation.…”

Section: Our Literature Review Refutes This Injury Being So Rarementioning

confidence: 99%

“…36 Even early rehabilitation of both shoulders has been recommended especially in elderly patients. 35 Surgical intervention is rarely required in simple bilateral anterior dislocations as most of them are reduced closed. Failure of closed reduction, and old missed or neglected dislocation, are indications for open reduction.…”

Section: Our Literature Review Refutes This Injury Being So Rarementioning

confidence: 99%

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Simple bilateral anterior shoulder dislocation: A case report and review of the literature

Ali¹,

Bhat²,

Bangroo³

et al. 2015

SA orthop. j.

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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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Bilateral Anterior Dislocation of the Shoulder: Review of Seventy Cases and Proposal of a New Etiological-mechanical Classification

Cited by 36 publications

References 41 publications

Bilateral Posterior Dislocation of the Shoulder Caused by Seizure after Tramadol Usage; A Case Report And Literature Review

Bilateral Posterior Dislocation of the Shoulder Caused by Seizure after Tramadol Usage; A Case Report And Literature Review

Simple bilateral anterior shoulder dislocation: A case report and review of the literature

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

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