Bilateral Anterior Dislocation of the Shoulders with Proximal Humeral Fractures: A Case Report

Sharma, Lalit Kumar; Pankaj, Amite; Kumar, Venkatesan Sampath; Malhotra, Rajesh; Bhan, Surya

doi:10.1177/230949900501300316

Cited by 35 publications

(42 citation statements)

References 11 publications

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“…Naj częst szym obu stron nym zwich nię ciem w stawie ra mien nym jest zwich nie cie tyl ne [1][2][3][4][5]. Obustron ne przed nie zwich nię cia wy stę pu ją znacz nie rza dziej [1][2][3][4][5][6] Po wsta ją one naj czę ściej w wy ni ku ura zu pod czas na pa du pa dacz ki, po ra że nia prą dem, upad ku lub le cze nia elek trow strzą sa mi [1,[5][6][7][8][9][10][11].…”

Section: Wstępunclassified

“…Obustron ne przed nie zwich nię cia wy stę pu ją znacz nie rza dziej [1][2][3][4][5][6] Po wsta ją one naj czę ściej w wy ni ku ura zu pod czas na pa du pa dacz ki, po ra że nia prą dem, upad ku lub le cze nia elek trow strzą sa mi [1,[5][6][7][8][9][10][11]. Na pod sta wie prze glą du do stęp ne go pi śmien nic twa oraz ba zy Me dli ne zna le zio no 52 przy pad ki obu stron nych zwich nięć przed nich [4,5,11]. W do stęp nej li te ra tu rze zna le zio no tyl ko jed ną pra ce do ty czą cą obu stron nego za sta rza łe go zwich nię cia przed nie go w sta wie ramien nym ze zła ma nia mi guz ków więk szych, le czone go jed no cza so wą obu stron ną otwar tą re po zy cją, ale bez sta bi li za cji zła mań [7].…”

Section: Wstępunclassified

“…It is usually due to an epilep tic seizure, electric shock, fall or electroconvulsive therapy [1,[5][6][7][8][9][10][11]. Literature review and Med line database revealed 52 cases of bilateral anterior dislocations [4,5,11]. In the available literature one study connected to chronic bilateral anterior shoulder dislocation with greater tuberosity fractures treated with one stage bilateral open reduction without inter nal fixation of fractures was found [7].…”

Section: Introductionmentioning

confidence: 99%

“…Anterior bilateral dislocation is uncom mon [1][2][3][4][5][6]. It is usually due to an epilep tic seizure, electric shock, fall or electroconvulsive therapy [1,[5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Bilateral shoulder dislocation is most frequently posterior [1][2][3][4][5]. Anterior bilateral dislocation is uncom mon [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Kubiak¹,

Fabiś²

2013

Ortopedia, traumatologia, rehabilitacja

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STRESZCZENIEW pra cy przed sta wia my rzad ki przy pa dek kli nicz nej po pra wy po dwóch la tach od jed no cza so wej, obu stron nej, otwar tej re po zy cji za sta rza łych zwich nięć sta wów ra mien nych z we wnętrz ną sta bi li za cją zła mań guz ków więk szych. Pa cjent do znał zwich nię cia obu sta wów ra mien nych ze zła ma nia mi guz ków więk szych w wy ni ku po ra że nia prą dem elek trycz nym. Po ura zie był ho spi ta li zo wa ny na od dzia le we wnętrz nym, gdzie nie roz po zna no zwich nięć w sta wach ra mien nych. Czte ry ty go dnie póź niej dia gno za obu stron ne go zwich nię cia obu sta wów ra mien nych ze zła ma nia mi guz ków więk szych zo sta ła po twier dzo na ra dio lo gicz nie. U pa cjen ta wy ko na no jed no cza so wą, obu stron ną, otwar tą re po zy cję za sta rza łych zwich nięć sta wów ra mien nych z we wnętrz ną sta bi li za cją zła mań guz ków więk szych z do stę -pu w bruź dzie pier sio wo -na ra mien nej. Po za bie gu bar ki unie ru cho mio no przez 6 ty go dni, na stęp nie pa cjent był reha bi li to wa ny. Wy nik le cze nia oce nio no po upły wie jed ne go oraz dwóch lat od za bie gu. Stwier dzo no bar dzo do bry, nie bo le sny za kres ru chów w obu bar kach. Wy ni ki uzy ska ne w zmo dy fi ko wa nej ska li Con stan ta by ły bar dzo do bre (95 punk tów). We dług na szej wie dzy, po dob ny przy pa dek nie zo stał jesz cze opi sa ny w li te ra tu rze. Do wo dzi on, że za sta rza łe, obu stron ne zwich nię cia sta wów ra mien nych mo gą być le czo ne z do brym wy ni kiem jed no cza so wą, otwartą re po zy cją, pod wa run kiem od po wied nie go do bo ru pa cjen tów oraz po uzy ska niu zgo dy. Po za tym, po pra wy klinicz nej mo żna spo dzie wać się na wet po dwóch la tach od za bie gu.Słowa kluczowe: zastarzałe obustronne przednie zwichnięcia stawów ramiennych; jednoczasowa otwarta repozycja SUMMARYWe report an unusual case of clinical improvement two years after one-stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. The chronic bilateral anterior shoulder dislocations with greater tuberosity fractures were caused by an electric shock. After the injury the patient was hospitalized in a medical ward and the dislocations were not diagnosed. Four weeks later, the diagnosis of bilateral anterior shoulder dislocation with greater tuberosity fractures was confirmed by X-ray. The patient was treated with one-stage bilateral open reduction of chronic shoulder dislocations with internal fixation of greater tuberosity fractures from a deltopectoral approach. The shoulders were immobilized for six weeks, following which the patient underwent rehabilitation. He underwent a thorough first evaluation at one year after the procedure and a second evaluation after two years. At the follow-up visit, he had a very good and comfortable range of motion in both shoulders. The modified Constant score was very good in both shoulders (95 points). To the best of our knowledge, such a case has not yet been described in the literature. O...

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Section: Wstępunclassified

Section: Introductionmentioning

confidence: 99%

“…Anterior bilateral dislocation is uncom mon [1][2][3][4][5][6]. It is usually due to an epilep tic seizure, electric shock, fall or electroconvulsive therapy [1,[5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Bilateral shoulder dislocation is most frequently posterior [1][2][3][4][5]. Anterior bilateral dislocation is uncom mon [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Kubiak¹,

Fabiś²

2013

Ortopedia, traumatologia, rehabilitacja

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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 fracture-dislocation shoulder: a case report with a review of the literature

Porecha

Parmar

2010

Eur J Orthop Surg Traumatol

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Bilateral Anterior Dislocation of the Shoulders with Proximal Humeral Fractures: A Case Report

Cited by 35 publications

References 11 publications

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

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

Bilateral anterior fracture-dislocation shoulder: a case report with a review of the literature

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