Bilateral anterior glenohumeral dislocation and coracoid processes fracture after seizure: acute MRI findings of this rare association

Taneja, Atul K.; Neto, Luís Pecci; Skaf, Abdalla

doi:10.1016/j.clinimag.2013.08.007

Cited by 12 publications

(12 citation statements)

References 7 publications

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“…Clinical findings of an anterior dislocation shoulder include squaring of the shoulder and a positive Dugas test (the hand of the affected shoulder cannot reach the contralateral shoulder) ( 18 ). Asymmetry of the joint typically heralds a dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the injuries have been treated by closed reduction and various period of immobilization with good clinical outcomes. The Spaso technique has been recommended ( 18 , 23 ). The dislocated arm is grasped around the wrist and while maintaining vertical traction, the shoulder is slightly rotated externally ( 18 , 23 ).…”

Section: Discussionmentioning

confidence: 99%

“…The Spaso technique has been recommended ( 18 , 23 ). The dislocated arm is grasped around the wrist and while maintaining vertical traction, the shoulder is slightly rotated externally ( 18 , 23 ). It facilitated reduction as the amount of force used in this method is less compared with the Kochers method, the pain experienced by the patient is also less.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Anterior Shoulder Dislocation

Siu¹,

Lui²

2014

Arch Trauma Res

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Introduction:Unilateral anterior shoulder dislocation is one of the most common problems encountered in orthopedic practice. However, simultaneous bilateral anterior dislocation of the shoulders is quite rare.Case Presentation:We report a case of a 75-year-old woman presented with simultaneous bilateral anterior shoulder dislocation following a trauma, complicated with a traction injury to the posterior cord of the brachial plexus.Conclusions:Bilateral anterior shoulder dislocation is very rare. The excessive traction force during closed reduction may lead to nerve palsy. Clear documentation of neurovascular status and adequate imaging before and after a reduction should be performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bilateral Anterior Shoulder Dislocation

Siu¹,

Lui²

2014

Arch Trauma Res

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“…Bilateral anterior dislocation also may occur following seizures owing to the trauma of the shoulder in whom that are struck on the floor when they are fallen down [13]. Bilateral coracoid process has also been reported after seizures [16,17]. The mechanism underlying in this phenomenon is axial loading of the adducted internally rotated arm from violent muscle contraction during a seizure episode [1].…”

Section: Mechanisms Of Shoulder Dislocation After Seizuresmentioning

confidence: 99%

“…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]. Rethnam et al described shoulder dislocation resulted from seizures and they believed that, convulsion could cause shoulder instability [21][22][23].…”

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

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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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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 glenohumeral dislocation and coracoid processes fracture after seizure: acute MRI findings of this rare association

Cited by 12 publications

References 7 publications

Bilateral Anterior Shoulder Dislocation

Bilateral Anterior Shoulder Dislocation

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

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

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