Bilateral anterior shoulder dislocation

Meena, Sanjay; Saini, Pramod; Singh, Vivek; Kumar, Ramesh; Trikha, Vivek

doi:10.4103/0976-9668.117003

Cited by 12 publications

(16 citation statements)

References 7 publications

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“…In contrast, bilateral posterior shoulder dislocation occurs more frequently, and is usually due to electrical shock, seizures or other reasons, which lead to vigorous involuntary muscle contraction ( 3 ). Bilateral anterior shoulder dislocation occurs mainly due to trauma to the shoulders in the extension, abduction and external rotation positions ( 2 , 20 , 25 ), which is exactly the same injury mechanism as our reported case. Other mechanism of injury is the traction in forward flexion of the shoulder ( 2 , 24 , 25 , 28 ).…”

Section: Discussionsupporting

confidence: 79%

“…Bilateral anterior shoulder dislocation occurs mainly due to trauma to the shoulders in the extension, abduction and external rotation positions ( 2 , 20 , 25 ), which is exactly the same injury mechanism as our reported case. Other mechanism of injury is the traction in forward flexion of the shoulder ( 2 , 24 , 25 , 28 ). Many of the reported cases are sport-related injuries including weight-lifting training ( 4 , 6 , 20 ), backstroke swimming ( 8 ), chin-up exercise ( 24 ) and horse riding ( 2 ).…”

Section: Discussionsupporting

confidence: 79%

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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: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 79%

Bilateral Anterior Shoulder Dislocation

Siu¹,

Lui²

2014

Arch Trauma Res

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“…In addition, most reported cases have occurred following trauma, with few reports of bilateral anterior dislocation occurring secondary to seizure activity 1 4 5 6 7. While the mechanism of bilateral posterior dislocation following seizure is well known, with powerful tonic contraction of the shoulder girdle musculature resulting in the stronger internal rotators causing adduction and internal rotation, the mechanism of bilateral anterior shoulder dislocation following seizure is less predictable.…”

Section: Discussionmentioning

confidence: 99%

Chloroquine-induced bilateral anterior shoulder dislocation: a unique aetiology for a rare clinical problem

Martin¹,

Tsekes

White

et al. 2016

BMJ Case Reports

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Bilateral anterior shoulder dislocation is a rare clinical entity with few case reports and limited series published in the literature. Bilateral shoulder dislocations are rare and of them, most are posterior. We present a highly unusual case of bilateral, atraumatic, anterior shoulder dislocation with concomitant comminuted greater tuberosity fracture on the right side, secondary to seizure, in a patient without known epilepsy, induced by oral chloroquine medication. We demonstrate the treatment approach that led to a satisfactory clinical outcome, evidenced by radiological union, clinical assessment and Patient Reported Outcome Measure data, following non-operative management of both shoulders. The unusual mechanism for anterior shoulder dislocation, the asymmetric dislocation pattern and peculiar precipitant for the causative seizure all provide interesting learning points from this case.

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“…The large majority of these shoulder dislocations are anterior dislocations and involve only a single shoulder [2] , [3] , [4] . Cases of bilateral shoulder dislocations are rare and, when they do occur, are mostly posterior in nature; such bilateral posterior shoulder dislocations are typically caused by epileptic seizures, electrocution, or traumatic injury [4] , [5] , [6] . Bilateral anterior shoulder dislocation presents through a bimodal distribution, affecting mainly young men (70%) with a mean age of 33.5 years and middle-aged women with an average of 57 years [7] .…”

Section: Introductionmentioning

confidence: 99%

An unusual case of bilateral anterior shoulder dislocations

Park

Enyart

Goyke

et al. 2018

Radiology Case Reports

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A 23-year-old man was transported to a trauma center after injuring himself while snowboarding. He presented with bilateral shoulder pain and associated deformity to both shoulders. His exam was otherwise unremarkable, and his x-rays confirmed bilateral shoulder dislocations. Cunningham and external rotation without sedation and analgesia techniques were unsuccessful even with local anesthesia to the joint. Subsequent bilateral reduction was successful with moderate sedation using the Milch technique. Simultaneous anterior bilateral shoulder dislocations are rare and providers may need to adjust their techniques to accommodate this unusual presentation.

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Bilateral anterior shoulder dislocation

Cited by 12 publications

References 7 publications

Bilateral Anterior Shoulder Dislocation

Bilateral Anterior Shoulder Dislocation

Chloroquine-induced bilateral anterior shoulder dislocation: a unique aetiology for a rare clinical problem

An unusual case of bilateral anterior shoulder dislocations

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