Fractured coracoid with anterior shoulder dislocation and greater tuberosity fracture--report of a bilateral case

Cottias, P.; Y, le Bellec; Jeanrot, C.; Imbert, Pierre; Huten, D.; Eh, Masmejean

doi:10.1080/00016470052943982

Cited by 30 publications

(30 citation statements)

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“…They mainly occur combined with abduction, extension and external rotation forcing. Movements such as falls on open hand at elbow extension fall at shoulder extension, abduction or internal rotation, pivot effect of acromion at hyperabduction position and traction cause shoulder displacement [6,16,17]. Since two of our cases had fallen because of an epileptic seizure and syncope, they could not recall the form and mechanism of the falls.…”

Section: Discussionmentioning

confidence: 99%

Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

et al. 2016

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Bilateral anterior shoulder dislocations are rarely seen and usually occur due to the same mechanism arising from traumatic injuries. In here, we discussed three cases of traumatic bilateral anterior shoulder dislocation , one had an additional patella fracture, and the other one had bilateral tuberculum majus fracture. All of the patients were female and our first case that presented here was 65-year-old and given a closed reduction for isolated bilateral anterior shoulder dislocation that occurred as a result of falling due to an epileptic seizure. The second patient was 70-year-old and had bilateral shoulder dislocation and patella fracture (right leg) after of falling down the stairs due to syncope. Closed reduction was applied to the bilateral shoulder dislocation. Patella fracture on the right leg was fixated using open reduction internal fixation method. The third patient, who was 57-year-old, fell down from the stairs and had bilateral anterior shoulder dislocation accompanied by bilateral tuberculum majus fracture, and she was given closed reduction. For all three of the cases, Hippocrates method was used as the closed reduction method.Eur Res J 2016;2(1):80-84

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Section: Discussionmentioning

confidence: 99%

Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

et al. 2016

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“…Four of 11 cases were caused by direct violence [1,3,6,11]; in six patients. the fractures resulted from muscle spasms associated with epileptiform seizure or from electrical shock injury [2,4,5,7,8,10]; one patient suffered a pathological fracture associated with amyloidosis [9]. The causes of fractures in four trauma patients resulting from direct violence were different: Heatly et al [1] and Williamson [11] described fractures sustained in motor vehicle accidents.…”

Section: Discussion and Literature Overviewmentioning

confidence: 99%

“…None of these four cases was a polytrauma patient, and only two were high-energy trauma patients. In the six nontrauma patients with bilateral scapular fractures resulting from muscle spasms, four were caused by electrical shock injury, one by metabolic imbalance associated with end-stage renal disease and hyperparathyroidism [10] and one by hypoglycaemia [4]. In one case, a 68-year-old patient on long-term renal dialysis sustained bilateral fractures of the acromion due to amyloid infiltration [9].…”

Section: Discussion and Literature Overviewmentioning

confidence: 99%

“…In all the 11 adult cases previously published, diagnosis of injuries was based on radiographic examination that was, in five cases, combined with axial CT scans [3][4][5][6][7] but without 3D CT reconstructions. In one case [9], soft periarticular tissue was examined by magnetic resonance imaging (MRI).…”

Section: Discussion and Literature Overviewmentioning

confidence: 99%

“…Since then, we have found 11 single case reports in the literature discussing this problem [1][2][3][4][5][6][7][8][9][10][11]. Most fractures resulted from electrical shock or epileptic seizure [2,4,5,7,8,10].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral scapular fractures in adults

Tuček¹,

Bartoníček²,

Novotny³

et al. 2013

International Orthopaedics (SICOT)

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Purpose Bilateral scapular fracture is a very rare injury. Most of these fractures result from electrical shock or epileptic seizure. We treated six patients with such injuries, all of them caused by direct violence. The aim of this study was to report on the patients and to present an overview of the cases published so far. Methods Between January 2011 and August 2012, we treated six patients with bilateral scapular fractures (four men and two women, age range 20-78 years). Another 11 cases were found in the literature. All cases were analysed in terms of injury mechanism, fracture pattern and the manner of diagnosis. Results Our six patients increased the total number of recorded cases to 17 and the number of patients with traumatic bilateral scapular fractures from four to ten. In five of our cases, the injuries were classified as being the result of high-energy trauma. Computed tomography (CT) examination of the affected scapulae was performed in all six cases, in five in combination with 3D CT reconstruction; in one polytraumatised female patient, only axial CT scans were obtained. In all five high-energy trauma cases, bilateral fracture of the scapular body was recorded, of which one was classified as open. Four of the 11 cases found in the literature were caused by direct violence: in six patients, the fractures resulted from muscle spasms associated with epileptiform seizure or electrical shock, and one patient suffered a pathological fracture associated with amyloidosis. The most frequently recorded fracture in all 17 patients (34 fractures) was of the scapular body, i.e. 24 fractures, followed by 12 fractures of the glenoid fossa. Conclusion According to data in the literature, bilateral scapular fracture is a rare injury. One reason may be that the potential incidence is often neglected. With the increasing number of patients with polytrauma, the potential for scapular fracture should always be taken into account, together with the fact that this injury may be bilateral. Of vital importance in diagnosing these injuries is CT scanning, including 3D CT reconstructions.

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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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Fractured coracoid with anterior shoulder dislocation and greater tuberosity fracture--report of a bilateral case

Cited by 30 publications

References 9 publications

Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

Bilateral scapular fractures in adults

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

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