Posterior luxation of the shoulder joint and contralateral shoulder joint fracture dislocation: a rare combination

Abstract

The posterior luxation of the shoulder joint is a rarely reported and often not recognized lesion in the clinical workday. The authors present the first case of a posterior luxation of the shoulder joint in combination with an contralateral anterior shoulder joint fracture dislocation. In that case the authors stress the importance of an exact clinical and radiology diagnostic and the right way to reduce a posterior luxation of the shoulder joint. Finally they draw the readers attention to operative steps to prevent a reluxation of the shoulder joint.

Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation: What to do?

“… 1 , 2 , 3 , 4 , 5 Simultaneous bilateral posterior dislocation of the shoulder is rare injury and it accounts for less than 2% of all shoulder dislocations. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 In 1971 Shaw et al 3 postulated that convulsion leads massive contraction of muscles around the shoulder. These contractions of muscles with adduction, internal rotation and flexion attitude of the shoulder leads to posterior dislocation.…”

“…Plain radiograph and computed tomography of the shoulder are useful for diagnosis and surgical planning. 3 , 4 , 5 , 6 , 7 , 8 , 9 …”

“…The treatment of posterior fracture dislocation of the shoulder includes open reduction and fixation, hemi-arthroplasty and total shoulder replacement. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 Tellisi et al 6 described a case of bilateral posterior fracture dislocation of the shoulder. Right shoulder fracture dislocation was treated by closed reduction and left shoulder required open reduction and trans-fixation with Kirschners wire.…”

“… 1 , 2 , 3 , 4 The possible mechanism of musculoskeletal injury following seizures is due to severe muscle contraction. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Without direct trauma, simultaneous acetabular fracture and shoulder fracture dislocation are extremely rare. Central acetabular fracture is a complicated and life-threatening injury because of hypo-volume shock from severe blood loss.…”

“… 11 , 12 , 13 , 14 , 15 , 16 , 17 Musculoskeletal injuries following seizures have a high morbidity and mortality. 4 , 5 , 6 , 7 , 12 , 13 , 14 , 15 , 16 , 17 These injuries are often missed and the diagnosis is delayed due to a lack of clinical suspicion and appropriate investigations. 1 , 2 , 3 , 4 , 5 , 6 , 15 , 16 , 17…”