Simultaneous Bilateral Shoulder Dislocation: A Case Report

Abstract

Introduction: Bilateral shoulder dislocations are relatively uncommon. Bilateral shoulder dislocationwas first described in 1902, because of muscular contractions in camphor overdose. Among thebilateral shoulder dislocation posterior are most common usually following convulsions or electricshocks. Simultaneous bilateral anterior dislocations of shoulder following trauma is a rareoccurrence. Case Report: A 28 year old male presented to emergency department with history offall on outstretched hand. He complained of pain and difficulty in moving both the shoulders. Onclinical examination, patient's both upper limbs were abducted and externally rotated. Bilaterallyshoulder contour was lost with flattening. Other classical signs of shoulder dislocation like Bryantstest, Callway sign, Hamilton's ruler test were positive. Diagnosis was confirmed on X rays. Bothshoulders were reduced in emergency operation theater under general anaesthesia by Kocher'smethod and were immobilized in sling. Conclusion: Simultaneous bilateral dislocation of theshoulder are uncommon during clinical practice but have to be diagnosed and adequately treated.Though posterior shoulder dislocations are common secondary to convulsions and electric shocksanterior shoulder dislocations should be kept in mind. The bilateral dislocations also presents withpractical problem of immobilization of both limbs and day to day care of patients. Hence thedislocations require special attention and proper care .