Simultaneous bilateral posterior dislocation of the shoulder: diagnostic problems and management. A case report

We present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction o...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2006-08, Vol.14 (8), p.766-770
Main Authors: Iosifidis, Michael I, Giannoulis, Ioannis, Traios, Stavros, Giantsis, Georgios
Format: Article
Language:English
Subjects:
Humans
Male
Middle Aged
Seizures - complications
Shoulder
Shoulder - diagnostic imaging
Shoulder Dislocation - diagnosis
Shoulder Dislocation - surgery
Tomography, X-Ray Computed
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Summary:We present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction of both shoulder dislocations was done. Posterior dislocation of the shoulder-especially the bilateral one-is very rare. When the history describes an electric shock or convulsive seizure, any shoulder injury demands a careful clinical and radiological evaluation. It is usually associated with reverse Hill-Sachs lesion (an impression defect of the anteromedial aspect of the humeral head), in which the size determines the treatment options.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-006-0066-1