Bilateral posterior shoulder dislocation secondary to seizure event

Abstract

This case report presents a rare bilateral posterior shoulder dislocation resulting from a seizure. Bilateral shoulder dislocations are uncommon, especially in a posterior direction. Diagnosing and managing posterior shoulder dislocation can be challenging due to the need for specialized imaging techniques and expertise. This report details a 34-year-old male patient with a remote history of epilepsy without any fits or attacks over the past 16 years. Following a seizure, he sustained bilateral posterior shoulder dislocation and other associated fractures. The patient underwent reduction under general anesthesia and was immobilized using an arm sling. The outcome was favorable, with the patient improving during the follow-up period. Bilateral shoulder dislocation is a rare injury that can be missed in clinical practice and needs expertise in diagnosis and management. A low threshold of suspicion should be kept, especially in cases of seizure or electrical shock.