Bilateral Anterior Fracture Research Articles

Bilateral Anterior Fracture - Dislocation of Shoulder Following Electrocution: About a Rare Case and Review of the Literature

Bilateral anterior dislocation of the shoulders associated with a bilateral fracture of the greater tuberosity is an extremel y rare lesion. We reported a case of bilateral dislocation of the shoulder following an electrocution received and operated on in t he Traumatology Orthopaedics I department of the Mohamed V Military Training Hospital in Rabat. The diagnosis was clinical as confirmed by radiological investigations; the patient received surgical treatment after failure of orthopaedic treatment, a bloody reduction in dislocation and osteosynthesis of the greater tuberosity of both shoulders. An evolution was marked by a satisfactory functional recovery of both shoulders. Even clinical examination can help to suspect dislocation, but x - rays are mandatory f or an accurate and early diagnosis. Surgery is recommended for unreduced dislocations or displaced fractures; orthopaedic treatment is indicated in non - displaced fractures subsequent functional rehabilitation allows results after surgical and non - surgical treatment.

Bilateral recurrent anterior fracture dislocation of shoulder joint due to grand mal epileptic convulsions

Bilateral shoulder dislocation is very much common with convulsions of different etiology. Often, these dislocations are associated with fractures due to violent muscle contractions. The typical lesion is bilateral posterior dislocation or fracture dislocations. The recurrent shoulder dislocations are common with traumatic etiology. The lack of asymmetry of the shoulders is stressed as a potential pitfall in the clinical evaluation of patients with this condition. We present a rare case of bilateral recurrent anterior fracture dislocation of the shoulder sustained due to repetitive episodes of convulsive seizures. Patient was treated by close reductions and immobilization on each episode. In epilepsy although posterior dislocations are common, the rare possibility of bilateral anterior fracture dislocation should be kept in mind. Often these patients are vulnerable for recurrence, similar to traumatic cases.

Bilateral anterior fracture-dislocation shoulder: a case report with a review of the literature

Although bilateral anterior dislocation of the shoulders are not that much uncommon, but incidences of bilateral anterior fracture-dislocation shoulder are relatively rare with about 16 reported cases in the world literature. We report a rare case of bilateral anterior dislocation of the shoulders with bilateral 3-part fracture of the proximal humerus after first time epileptic attack. The diagnosis of bilateral anterior fracture shoulder dislocation was done on the same day of the epileptic injury, and patient had been operated within 48 h of injury. Patient was treated with open reduction and internal fixation through the delto-pectoral approach for both the sides. For right side, fixation was done with proximal humerus locking plate, and for left side, fixation was done with multiple screws with washers. Primary rotator cuff repair was done on both the sides. We had got excellent result in our case report at 1-year follow-up. The literature on this injury is also reviewed.