Case Of Bilateral Anterior Dislocation Research Articles

A rare case of bilateral antero-internal shoulder dislocation: A case study and review of the literature

Introduction: Although anterior dislocations of the glenohumeral joint are the most frequent type of dislocation, bilateral forms are very rare [1] dominated by the posterior variant. We report a new case of bilateral anterior dislocation of the glenohumeral joints and discuss the mechanism and treatment. Case report: This concerns a 55-year-old patient, who presented to the emergency room with closed trauma to both shoulders in undetermined circumstances. The patient reported a disturbance of consciousness followed by a post-critical coma and generalized tonic-clonic seizures according to witnesses. Clinical examination revealed total functional impotence of the upper limbs, with the following findings: filling of the delto-pectoral groove, bilateral external axe strike, oedema of both shoulders. X-rays of both shoulders revealed bilateral anterior glenohumeral dislocation, with a nondisplaced fracture of the left great tuberosity. Discussion: Bilateral shoulder dislocation is a rare occurrence typically associated with specific etiologies such as epileptic seizures, electrical or neuromuscular disorders, or traumatic events. This report presents a case of bilateral shoulder dislocation in a patient with no history of ligament hyperlaxity, categorized under Brown's classification as traumatic origin. Despite the rarity of this presentation, similar unusual mechanisms of shoulder dislocation have been reported in the literature, including cases where each shoulder dislocated due to different mechanisms.

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.

An unusual case of bilateral anterior shoulder and mandible dislocations

Unilateral anterior shoulder dislocation is the most common major joint dislocation seen by emergency physicians. Bilateral glenohumeral dislocations are rarely seen and almost always posterior after seizure or electrical shock. We present an unusual case of bilateral anterior dislocation of shoulder that had anterior dislocation of temporomandibular joint simultaneously. These problems occurred after a course of generalized tonic-clonic seizure. The coincidence of these dislocations is the first case published in the literature.

Bilateral anterior glenohumeral dislocation in a weightlifter

A case of bilateral anterior dislocation of the shoulder joint is described. The patient was a recreational weightlifter who sustained the injury while performing the ‘pull-over’ bench movement using free weights. Probably, the shoulders dislocated when the force developed by the periarticular muscles was less than the actual weight that the patient was trying to lift. The need for stricter safety rules and better supervision in health clubs is stressed.