Anterior dislocation of the shoulders with bilateral brachial plexus injury

Bilateral anterior dislocation of the shoulders at the start of a backstroke competition

“…BADS was first described in 1902 in a patient with muscular contraction caused by a camphor overdose [2, 9]. Sports injuries, seizures, electrical shock, electroconvulsive therapy, drug overdose, neuromuscular disorders, and psychiatric disturbances have been implicated [2, 3, 8, 10–12]. Only one case was connected with a sporting activity: a water skier lost control at high speed and was thrown violently across the surface of the water [13].…”

“…Such dislocations are usually caused by sports injuries, seizures, electrical shock, or electroconvulsive therapy [2, 3]. However, simultaneous bilateral anterior shoulder dislocation (BADS) is very rare: only about 30 cases have been described in the literature [2, 4–6].…”

Anterior dislocation of the shoulder with rotator cuff injury and brachial plexus palsy: a case report

“…4,6,7 In our case, the brachial plexus injury was due to an anteromedial shoulder dislocation, as described previously. 9 Nerve injury with a shoulder dislocation has been reported to occur after low-velocity trauma, because the distance between the anchorage points of nerves in the upper limb is short, which makes the nerves vulnerable to traction. 12 However, in our case, rotator cuff injury associated with nerve lesions reveals a high-energy injury, resulting in a violent shoulder dislocation with significant migration of the humeral head.…”

Brachial plexopathy related to alcohol intoxication

“…Ultimately, both patients made a good recovery as is typical in postoperative plexopathy, recovery time depending on the balance between demyelination and axonal degeneration 12 The occurrence of bilateral plexopathy, as in our first patient, is unusual after closed trauma but has been reported after bilateral shoulder dislocations3 and postoperatively 45 …”