Bilateral Posterior Fracture Dislocation of the Shoulder Following an Epileptic Seizure

Abstract

We report a rare case of a 39-year-old man with bilateral posterior dislocated shoulder joints with comminuted fractures of the humeral heads after an epileptic seizure. Posterior shoulder dislocations prove to be a diagnostic challenge and in this case were missed at initial presentation. After a failed attempt of osteosynthesis and removal of material, he received a hemi-prosthesis in separate stages on both sides.

Bilateral Posterior Four-Part Fracture-Dislocation of the Proximal Humerus After First-Time Seizure

“…For these reasons, it was determined the patient would benefit from reverse total shoulder arthroplasty. Upon literature review, nine unique cases of bilateral PH fracture-dislocations were described [8][9][10][11][12][13][14][15][16]. As indicated, the etiology of the bilateral PH fracturedislocations included electrocution, first-time seizure, second-time seizure, and multiple seizures.…”