Bilateral posterior fracture-dislocation of the shoulder managed by allograft reconstruction of the segmental defect: report of two cases

Alta, T.D.W.; Willems, W.J.H.

doi:10.1007/s00590-008-0316-7

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…[5717] In patients over 70 years of age with locked dislocation or fracture-dislocation associated with rotator cuff tear and severe distortion of the bony anatomy, a reverse prosthesis is likely to provide good results. [18]…”

Section: Discussionmentioning

confidence: 99%

“…In older patients (>65 years old) with three or four-part acute fractures, there is a high risk of avascular necrosis, and the option is hemiarthroplasty. [ 5 7 17 ] In patients over 70 years of age with locked dislocation or fracture-dislocation associated with rotator cuff tear and severe distortion of the bony anatomy, a reverse prosthesis is likely to provide good results. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

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Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Claro

Sousa

Massada

et al. 2009

Int J Shoulder Surg

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Bilateral posterior fracture-dislocation of the shoulder is a very rare injury. Almost 50% of bilateral posterior dislocations are due to a convulsive seizure, rising to 90% if the dislocations are associated with fractures. Electric shock accounts for less than 5% of bilateral posterior dislocations of the shoulder. A systematization of the clinical and radiological approach, followed by an early diagnosis and proper surgical treatment is essential. Authors report 2 cases of bilateral posterior fracture-dislocation of the shoulder, one caused by a convulsive seizure and the other by an electric shock. A review of literature and a treatment protocol are also presented.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Claro

Sousa

Massada

et al. 2009

Int J Shoulder Surg

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“…Bilateral posterior fracture-dislocation of the shoulder, first described in 1902 by Mynter [ 7 ] is extremely rare. The most common cause for this situation is a convulsive seizure [ 8 ]. Of 2800 patients admitted to hospital with a diagnosis of seizure, 1.1 % (30/2800) sustained fractures [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral posterior fracture-dislocation of the shoulders following epileptic seizures: a case report and review of the literature

et al. 2015

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BackgroundBilateral posterior fracture-dislocation of the shoulders is an uncommon complication of grand mal seizures. We report a case of bilateral posterior dislocation of the shoulders with proximal humeral fractures following epileptic seizures. A posterior fracture-dislocation of the shoulder is very rare and can be caused by epileptic seizures, trauma, electrocution or electroconvulsive therapy.Case presentationA 62-year-old Sri Lankan male was admitted to our medical unit following four repeated generalized tonic–clonic convulsions, each lasting for several minutes. Following the second seizure he reported an inability to move both upper arms due to intense pain. There was no history of fall during the episodes of convulsions however but the bystanders have forcibly restrained his movements during the tonic–clonic convulsions. Clinical examination revealed severely restricted range of movement in both shoulders, with associated swelling and bruising of the shoulder joints and upper arms. Radiographs of the shoulders confirmed fractures at the level of surgical neck with posterior dislocation.ConclusionBilateral posterior fracture-dislocation of shoulders complicating epileptic seizures are rare. Forcible restraining of the patient’s upper limbs during seizures is the likely cause for the fracture dislocations in our patient and this had not been reported before.

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“…Most of these injuries are seen following seizure, but also electrical shock and trauma [1,4]. Simultaneous bilateral dislocation is even rarer and not often described in the actual literature [16,19,22].…”

Section: Discussionmentioning

confidence: 99%

Traumatic bilateral posterior dislocation of the shoulder: a case report

et al. 2013

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AbstractIntroduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.

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Bilateral posterior fracture-dislocation of the shoulder managed by allograft reconstruction of the segmental defect: report of two cases

Cited by 8 publications

References 25 publications

Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Bilateral posterior fracture-dislocation of the shoulders following epileptic seizures: a case report and review of the literature

Traumatic bilateral posterior dislocation of the shoulder: a case report

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