1995
DOI: 10.1007/bf02207684
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Pitfall of stiff shoulder: Inveterated posterior dislocation

Abstract: The authors relate the observation of an inveterated bilateral posterior dislocation, occurring during a generalized epileptic attack and mimicking a painful stiff shoulder. The clinical signs (i.e. aetiologic circumstances causing a forced internal rotation, limitation or absence of external rotation) and radiological data, especially the necessity of a profile X-ray, which lead to the diagnostic are reiterated. The interest of computerized tomography in the pre-operative assessment is underscored.

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Cited by 4 publications
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“…Brackstone et al describe the "triple E syndrome" to define the causative factors involved in this injury, namely epilepsy, electrocution, and extreme trauma (3). The varied clinical presentation of bilateral posterior fracture-dislocation has resulted in this injury initially being managed as myocardial infarction, frozen shoulders, and reflex sympathetic dystrophy (3,7,8).…”
Section: Discussionmentioning
confidence: 99%
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“…Brackstone et al describe the "triple E syndrome" to define the causative factors involved in this injury, namely epilepsy, electrocution, and extreme trauma (3). The varied clinical presentation of bilateral posterior fracture-dislocation has resulted in this injury initially being managed as myocardial infarction, frozen shoulders, and reflex sympathetic dystrophy (3,7,8).…”
Section: Discussionmentioning
confidence: 99%
“…This view may be difficult to obtain if the patient is experiencing pain around the affected shoulder. A CT scan of the shoulder is helpful in confirming the diagnosis and assessing the fracture geometry (8,12).…”
Section: Discussionmentioning
confidence: 99%
“…Other cases reported in literature are either posterior dislocations or were associated with the fractures. [13] Posterior dislocations occur due to seizures , electrocution [14]or following hypoglycemic episode. [15] This is due to the forceful contracture of the internal rotators which overpower the external rotators.…”
Section: Discussionmentioning
confidence: 99%