Undiagnosed bilateral anterior dislocation of the shoulder

Costigan, P. S.; Binns, Malcolm; Wallace, W. Angus

doi:10.1016/0020-1383(90)90134-g

Cited by 17 publications

(7 citation statements)

References 1 publication

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“…In addition to that, our young, inexperienced swimmer was unfortunately unfocused and highly stressed before the start of the race. Clinical diagnoses of dislocation types and associated injuries may be inaccurate without imaging [2, 10, 11]. Delayed diagnosis is not uncommon in bilateral shoulder dislocations resulted from electric shock or trauma [11, 14, 15].…”

Section: Discussionmentioning

confidence: 99%

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

Dlimi¹,

Rhanim²,

Lahlou³

et al. 2012

J Orthopaed Traumatol

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Bilateral anterior dislocation of the shoulders is very rare. A 20-year-old man presented with bilateral anterior shoulder dislocation as a result of a diving incident. He complained of pain and restriction of movement in both shoulders with abducted and externally rotated arms. Radiographs revealed that the shoulders were dislocated. The patient was treated with closed reduction and was able to resume swimming 3 months later. To our knowledge, this is the first bilateral anterior dislocation of the shoulders during a backstroke swimming competition that was caused by this mechanism of injury. The rarity of this lesion and its uncommon mechanism prompted us to relate this observation.

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Section: Discussionmentioning

confidence: 99%

“…Clinical diagnoses of dislocation types and associated injuries may be inaccurate without imaging [2, 10, 11]. Delayed diagnosis is not uncommon in bilateral shoulder dislocations resulted from electric shock or trauma [11, 14, 15]. Surgery is reserved for recurrent cases, which are mostly seen in patients who are <40 years of age [4, 16].…”

Section: Discussionmentioning

confidence: 99%

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

Dlimi¹,

Rhanim²,

Lahlou³

et al. 2012

J Orthopaed Traumatol

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“…However, nontraumatic and involuntary muscular contraction (IMC) conditions can lead to missed dislocations. 9,14,18,19,21,22,31,39,41,44,64,67,83,85,95,96,100,105,106,115 Acute injuries represented 85% of BSASD reported in the literature. Twelve of the 20 chronic BSASD reported in the literature occurred in IMC conditions.…”

Section: Epidemiologymentioning

confidence: 99%

Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Diallo

Soulama

Kaboré

et al. 2020

Clinical Case Reports

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Bilateral shoulder dislocations are a rare occurrence. 1-6 The two humeral heads dislocate from the scapular glenoid fossa in the same direction (bilateral symmetric shoulder dislocations or BSSD) or in different directions (bilateral asymmetric shoulder dislocations or BASD). There are three subtypes of BSSD (posterior, 1,2 anterior, 3 and inferior 4). BASD are classified as anteroposterior (one side anterior and the other side posterior) 5 or anteroinferior (one side anterior and the other side inferior). 6 Dislocations are acute or recent when recognized in the 21 days from the trauma. After 21 days, dislocations are called chronic or old. Bilateral symmetric posterior shoulder dislocations are the most common type since Cooper in 1839 1 and Myenter in 1902 2 reported the first cases. The literature found less commonly bilateral symmetric anterior shoulder dislocations (BSASD). 7 We report two cases of BSASD, one acute and one chronic case, both after epileptic seizures. We discuss the epidemiology, etiology, mechanism of injury, treatment, and outcome features through an extensive literature review of 133 BSASD reported cases. 3,7-118 2 | CASE HISTORY 2.1 | Case 1 A 30-year-old male patient complained of bilateral shoulder pain at our ED. The patient woke up at night on the ground, a few minutes after falling from bed, but with no recollection of the fall. He had no prior history of epilepsy nor diabetes. An inaugural epileptic grand mal seizure was suspected. At admission, he presented with bilateral shoulder sulcus signs with an inability to rotate his arm internally (Figure 1). The neurovascular status was normal at both shoulders. Bilateral shoulder AP and Bloom-Obata views revealed bilateral subcoracoid anteromedial glenohumeral dislocation without associated fracture (Figure 2). Closed reduction of both shoulders was performed under general anesthesia. With the patient in the supine position,

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“…[23][24][25][26][27] In three cases of bilateral simple anterior shoulder dislocation aetiology was unknown. [28][29][30] Shoulder dislocation is said to be chronic when it remains unreduced beyond three weeks. 31 Four cases had chronic bilateral shoulder dislocation at the time of diagnosis among which two cases had seizures as the aetiology and in other two cases the cause was unknown.…”

Section: Our Literature Review Refutes This Injury Being So Rarementioning

confidence: 99%

“…31 Four cases had chronic bilateral shoulder dislocation at the time of diagnosis among which two cases had seizures as the aetiology and in other two cases the cause was unknown. 28,29,32,33 Sequential bilateral anterior dislocations with one shoulder dislocating after the other have been reported in the literature and are extremely rare. There have been two cases of sequential simple bilateral anterior dislocation reported to date.…”

Section: Our Literature Review Refutes This Injury Being So Rarementioning

confidence: 99%

Simple bilateral anterior shoulder dislocation: A case report and review of the literature

Ali¹,

Bhat²,

Bangroo³

et al. 2015

SA orthop. j.

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Undiagnosed bilateral anterior dislocation of the shoulder

Cited by 17 publications

References 1 publication

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

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

Bilateral anterior shoulder dislocations: A review of two cases and the relevant literature

Simple bilateral anterior shoulder dislocation: A case report and review of the literature

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