Case 8 – Jan -Mar 2012. Journal of Orthopaedic Case Reports

Bilateral Anterior Shoulder Dislocation with Symmetrical Greater Tuberosity Fracture following Seizure

Ashish Suryavanshi1, Amber Mittal1, Snehal Dongre1, Neeti Kashyap2

1Dept of Orthopaedics, Seth G.S. Medical College, Mumbai, India.
2B. J. Medical College, Pune, India.

 Address of Correspondence

Dr Ashish Vitthalrao Suryawanshi. Departement of Orthopaedics, Seth G.S Medical College & K.E.M. Hospital, Mumbai, 6th Floor, M.S.B. Parel, Mumbai – 400012. Tel: 09370671319 / 09920701801 . E- Mail: ashishvsuryawanshi@gmail.com

  Abstract

Introduction: Majority of bilateral shoulder dislocations are posterior. Simultaneous bilateral anterior shoulder dislocations and bilateral anterior fracture-dislocations are rare and mostly of traumatic origin. We present a rare case of bilateral anterior shoulder dislocation with symmetrical greater tuberosity fracture following an episode of seizure with an unusual injury mechanism which was treated conservatively.

Case Report: A 45 year old office worker presented to the Casualty of our hospital with bilateral anterior shoulder dislocations with greater tuberosity fractures following an episode of seizure. Both shoulders were reduced by Kocher manoeuvre using total intravenous anaesthesia (TIVA) & were strapped to the chest for 6 weeks. At the end of 1 year follow-up, there were no reasonable loss of strength or restriction of motion and the shoulders were defined as stable.

Conclusion: Although bilateral shoulder dislocations are mostly posterior, bilateral anterior dislocations may not be as rare as previously thought and are frequently missed by the orthopaedic residents in the casualty department. Further to the best of our knowledge, our case represents the first case of bilateral anterior shoulder dislocation with symmetrical greater tuberosity fracture with an unusual mechanism of injury following an episode of seizure in a young male patient that was successfully managed by conservative means.

Keywords: Bilateral; shoulder; dislocation; greater tuberosity

How to Cite This Article: 

Suryavanshib A, Mittal A, Dongre S, Kashyap N. Bilateral Anterior Shoulder Dislocation with Symmetrical Greater Tuberosity Fracture following Seizure. J Ortho Case Reports 2012;2(1):28-31. Available from:http://www.jocr.co.in/wp/wp-content/uploads/2012/02/Case-8-Shoulder-dislocation.pdf