Bilateral Anterior Fracture-Dislocation of Shoulder Joint- A rare case with Delayed Presentation-Abstract

What to Learn from this Article?

 1. Presentation of a rare case with complex fracture dislocation. Clinical decision making?

 

2. A mode of management of delayed presentation of such complex fracture dislocations


Case Report

Volume 2 | Issue 4 | JOCR Oct-Dec 2012 | Page 7-9 | Sunku N, Kalaiah K, G. Marulasidappa, P. Gopinath 


Bilateral Anterior Fracture-Dislocation of Shoulder Joint- A rare case with Delayed Presentation


 Authors: Nithin Sunku [1], Kiran Kalaiah [1], G. Marulasidappa [1], P. Gopinath [1]

[1] Department of Orthopaedics, Mysore Medical college & Research Institute, Mysore. India.

Address of Correspondence  

Dr. Nithin Sunku Resident in Orthopaedics Mysore Medical College & Research Institute,(MMCRI) Mysore Email: drsnithin@gmail.com


Abstract

Introduction: The shoulder is the most frequently dislocated joint. Bilateral glenohumeral dislocations are rare and almost always posterior. Bilateral anterior fracture dislocations of humeral neck in a patient with seizure are extremely rare. We report one such case of delayed presentation of bilateral anterior fracture dislocation of shoulder after an epileptic attack.

Case ReportWe describe a rare case of 30 year old gentleman who presented with first episode of seizure following alcohol withdrawal. Physical examination and radiographic assessment revealed fracture dislocation of bilateral proximal humeri (4 part fracture on right side and two part fracture on left). Patient presented 20 days after injury during which he was treated by local osteopath by immobilization and massage. Open reduction and internal fixation with Simple T plate was done on right side and multiple K – wires were used on left side. At one year follow up patient had acceptable range and was able to carry out daily activities.

Conclusion: Bilateral anterior fracture dislocation of shoulder behave similar to unilateral fracture dislocations and treatment needs to be planned appropriately. Even in cases with delayed presentation good results can be achieved

 Keywords: Bilateral, fracture dislocation humerus, anterior, shoulder.


How to Cite This Article: Sunku N, Kalaiah K, G. Marulasidappa, P. Gopinath.Greater Bilateral Anterior Fracture-Dislocation of Shoulder Joint. Journal of Orthopaedic Case Reports 2012 Oct – Dec ;2(4):7-9.Available from: http://www.jocr.co.in/wp/wp-content/uploads/2013/01/jocr-oct-dec-2012-4-Bilateral-Anterior-Fracture-Dislocation-of-Shoulder-Joint-A-rare-case-with-Delayed-Presentation.pdf


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