Subscribe to RSS
DOI: 10.1055/s-2003-40121
© Georg Thieme Verlag Stuttgart · New York
Spontaneous Bilateral Posterior Fracture-Dislocation of the Shoulder: Case Presentation of a Patient without any History of Trauma or Seizure
Publication History
Publication Date:
20 June 2003 (online)
Abstract
The case of a 79-year-old patient with a spontaneous bilateral posterior fracture-dislocation is presented. There was no evident history of trauma or previous convulsive seizure. The only explanation for the spontaneous bilateral posterior dislocation of the shoulder was the anamnestic notion of a transient global amnesia. In patients with bilateral non-traumatic shoulder pain a posterior dislocation should be suspected, even in the absence of convulsion or electric shock injury.
Key words
Transient global amnesia - ”reverse” Hill-Sachs lesion - modified McLaughlin procedure - custom-made orthesis
References
- 1 Becker R, Weyand F. Die seltene, doppelseitige hintere Schulterluxation. Unfallchirurg. 1990; 93 66-68
- 2 Dimon J H. Posterior dislocation and posterior fracture- dislocation of the shoulder. A report of 25 cases. South Med J. 1967; 60 661-666
- 3 Engel T, Lill H, Korner J, Josten C. Bilateral posterior fracture-dislocation of the shoulder caused by an epileptic seizure. Unfallchirurg. 1999; 102 897-901
- 4 Hashmi F R, Pugh M, Bryan S. Simultaneous bilateral posterior dislocation of shoulder. Am J Emerg Med. 2002; 20 127-128
- 5 Kilicolu O, Demirhan M, Yavuzer Y, Alturfan A. Bilateral posterior fracture-dislocation of the shoulder revealing unsuspected brain tumor: case presentation. J Shoulder Elbow Surg. 2001; 10 95-96
- 6 McLaughlin H L. Posterior dislocation of the shoulder. J Bone Joint Surg [Am ]. 1952; 34 584-587
- 7 Montoli E, Guerra A. Bilateral posterior dislocation of the shoulder caused by an electric injury. Minerva Orthop. 1968; 19 146-154
-
8 Neer C S (ed). Shoulder Reconstruction. Saunders, Philadelphia 1990; 392-398
- 9 Rowe C R, Zarins B. Chronic unreduced dislocations of the shoulder. J Bone Joint Surg [Am]. 1982; 64 494-505
- 10 Shaw J L. Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive seizures. J Bone Joint Surg [Am]. 1971; 53 1437-1440
Dr. Charles Freuler
Department of Orthopaedic Surgery · Ospedale Regionale di Lugano
Via Tesserete 46
6903 Lugano
Switzerland
Phone: +41/91/8 11 67-42
Fax: +41/91/8 11 67-44
Email: ortho_ticino@surfeu.ch