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A case of neglected bilateral anterior shoulder dislocation: a rare entity with unusual mechanism of injury.

Choulapalle R, Chokkarapu R, Kolluri RK, Anne SR, Perumal SR, Avadhanam PK, Bheemanathuni R - Case Rep Orthop (2015)

Bottom Line: Bilateral shoulder dislocations are rare, and if they occurred, posterior type of dislocations is common.Bilateral anterior shoulder dislocations are very rare and occur due to trauma with unique mechanism of injury.We report a case of unreduced simultaneous bilateral anterior dislocations of shoulder without associated fractures in a forty-year-old man following a unique mechanism of injury; both hands of the patient were pulled from either side.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics & Traumatology and Rehabilitation, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana 505001, India.

ABSTRACT
Bilateral shoulder dislocations are rare, and if they occurred, posterior type of dislocations is common. Bilateral anterior shoulder dislocations are very rare and occur due to trauma with unique mechanism of injury. We report a case of unreduced simultaneous bilateral anterior dislocations of shoulder without associated fractures in a forty-year-old man following a unique mechanism of injury; both hands of the patient were pulled from either side. To the best of our knowledge, this unusual mechanism of injury has not been reported in the literature.

No MeSH data available.


Related in: MedlinePlus

Patient with bilateral anterior shoulder dislocation.
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fig1: Patient with bilateral anterior shoulder dislocation.

Mentions: A forty-year-old man presented to our hospital in December 2013 with pain and restricted range of movements in both shoulders. Patient was involved in a quarrel six weeks back and both the hands of the patient were held by two people on either side and were pulled. He had no history of seizures, previous shoulder dislocations, or laxity of other joints. On examination, arms were abducted and externally rotated. There was loss of round contour of shoulder with fullness over anterior aspect of both shoulders. No neurovascular injury and no associated fractures were confirmed by radiographs and CT scan in both arms (Figures 1 and 3). Patient was able to perform flexion up to 30 degrees and abduction and external rotation with no pain restraint. Adduction and internal rotations were restricted (Figure 1).


A case of neglected bilateral anterior shoulder dislocation: a rare entity with unusual mechanism of injury.

Choulapalle R, Chokkarapu R, Kolluri RK, Anne SR, Perumal SR, Avadhanam PK, Bheemanathuni R - Case Rep Orthop (2015)

Patient with bilateral anterior shoulder dislocation.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4417978&req=5

fig1: Patient with bilateral anterior shoulder dislocation.
Mentions: A forty-year-old man presented to our hospital in December 2013 with pain and restricted range of movements in both shoulders. Patient was involved in a quarrel six weeks back and both the hands of the patient were held by two people on either side and were pulled. He had no history of seizures, previous shoulder dislocations, or laxity of other joints. On examination, arms were abducted and externally rotated. There was loss of round contour of shoulder with fullness over anterior aspect of both shoulders. No neurovascular injury and no associated fractures were confirmed by radiographs and CT scan in both arms (Figures 1 and 3). Patient was able to perform flexion up to 30 degrees and abduction and external rotation with no pain restraint. Adduction and internal rotations were restricted (Figure 1).

Bottom Line: Bilateral shoulder dislocations are rare, and if they occurred, posterior type of dislocations is common.Bilateral anterior shoulder dislocations are very rare and occur due to trauma with unique mechanism of injury.We report a case of unreduced simultaneous bilateral anterior dislocations of shoulder without associated fractures in a forty-year-old man following a unique mechanism of injury; both hands of the patient were pulled from either side.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics & Traumatology and Rehabilitation, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana 505001, India.

ABSTRACT
Bilateral shoulder dislocations are rare, and if they occurred, posterior type of dislocations is common. Bilateral anterior shoulder dislocations are very rare and occur due to trauma with unique mechanism of injury. We report a case of unreduced simultaneous bilateral anterior dislocations of shoulder without associated fractures in a forty-year-old man following a unique mechanism of injury; both hands of the patient were pulled from either side. To the best of our knowledge, this unusual mechanism of injury has not been reported in the literature.

No MeSH data available.


Related in: MedlinePlus