Limits...
Neglected Bilateral Posterior Shoulder Fracture Dislocation in an Uncontrolled Seizure patient.

Amir MA, Alenazi B, Wyse RK, Tamimi W, Kujan O, Khan T, Alenzi FQ - Pak J Med Sci (2015 Jul-Aug)

Bottom Line: Diagnosis is often missed and treatment is challenging.Correct diagnosis is achieved by history taking, a physical examination and appropriate imaging.In neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the McLaughlin procedure shows excellent results at follow-up.

View Article: PubMed Central - PubMed

Affiliation: Moaath A. Amir, Department of Orthopedics, Military Hospital, Riyadh, Saudi Arabia.

ABSTRACT
Posterior dislocation of the shoulder is a rare injury that occurs secondary to trauma and seizures. Diagnosis is often missed and treatment is challenging. Neglected posterior dislocation is associated with Hill-Sachs lesion which leads to locking of dislocation. Correct diagnosis is achieved by history taking, a physical examination and appropriate imaging. In neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the McLaughlin procedure shows excellent results at follow-up.

No MeSH data available.


Related in: MedlinePlus

Axillary view shows locked right posterior shoulder dislocation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4590399&req=5

Figure 1: Axillary view shows locked right posterior shoulder dislocation

Mentions: A 37 years old male soldier known to have uncontrolled status epilepticus due to non-compliance of treatment presented to the emergency room three weeks after having a seizure complicated by undiagnosed right shoulder pain and decreased shoulder external rotation. AP and axillary X-ray views (Fig.1a) were carried out which showed right posterior locked fracture dislocation of the humeral head, whilst a CT scan (Fig.1b) showed a 35% humeral head defect reverse Hill-Sachs lesion (also called a McLaughlin lesion). One week later the patient underwent a right shoulder McLaughlin procedure and shoulder Spica followed by passive, then active-assisted, and active range of motion and rotator cuff strengthening exercises.


Neglected Bilateral Posterior Shoulder Fracture Dislocation in an Uncontrolled Seizure patient.

Amir MA, Alenazi B, Wyse RK, Tamimi W, Kujan O, Khan T, Alenzi FQ - Pak J Med Sci (2015 Jul-Aug)

Axillary view shows locked right posterior shoulder dislocation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590399&req=5

Figure 1: Axillary view shows locked right posterior shoulder dislocation
Mentions: A 37 years old male soldier known to have uncontrolled status epilepticus due to non-compliance of treatment presented to the emergency room three weeks after having a seizure complicated by undiagnosed right shoulder pain and decreased shoulder external rotation. AP and axillary X-ray views (Fig.1a) were carried out which showed right posterior locked fracture dislocation of the humeral head, whilst a CT scan (Fig.1b) showed a 35% humeral head defect reverse Hill-Sachs lesion (also called a McLaughlin lesion). One week later the patient underwent a right shoulder McLaughlin procedure and shoulder Spica followed by passive, then active-assisted, and active range of motion and rotator cuff strengthening exercises.

Bottom Line: Diagnosis is often missed and treatment is challenging.Correct diagnosis is achieved by history taking, a physical examination and appropriate imaging.In neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the McLaughlin procedure shows excellent results at follow-up.

View Article: PubMed Central - PubMed

Affiliation: Moaath A. Amir, Department of Orthopedics, Military Hospital, Riyadh, Saudi Arabia.

ABSTRACT
Posterior dislocation of the shoulder is a rare injury that occurs secondary to trauma and seizures. Diagnosis is often missed and treatment is challenging. Neglected posterior dislocation is associated with Hill-Sachs lesion which leads to locking of dislocation. Correct diagnosis is achieved by history taking, a physical examination and appropriate imaging. In neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the McLaughlin procedure shows excellent results at follow-up.

No MeSH data available.


Related in: MedlinePlus