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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

Range of motion of shoulder joint post McLaughlin procedure.
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Figure 5: Range of motion of shoulder joint post McLaughlin procedure.

Mentions: Twenty three months from the right shoulder surgery, and 14 months from left shoulder surgery, and with multiple uncontrolled seizures, the patient has intact, stable and good joint congruency of his bilateral shoulder joints. There is now a pain-free range of motion, external rotation of 45 degrees, intact lifts of test abduction of 170 degrees, and flexion of 160 degrees (Fig.3). The patient returned to his normal lifestyle as well to his hobbies (which are hunting and car mechanics) and has an absolute Constant Score of 86 points for both shoulders.


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)

Range of motion of shoulder joint post McLaughlin procedure.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Range of motion of shoulder joint post McLaughlin procedure.
Mentions: Twenty three months from the right shoulder surgery, and 14 months from left shoulder surgery, and with multiple uncontrolled seizures, the patient has intact, stable and good joint congruency of his bilateral shoulder joints. There is now a pain-free range of motion, external rotation of 45 degrees, intact lifts of test abduction of 170 degrees, and flexion of 160 degrees (Fig.3). The patient returned to his normal lifestyle as well to his hobbies (which are hunting and car mechanics) and has an absolute Constant Score of 86 points for both shoulders.

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