• Kuan-Lin Chen, Sen-Yung Liu, and Ta-Sen Wei.
• Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, Changhua.
• Medicine (Baltimore). 2017 Dec 1; 96 (49): e8590.

RationaleBilateral anterior shoulder dislocation is clinically rare and has been reported to be related to high-speed sports.Patient ConcernsA 76-year-old woman presented with bilateral shoulders pain after traditional Chinese manipulation.DiagnosesShe was diagnosed with bilateral anterior dislocations, and a closed reduction was immediately performed.InterventionThe patient was referred for rehabilitation 3 days later, and bilateral rotator cuff injuries were identified from musculoskeletal ultrasound. After 4 weeks of physical therapy, the patient's shoulder pain had reduced and the passive ROM was nearly full.OutcomesAt 1-year follow-up, only mild intermittent shoulder pain was noted, and there was no limitation of shoulder ROM.LessonsThis case illustrates that patients with acute shoulder injuries who receive proper diagnosis and treatment can achieve good outcomes. Therefore, patients with musculoskeletal disorders should seek qualified specialists for accurate diagnosis and appropriate management.

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