• Knee Surg Sports Traumatol Arthrosc · Aug 2006

    Case Reports

    Simultaneous bilateral posterior dislocation of the shoulder: diagnostic problems and management. A case report.

    • Michael I Iosifidis, Ioannis Giannoulis, Stavros Traios, and Georgios Giantsis.
    • Orthopaedic Department, Naoussa General Hospital, Naoussa, Greece. iosfyl@med.auth.gr
    • Knee Surg Sports Traumatol Arthrosc. 2006 Aug 1;14(8):766-70.

    AbstractWe present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction of both shoulder dislocations was done. Posterior dislocation of the shoulder-especially the bilateral one-is very rare. When the history describes an electric shock or convulsive seizure, any shoulder injury demands a careful clinical and radiological evaluation. It is usually associated with reverse Hill-Sachs lesion (an impression defect of the anteromedial aspect of the humeral head), in which the size determines the treatment options.

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