Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity
Introduction: Bilateral shoulder dislocation are most commonly posterior type. These are most commonly due to seizure disorder and electrocution. Anterior shoulder dislocations occurring bilaterally without any predisposing factors are very rare. These types of injuries are due to trauma with a uniq...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2013-01-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | http://www.jocr.co.in/wp/2013/01/19/bilateral-traumatic-anterior-dislocation-of-shoulder-a-rare-entity-2/ |
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| author | Yashavantha Kumar C Nalini K B Lalit Maini Prashanth Nagaraj |
| author_facet | Yashavantha Kumar C Nalini K B Lalit Maini Prashanth Nagaraj |
| author_sort | Yashavantha Kumar C |
| collection | DOAJ |
| description | Introduction: Bilateral shoulder dislocation are most commonly posterior type. These are most commonly due to seizure disorder and electrocution. Anterior shoulder dislocations occurring bilaterally without any predisposing factors are very rare. These types of injuries are due to trauma with a unique mechanism of injury. To best of our knowledge there are only few cases of similar kind are reported in literature. We hereby report a interesting case of posttraumatic, bilateral anterior dislocation of shoulder without associated fracture in a 45 old women without any predisposing pathoanatomy.Case Report: A 45-year-old women presented to casualty with sudden onset of pain and restriction of movement in both shoulders fallowing trauma. Immediately post trauma she had severe pain and restriction of both shoulders. On examination arms were abducted and externally rotated. Bilateral shoulder movements were painful and restricted . There was loss of round contour of shoulder with increased vertical diameter of axilla anteriorly. Radiological examination revealed bilateral anterior dislocation of the shoulders without any associated fractures. Closed reduction done by Milch technique after intraraticular lignocaine injection. MRI of bilateral shoulder showed no pathological lesion. Both shoulders were immobilized with a shoulder immobilizer for three weeks.Conclusion: Most of the bilateral shoulder dislocations are posterior type seen in seizure disorders. Bilateral traumatic anterior shoulder dislocations are rare and are seen as a result of unique mechanism of injury. In our case patient had a fall on her elbows causing forced extension. If diagnosed and treated promptly completely normal function of the shoulders can be restored. |
| first_indexed | 2024-12-21T22:19:17Z |
| format | Article |
| id | doaj.art-2dcc578756f14524b6eb2472fb485ff3 |
| institution | Directory Open Access Journal |
| issn | 2250-0685 |
| language | English |
| last_indexed | 2024-12-21T22:19:17Z |
| publishDate | 2013-01-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj.art-2dcc578756f14524b6eb2472fb485ff32022-12-21T18:48:23ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852013-01-01312325Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entityYashavantha Kumar CNalini K BLalit MainiPrashanth NagarajIntroduction: Bilateral shoulder dislocation are most commonly posterior type. These are most commonly due to seizure disorder and electrocution. Anterior shoulder dislocations occurring bilaterally without any predisposing factors are very rare. These types of injuries are due to trauma with a unique mechanism of injury. To best of our knowledge there are only few cases of similar kind are reported in literature. We hereby report a interesting case of posttraumatic, bilateral anterior dislocation of shoulder without associated fracture in a 45 old women without any predisposing pathoanatomy.Case Report: A 45-year-old women presented to casualty with sudden onset of pain and restriction of movement in both shoulders fallowing trauma. Immediately post trauma she had severe pain and restriction of both shoulders. On examination arms were abducted and externally rotated. Bilateral shoulder movements were painful and restricted . There was loss of round contour of shoulder with increased vertical diameter of axilla anteriorly. Radiological examination revealed bilateral anterior dislocation of the shoulders without any associated fractures. Closed reduction done by Milch technique after intraraticular lignocaine injection. MRI of bilateral shoulder showed no pathological lesion. Both shoulders were immobilized with a shoulder immobilizer for three weeks.Conclusion: Most of the bilateral shoulder dislocations are posterior type seen in seizure disorders. Bilateral traumatic anterior shoulder dislocations are rare and are seen as a result of unique mechanism of injury. In our case patient had a fall on her elbows causing forced extension. If diagnosed and treated promptly completely normal function of the shoulders can be restored.http://www.jocr.co.in/wp/2013/01/19/bilateral-traumatic-anterior-dislocation-of-shoulder-a-rare-entity-2/Bilateral dislocation shouldertraumatic |
| spellingShingle | Yashavantha Kumar C Nalini K B Lalit Maini Prashanth Nagaraj Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity Journal of Orthopaedic Case Reports Bilateral dislocation shoulder traumatic |
| title | Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity |
| title_full | Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity |
| title_fullStr | Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity |
| title_full_unstemmed | Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity |
| title_short | Bilateral Traumatic Anterior Dislocation of Shoulder – a rare entity |
| title_sort | bilateral traumatic anterior dislocation of shoulder a rare entity |
| topic | Bilateral dislocation shoulder traumatic |
| url | http://www.jocr.co.in/wp/2013/01/19/bilateral-traumatic-anterior-dislocation-of-shoulder-a-rare-entity-2/ |
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