[Bilateral shoulder fractures following generalized seizure]

A 37 year-old man with bilateral shoulder fractures and posterior dislocation of one shoulder following a tonic-clonic seizure is presented. The seizure was most likely caused by alcohol withdrawal. The diagnosis was not suspected initially. X-ray and CT-scan led to the diagnosis. The relevant literature is reviewed with special focus on causes, trauma mechanisms, symptoms and signs and the pitfalls responsible for missing the diagnosis.