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Updated: Jun 16, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Bilateral posterior fracture dislocation of the shoulder
1Department of Orthopaedic Surgery, Hospital of Monastir, Monastir, Tunisia. mnif_hich@yahoo.fr
Chirurgie De La Main
|February 2, 2010
Summary
This study presents a case of bilateral posterior shoulder fracture-dislocation in a patient with osteogenesis imperfecta. Bilateral total shoulder arthroplasty resulted in a good midterm range of motion for both shoulders.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Bone Diseases
Background:
- Osteogenesis imperfecta (OI) is a genetic disorder characterized by brittle bones.
- Shoulder fracture-dislocations are complex injuries, particularly in patients with compromised bone quality.
- Posterior shoulder dislocations are less common than anterior dislocations.
Observation:
- A 42-year-old male patient with a history of osteogenesis imperfecta presented with bilateral posterior shoulder fracture-dislocation.
- The injury involved significant comminution and a large articular surface area.
- Poor bone quality was a critical factor in the injury's severity.
Findings:
- Bilateral total shoulder arthroplasty was indicated due to the extensive comminution, large joint involvement, and poor bone stock.
- Midterm follow-up revealed a satisfactory range of motion in both surgically treated shoulders.
Implications:
- Total shoulder arthroplasty can be a viable treatment option for complex bilateral shoulder fracture-dislocations in patients with osteogenesis imperfecta.
- Successful surgical management can restore functional range of motion despite poor bone quality.
- This case highlights the importance of considering advanced reconstructive options in OI patients with severe orthopedic trauma.
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