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Bilateral, locked, recurrent anterior shoulder dislocation: case report
Selim Şanel1, Savaş Şencan, Ali Öçgüder
1Department of Orthopedics and Traumatology, Mareşal Çakmak Military Hospital, 25000 Erzurum, Turkey. sesanel@hotmail.com.
Summary
Bilateral anterior shoulder dislocation is rare, often missed, and can occur in epileptic patients. Prompt diagnosis and surgical treatment are crucial for preventing further damage.
Area of Science:
- Orthopedics
- Traumatology
- Neurology
Background:
- Bilateral anterior shoulder dislocation is a rare clinical presentation.
- Posterior shoulder dislocations are more common in epileptic seizures.
- This case highlights a rare manifestation in an epileptic patient.
Observation:
- A 21-year-old epileptic patient presented with severe bilateral shoulder pain and restricted movement.
- Radiographs and computed tomography confirmed bilateral, locked, anterior shoulder dislocations with Hill-Sachs lesions.
- The patient underwent arthroscopic Bankart repair and remplissage for both shoulders.
Findings:
- Anterior shoulder dislocations are infrequently reported, especially bilaterally, potentially delaying diagnosis.
- Computed tomography is valuable for diagnosing uncertain cases of shoulder dislocation.
- Epileptic patients are susceptible to recurrent anterior shoulder dislocations.
Implications:
- Early recognition and appropriate management of anterior shoulder dislocations in epileptic individuals are essential.
- Regular follow-up and treatment of instability can prevent significant shoulder damage.
- This case underscores the importance of considering rare dislocations in specific patient populations.
