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Bilateral Shoulder Dislocation Presenting as a Unilateral Shoulder Dislocation: Case Report.

Brett Auerbach, Adam Bitterman, Cristin Mathew

    The Journal of the American Osteopathic Association
    |July 28, 2015
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    Summary

    Traumatic bilateral anterior shoulder dislocations are rare but can occur. Prompt diagnosis and treatment are crucial, especially when other injuries may distract from the shoulder pathology.

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    Area of Science:

    • Orthopedics
    • Emergency Medicine
    • Traumatology

    Background:

    • Shoulder dislocations are common, usually unilateral and anterior.
    • Bilateral posterior dislocations link to seizures/electrocution; bilateral anterior dislocations suggest trauma.
    • Distracting injuries can mask concomitant shoulder pathologies.

    Observation:

    • A case of traumatic bilateral anterior shoulder dislocations is presented.
    • The patient required two closed reductions for successful treatment.
    • This incidence is rare, particularly in a traumatic context.

    Findings:

    • Traumatic bilateral anterior shoulder dislocations can occur.
    • Closed reduction is an effective treatment for this condition.
    • High index of suspicion is needed for bilateral shoulder injuries.

    Implications:

    • Emergency medicine and orthopedic teams must consider bilateral injuries.
    • Thorough examination is vital to avoid missed diagnoses in trauma patients.
    • Early recognition and management of traumatic bilateral shoulder dislocations improve outcomes.