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BILATERAL ANTERIOR GLENOHUMERAL DISLOCATION: CLINICAL CASE
Luís Pires Silva1, Cristina Varino Sousa1, Elisa Rodrigues1
1Resident Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
Revista Brasileira De Ortopedia
|April 6, 2016
Summary
Bilateral anterior glenohumeral dislocation, a rare injury, can occur from falls. This case highlights the importance of considering this diagnosis in patients with severe shoulder pain and immobility after trauma.
Area of Science:
- Orthopedics
- Traumatology
- Emergency Medicine
Background:
- Bilateral anterior glenohumeral dislocation is an uncommon injury.
- Prompt diagnosis and management are crucial for optimal patient outcomes.
Observation:
- An 89-year-old female presented with acute bilateral shoulder pain and immobility following a fall.
- Clinical examination suggested bilateral anterior glenohumeral dislocation, confirmed by X-ray imaging.
Findings:
- Both anterior glenohumeral dislocations were successfully reduced using the modified Milch technique in the emergency department.
- The case underscores the rarity and clinical presentation of this specific injury.
Implications:
- Clinicians should consider bilateral glenohumeral dislocation in the differential diagnosis for patients experiencing synchronous, symmetrical shoulder trauma.
- Early recognition and appropriate reduction techniques are vital for managing this rare orthopedic emergency.

