A Case of Simultaneous Bilateral Anterior Shoulder Dislocation

Area of Science:

• Orthopaedic Surgery
• Trauma Management

Background:

• Anterior shoulder dislocation is common, but bilateral cases are rare.
• Bilateral shoulder dislocations are typically posterior and associated with muscle contraction or seizures.
• Simultaneous bilateral anterior shoulder dislocations following trauma are exceptionally uncommon.

Observation:

• A 35-year-old male presented with pain and immobility in both shoulders after a fall on an outstretched hand.
• Clinical examination revealed bilateral shoulder abduction and external rotation, with loss of contour and positive dislocation signs.
• Radiographs confirmed simultaneous bilateral anterior shoulder dislocations.

Findings:

• The patient underwent successful bilateral shoulder reduction under general anesthesia using Kocher's method.
• Post-reduction, both shoulders were immobilized in slings.

Implications:

• This case underscores the need to consider bilateral anterior shoulder dislocations in traumatic injuries.
• Managing bilateral dislocations presents unique challenges in immobilization and patient care.