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Bilateral anterior shoulder dislocation.

Bruce S Rudy1, William L Hennrikus

  • 1At Penn State Hershey in Hershey, Pa., Bruce S. Rudy is an assistant professor of emergency medicine and public health sciences and William L. Hennrikus is a professor of pediatric orthopedics and sports medicine and vice dean of continuing medical education.

JAAPA : Official Journal of the American Academy of Physician Assistants
|June 24, 2017
PubMed
Summary
This summary is machine-generated.

Bilateral shoulder dislocations are rare, often linked to seizures. This case highlights an unusual anterior dislocation in an adolescent after seizure activity.

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Area of Science:

  • Orthopedics
  • Emergency Medicine
  • Neurology

Background:

  • Shoulder dislocation is a common emergency department (ED) presentation.
  • Bilateral shoulder dislocations are infrequent, typically associated with seizures or electrocution.
  • Posterior shoulder dislocations are the most common type following seizures.

Observation:

  • This article details a rare case of an adolescent female patient.
  • The patient presented with bilateral anterior shoulder dislocations.
  • The dislocation occurred subsequent to seizure activity.

Findings:

  • The patient experienced simultaneous anterior dislocations of both shoulders.
  • This presentation is atypical, as posterior dislocations are more common after seizures.
  • The mechanism involved significant muscle contractions during a seizure.

Implications:

  • This case expands the understanding of potential shoulder dislocation patterns following seizures.
  • It underscores the importance of a thorough examination in cases of bilateral joint injuries.
  • Highlights the need to consider anterior dislocations in seizure-related bilateral shoulder injuries.