Bilateral Posterior Dislocation of the Shoulders

Area of Science:

• Orthopedics
• Nephrology

Background:

• Bilateral posterior shoulder dislocation is an uncommon injury.
• Patients with end-stage renal failure may present with unique orthopedic challenges.

Purpose of the Study:

• To report a case of bilateral posterior shoulder dislocation in a patient with end-stage renal failure.
• To review and highlight characteristic features of this injury to improve diagnosis.
• To emphasize the importance of early intervention for better functional outcomes.

Main Methods:

• Case report of a patient with end-stage renal failure and bilateral posterior shoulder dislocation.
• Literature review of previously reported cases of bilateral posterior shoulder dislocation.
• Analysis of clinical and radiological features.

Main Results:

• The reported case highlights the association between end-stage renal failure and this rare dislocation.
• Characteristic clinical and radiological features were identified.
• The study underscores that the lesion is frequently misdiagnosed.

Conclusions:

• Early diagnosis of bilateral posterior shoulder dislocation is critical.
• Closed reduction within the first week typically leads to good functional results.
• Delayed treatment necessitates open reduction with only fair functional outcomes, though still superior to untreated cases.