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Bilateral Anterior Shoulder Dislocation: A Systematic Review.

Andrew W Kuhn1, Emma K Landes2, Justin K Yu2

  • 1Department of Orthopaedic Surgery, Washington University in St. Louis, MO, USA.

The Archives of Bone and Joint Surgery
|May 31, 2024
PubMed
Summary
This summary is machine-generated.

Bilateral anterior shoulder dislocation (BASD) is often seen in young males, particularly those with seizure disorders. Early diagnosis and prompt management are crucial to avoid complications and misdiagnosis.

Keywords:
BilateralDislocationInstabilityShoulderSystematic reviewTrauma

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Area of Science:

  • Orthopedics
  • Traumatology
  • Sports Medicine

Background:

  • Bilateral anterior shoulder dislocation (BASD) is a rare injury with varied etiologies.
  • Understanding patient demographics and injury mechanisms is essential for accurate diagnosis and treatment.

Purpose of the Study:

  • To systematically review the literature on BASD.
  • To analyze patient demographics, injury mechanisms, characteristics, management, and outcomes of BASD.

Main Methods:

  • A systematic review adhering to PRISMA guidelines was performed.
  • Searches were conducted across multiple online databases (Ovid Medline, Embase, Scopus, Cochrane Central, Clinicaltrials.gov).
  • Data from case reports and case series documenting BASD were extracted, compiled, and statistically analyzed.

Main Results:

  • Eighty-one studies comprising 87 cases of BASD were analyzed.
  • The average patient age was 41.1 years, with a majority being male (72.4%).
  • Approximately 28.7% of patients had a history of seizures; younger males with seizures or electrocution were more prone to BASD and fracture-dislocations, with higher rates of failed closed reduction.

Conclusions:

  • In young males presenting with BASD without clear trauma, a convulsant event should be suspected.
  • For patients with seizure disorders experiencing chronic shoulder pain, BASD should be considered to prevent misdiagnosis and ensure timely intervention.