Bilateral Anterior Glenohumeral Dislocation: Case Report

Abstract

Bilateral simultaneous dislocations of the glenohumeral joints in all planes are rare injuries. Most cases are posterior and due to seizures associated with generalized convulsion, usually due to grand mal epileptic seizures, or after severe electric shock. On the other hand, bilateral anterior dislocations have also been reported in patients who have epileptic seizures, diabetic nocturnal hypoglycaemia, and in patients who have loose joints and dislocate shoulders by voluntary movements, after trauma or among participants in sports activities This article presents a case of bilateral simultaneous anterior dislocation of glenohumeral joints caused by epileptic convulsive seizures that was treated with conservative treatment. Key words: Anterior glenohumeral dislocation, Bilateral, Epileptic seizures

Keywords

• Anterior glenohumeral dislocation, Bilateral, Epileptic seizures

İki Taraflı Öne Omuz Çıkığı: Olgu Sunumu

Öz

Omuz ekleminin tüm yönlerdeki iki taraflı eşzamanlı çıkıkları oldukça nadir yaralanmalardır. Olguların çoğu arkaya omuz çıkığı şeklindedir ve genellikle grand mal tipi epilepsi nöbetlerinde görülen yaygın kasılmalar sonrası veya güçlü elektrik şoku/elektrik çarpmalarından sonra ortaya çıkar. Diğer taraftan iki taraflı öne omuz çıkığı ise, epilepsi nöbeti geçirenlerde, diabetik nokturnal hipoglisemisi olanlarda, eklem gevşekliği olup istemli olarak omuz eklemini çıkartanlarda, travma sonrası veya sportif aktiviteler esnasında da gelişebilir. Bu makalede, epilepsi nöbeti geçiren bir hastamızda oluşan ve konservatif yöntemle tedavi edilen iki taraflı eşzamanlı öne omuz çıkığı olgumuz sunulmuştur. Anahtar kelimeler: Öne omuz çıkığı, İki taraflı, Epilepsi

Anahtar Kelimeler

• Öne omuz çıkığı, İki taraflı, Epilepsi

Kaynakça

1. Cresswell TR, Smith RB. Bilateral anterior shoulder dislocation in bench pressing: an unusual case. Br J Sports Med 1998;32:71-2.
2. Devalia KL, Peter VK. Bilateral post traumatic anterior shoulder dislocation. J Postgrad Med 2005;51:72-3.
3. Hartney-Velazco K, Velazco A, Fleming LL. Bilateral anterior dislocation of the shoulder. South Med J 1984;77:1340-1.
4. Mancini GB, Lazzeri S. Bilateral posterior fracture-dislocation of the shoulder. Orthopedics 2002;25:433-4.
5. Shaw JL. Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive seizures. J Bone Joint Surg [Am] 1971;53:1437-40.
6. Singh S, Kumar S. Bilateral anterior shoulder dislocation: a case report. Eur J Emerg Med 2005;12:33-5.
7. Parrish GA, Skiendzielewski JJ. Bilateral posterior fracture-dislocations of the shoulder after convulsive status epilepticus. Ann Emerg Med 1985;14:264-6.
8. Prillaman HA, Thompson RC Jr. Bilateral posterior fracture-dislocation of the shoulder: A case report. J Bone Joint Surg [Am] 1969;51:1627-30.

9. Fullarton GM, MacEvan CJ. Bilateral posterior dislocation of the shoulder. Injury 1985;16:428-9.
10. Segal D, Yablon IG, Lynch JJ, Lynch J, Jones RP. Acute bilateral anterior dislocation of the shoulders. Clin Orthop Relat Res 1979;(140):21-2.
11. Calpur OU, Olcay E. Bilateral anterior dislocation of the shoulder. Acta Orthop Trauma Turc [Article in Turkish]1991;25:117-8.
12. Litchfield JC, Subhedar VY, Beevers DG, Patel HT. Bilateral dislocation of the shoulders due to nocturnal hypoglycaemia. Postgrad Med J 1988;64:450-2
13. Keiser RP, Wilson CL. Bilateral recurrent dislocation of the shoulder (atraumatic) in a thirteen-year-old girl: Report of an unusual case. J Bone Joint Surg [Am] 1961;43:553- 4.
14. Esenkaya I, Tuygun H, Turkmen IM. Bilateral anterior shoulder dislocation in a weightlifter. Phys Sportsmed 2000;28:93-100.
15. Maffuli N, Mikhail HMT. Bilateral anterior glenohumeral dislocation in a weightlifter. Injury 1990;21:254-6.
16. Costigan PS, Binns MS, Wallace WA. Undiagnosed bilateral anterior dislocation of the shoulder. Injury 1990;21:409.
17. Ozer H, Baltaci G, Selek H, Turanli S. Opposite-direction bilateral fracture dislocation of the shoulders after an electric shock. Arch Orthop Trauma Surg 2005;125:499-502.