Bilateral anterior fracture-dislocation shoulder: a case report with a review of the literature

Abstract

Although bilateral anterior dislocation of the shoulders are not that much uncommon, but incidences of bilateral anterior fracture-dislocation shoulder are relatively rare with about 16 reported cases in the world literature. We report a rare case of bilateral anterior dislocation of the shoulders with bilateral 3-part fracture of the proximal humerus after first time epileptic attack. The diagnosis of bilateral anterior fracture shoulder dislocation was done on the same day of the epileptic injury, and patient had been operated within 48 h of injury. Patient was treated with open reduction and internal fixation through the delto-pectoral approach for both the sides. For right side, fixation was done with proximal humerus locking plate, and for left side, fixation was done with multiple screws with washers. Primary rotator cuff repair was done on both the sides. We had got excellent result in our case report at 1-year follow-up. The literature on this injury is also reviewed.