title: Combined anterior and posterior shoulder dislocation as a manifestation of a brain tumour.
abstract: Seizures are sometimes the first manifestation of a brain tumour. They may give rise to shoulder fractures or fracture-dislocations. When bilateral, these lesions tend to be symmetrical. The patient reported here suffered from a previously undiagnosed brain tumour, the first manifestation of which were seizures, which provoked a bilateral shoulder dislocation in opposite directions. The posterior dislocation was recognized with a delay of 16 days. After an episode of seizures, shoulder dislocation can occur in either direction, and bilateral shoulder dislocations may not be symmetrical.
authors.affiliation: Department of Orthopaedic Surgery, Academic Hospital of the University of Thessalia, Larisa, Greece. jtsionos@yahoo.com
authors.forename: Ioannis
authors.initials: I
authors.lastname: Tsionos
authors.forename: Theophilos
authors.initials: T
authors.lastname: Karahalios
authors.forename: Aristeidis H
authors.initials: AH
authors.lastname: Zibis
authors.forename: Konstantinos N
authors.initials: KN
authors.lastname: Malizos
mesh_terms: D000058:Accidental Falls; D000368:Aged; D001254:Astrocytoma / Q000175:diagnosis*; D001932:Brain Neoplasms / Q000175:diagnosis*; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007103:Immobilization; D015601:Injury Severity Score; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D011859:Radiography; D012640:Seizures / Q000150:complications*; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D016312:Treatment Refusal