title: Simultaneous bilateral posterior dislocation of the shoulder: diagnostic problems and management. A case report.
abstract: We present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction of both shoulder dislocations was done. Posterior dislocation of the shoulder-especially the bilateral one-is very rare. When the history describes an electric shock or convulsive seizure, any shoulder injury demands a careful clinical and radiological evaluation. It is usually associated with reverse Hill-Sachs lesion (an impression defect of the anteromedial aspect of the humeral head), in which the size determines the treatment options.
authors.affiliation: Orthopaedic Department, Naoussa General Hospital, Naoussa, Greece. iosfyl@med.auth.gr
authors.forename: Michael I
authors.initials: MI
authors.lastname: Iosifidis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Giannoulis
authors.forename: Stavros
authors.initials: S
authors.lastname: Traios
authors.forename: Georgios
authors.initials: G
authors.lastname: Giantsis
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000150:complications; D012782:Shoulder / Q000000981:diagnostic imaging; D012783:Shoulder Dislocation / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed