title: Simultaneous bilateral anterior shoulder dislocation: report of two cases and review of the literature.
abstract: Bilateral shoulder dislocations are rare and almost always occur in the posterior direction. Simultaneous bilateral anterior shoulder dislocation is even rarer and only a few cases are stated in the literature. The most interesting part of a bilateral shoulder dislocation is about its injury mechanism as a synchronous and simultaneous force is needed to result in it. In cases of epilepsy or electrocution, the mechanism is different and the forceful contractions of the selective group of muscles result in the dislocation. This article reports two cases of bilateral simultaneous anterior shoulder joint dislocation that occurred after a road side accident and after an episode of convulsion in an epileptic patient. The dislocations were diagnosed early and reduced immediately with a proper postreduction rehabilitation. During their follow-up, both patients had sa-tisfactory functional outcome. This article emphasizes on the importance of shoulder examination in road side accident victims and epileptic patients. All orthopedic surgeons and emergency physicians should be aware of such unusual possibilities to have an early diagnosis and treatment. An early reduction and appropriate rehabilitation can provide satisfactory functional outcome. This article also briefly discusses the injury mechanisms, diagnoses and treatments of bilateral shoulder dislocation as reported in the literature.
authors: Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160 012, India.
authors: Sujit-Kumar
authors: SK
authors: Tripathy
authors: Ramesh-Kumar
authors: RK
authors: Sen
authors: Sameer
authors: S
authors: Aggarwal
authors: Sarvdeep-Singh
authors: SS
authors: Dhatt
authors: Naveen
authors: N
authors: Tahasildar
mesh_terms: D006801:Humans; D004204:Joint Dislocations; D012783:Shoulder Dislocation / Q000628:therapy