title: Bilateral four-part anterior fracture dislocation of the shoulder--a case report and review of literature.
abstract: Although bilateral anterior dislocation of shoulder is not  that uncommon, there have been only 12 published reports  on bilateral anterior fracture dislocation of shoulder. The  associated fractures have mostly been greater tuberosity  fractures with bilateral three part fractures being reported  in only two cases. To our knowledge, a bilateral four part  anterior fracture dislocation of the shoulder has not yet  been reported in the English literature. We here report a  case of bilateral anterior fracture dislocation with four part  fracture of both proximal humeri in a 60-year-old male due  to electrocution. Considering the comparatively old age of  the patient and excessive comminution of both the fractures,  a bilateral hemiarthroplasty was done. At the last follow-up after more than 2 years, the patient was pain free with  ability to comfortably carry out most of the activities of  daily life. Through our case report, we highlight the rarity  of the condition and review the available literature on the  subject. We also emphasize the importance of meticulous  perioperative planning when dealing with such cases to  ensure a satisfactory long-term outcome.
authors.affiliation: Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Bachhal
authors.forename: Vijay
authors.initials: V
authors.lastname: Goni
authors.forename: Ashish
authors.initials: A
authors.lastname: Taneja
authors.forename: B K
authors.initials: BK
authors.lastname: Shashidhar
authors.forename: Kamal
authors.initials: K
authors.lastname: Bali
mesh_terms: D000203:Activities of Daily Living; D001696:Biomechanical Phenomena; D004556:Electric Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018460:Fractures, Comminuted / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D062785:Hemiarthroplasty; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012784:Shoulder Fractures / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome