title: BILATERAL ANTERIOR GLENOHUMERAL DISLOCATION: CLINICAL CASE.
abstract: Bilateral anterior glenohumeral dislocation is a rare occurrence. We present a case of bilateral anterior glenohumeral dislocation caused by a fall. The interest in publishing this case is that this is a clinical rarity with few cases reported in the literature. An 89-year-old female patient was brought to the emergency department after a fall, complaining of intense pain in both shoulders and inability to move them. Objective examination showed clinical signs giving the suspicion of bilateral anterior glenohumeral dislocation, which was confirmed by x-ray imaging. Both dislocations were successfully reduced in the emergency department using the modified Milch technique. When a synchronous and symmetrical force has acted on both shoulders and these are painful with significant functional limitation, the suspicion of bilateral glenohumeral dislocation is a differential diagnosis to be considered, even though it is rare.
authors.affiliation: Resident Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
authors.forename: Luís Pires
authors.initials: LP
authors.lastname: Silva
authors.affiliation: Resident Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
authors.forename: Cristina Varino
authors.initials: CV
authors.lastname: Sousa
authors.affiliation: Resident Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
authors.forename: Elisa
authors.initials: E
authors.lastname: Rodrigues
authors.affiliation: Resident Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
authors.forename: Bruno
authors.initials: B
authors.lastname: Alpoim
authors.affiliation: Specialist Attending Physician in Orthopedics and Traumatology, Alto Minho Local Healthcare Unit, EPE, Porto, Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Leal
keywords: Adults; Aged; Female; Shoulder Dislocation/diagnosis; Shoulder Dislocation/etiology; Shoulder Dislocation/therapy