Locked bilateral posterior fracture-dislocation of the shoulder in an epileptic patient: case report

Joints. 2014 Aug 1;2(3):146-8. doi: 10.11138/jts/2014.2.3.146. eCollection 2014 Jul-Sep.

Abstract

Bilateral posterior dislocation of the shoulder, often secondary to seizures, is uncommon, while bilateral posterior fracture-dislocations is rarer still: 0.6 cases among a population of 100,000 people per year. The scientific literature contains very few published reports of cases of bilateral posterior fracture-dislocation of the shoulder, a condition that tends to be sustained by epileptic patients during seizures. The authors presented a case of bilateral posterior fracture-dislocation of the shoulder secondary to a first epileptic seizure episode treated by humeral head replacement with stem less implants on both shoulders, with satisfactory radiographic and clinical outcome.

Keywords: epilepsy; fracture; posterior dislocation; replacement; shoulder.