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Pan Arab Journal of Orthopaedic and Trauma [The]. 2007; 11 (2): 225-227
em Inglês | IMEMR | ID: emr-84878

RESUMO

Unilateral shoulder dislocation is a common injury but, bilateral shoulder dislocation is an uncommon event. The majority are posterior and occur during epileptic fits [seizure], electric shock electroconvulsive therapy, patients with neuromuscular disorders and psychiatric disturbances. Bilateral anterior fracture dislocation of the shoulder mostly caused by violent trauma, few cases were attributed to epileptic or hypoglycemic seizures. This report describe a rare case of bilateral anterior fracture dislocation of the shoulders after an epileptic fit, including a mirror image fracture of both greater tuberosities, the patient was treated with closed reduction of the shoulders and percutaneous fixation of the fractures with short threaded cannulated titanium screws and washers under image intensifier. The shoulders were kept in bilateral broad arm sling for six weeks with progressive mobilization from the third week for a period of 3 months. The patient achieve an excellent, comfortable range of motion in both shoulders at the end of one-year follow up


Assuntos
Humanos , Masculino , Epilepsia , Luxação do Ombro/cirurgia , Parafusos Ósseos , Fraturas do Ombro , Seguimentos , Amplitude de Movimento Articular
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