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2013 | 8 | 6 | 810-813
Tytuł artykułu

Traumatic bilateral posterior dislocation of the shoulder: a case report

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Introduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.
Wydawca

Czasopismo
Rocznik
Tom
8
Numer
6
Strony
810-813
Opis fizyczny
Daty
wydano
2013-12-01
online
2013-12-06
Twórcy
autor
  • Universitätsklinikum Aachen, Aachen, Germany
autor
  • Universitätsklinikum Aachen, Aachen, Germany
autor
  • Universitätsklinikum Aachen, Aachen, Germany
autor
  • Universitätsklinikum Aachen, Aachen, Germany
autor
  • Universitätsklinikum Aachen, Aachen, Germany
Bibliografia
  • [1] Alta TDW, Willems WJ. Bilateral posterior fracturedislocation of the shoulder managed by allograft reconstruction of the segmental defect: report of two cases. European Journal of Orthopaedic Surgery and Traumatology. 2008;18(5):381–385 http://dx.doi.org/10.1007/s00590-008-0316-7[Crossref][WoS]
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  • [6] Cicak N. Posterior dislocation of the shoulder. Journal of Bone and Joint Surgery-Series B. 2004;86(3):324–332 http://dx.doi.org/10.1302/0301-620X.86B3.14985[Crossref]
  • [7] Cisternino SJ, Rogers LF et al. The trough line: a radiographic sign of posterior shoulder dislocation. Am J Roentgenol. 1978;130(5):951–954 http://dx.doi.org/10.2214/ajr.130.5.951[Crossref]
  • [8] Delcogliano A, Caporaso A, Chiossi S, Menghi A, Cillo M, Delcogliano M. Surgical management of chronic unreduced posterior dilocation of the shoulder. Knee Surg Sports Traumatol Arthrosc. 2005;13:151–155 http://dx.doi.org/10.1007/s00167-004-0524-6[Crossref]
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  • [12] Hsu CJ, Hsu HC, Fong YC, Kuo CC, Wang DY. Bilateral locked posterior fracture-dislocation of the shoulders due to electric shock. Mid-Taiwan Journal of Medicine. 2006;11(2):132–137
  • [13] Iosifidis MI, Giannoulis I, Traios S, Giantsis G. Simultaneous bilateral posterior dislocation of the shoulder: diagnostic problems and management-a case report. Knee Surgery, Sports Traumatology, Arthroscopy. 2006;14(8):766–770 http://dx.doi.org/10.1007/s00167-006-0066-1[Crossref]
  • [14] Ivkovic A, Boric I, Cicak N. One-stage operation for locked bilateral posterior dislocation of the shoulder. Journal of Bone and Joint Surgery-Series B. 2007;89(6):825–828 http://dx.doi.org/10.1302/0301-620X.89B6.18842[WoS][Crossref]
  • [15] Kirchhoff C, Braunstein V, Buhmann S, Kanz KG, Mutschler W, Biberthaler P. Traumatic posterior shoulder dislocation: diagnosis and therapy. Unfallchirurg. 2007 Dec;110(12):1059–1064 http://dx.doi.org/10.1007/s00113-007-1285-8[WoS][Crossref]
  • [16] Kokkalis ZT, Mavrogenis AF, Ballas EG, Papagelopoulos PJ, Zoubos AB. Bilateral neglected posterior fracture-dislocation of the shoulders. Orthopedics. 2012 Oct;35(10):e1537–1541 http://dx.doi.org/10.3928/01477447-20120919-26[Crossref][WoS]
  • [17] Kwon YW, Kulwicki KJ, Zuckerman JD. Glenohumeral joint sublaxation, dislocation, and instability. In: Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P, editors. Rockwood and Green’s Fractures in Adults. Philadelphia, Pa, USA: Lippincott Williams & Wilkins; 2010. pp. 1165–1209
  • [18] Meshdagh H, Maynou C, Delobelle JM et al. Traumatic posterior dislocation of the shoulder in adults. Apropos of 25 cases. Ann Chir 1994;48:355–363
  • [19] Mnif H, Koubaa M, Zrig M, Zrour S, Amara K, Bergaoui N, Abid A. Bilateral posterior fracture dislocation of the shoulder. Chir Main. 2010 Apr;29(2):132–134 http://dx.doi.org/10.1016/j.main.2009.11.001[Crossref][WoS]
  • [20] Mouzopoulos G. The “Mouzopoulos” sign: a radiographic sign of posterior shoulder dislocation. Emergency Radiology. 2010;17(4):317–320 http://dx.doi.org/10.1007/s10140-010-0862-2[Crossref]
  • [21] Randelli M, Gambrioli PL. Chronic posterior dislocation of the shoulder. Surgical techniques in orthopaedics traumatology. 2001;55-190-B-10. Elsevier, Paris
  • [22] Rezazadeh S, Vosoughi AR. Closed reduction of bilateral posterior shoulder dislocation with medium impression defect of the humeral head: a case report and review of its treatment. Case Rep Med. 2011;2011:124581
  • [23] Rockwood C. The diagnosis of acute posterior dislocation of the shoulder. J Bone Joint Surg Am 1965;46:1220
  • [24] Schliemann B, Muder D, Gessmann J, Schildhauer TA, Seybold D. Locked posterior shoulder dislocation: treatment options and clinical outcomes. Arch Orthop Trauma Surg. 2011 Aug;131(8):1127–1134 http://dx.doi.org/10.1007/s00402-011-1310-9[Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-013-0228-8
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