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Case Reports
. 2017 Dec 28:13:35-41.
doi: 10.1016/j.tcr.2017.11.006. eCollection 2018 Feb.

Bilateral posterior fracture-dislocation of the shoulder after epileptic seizure

Michele Dario Gurzì  1 , Daniele De Meo  1 , Mattia Pugliese  1 , Luigi Di Giorgio  1 , Pietro Persiani  1 , Ciro Villani  1
Affiliations
Case Reports

Bilateral posterior fracture-dislocation of the shoulder after epileptic seizure

Michele Dario Gurzì et al. Trauma Case Rep. .

Abstract

We present a case of a 61 year-old woman who suffered a bilateral posterior fracture-dislocation of the shoulder after an isolated episode of epileptic seizure. The patient was diagnosed at our Emergency department with x-rays and CT scans after being found unconscious. An indication for bilateral shoulder hemiprosthesis implant was initially given. However, given the peculiar pattern of the fracture, the hemiprosthesis was implanted on one side only, while the other side was treated with ORIF with four cannulated screws. After the one year, the patient had resumed her previous activities and had no complaints. We performed a review of similar cases in literature and provided a rationale for our choice of treatment and the reasons for its success.

Keywords: Bilateral; Dislocation; Fracture; Posterior; Seizure; Shoulder.

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Figures

Fig. 1
Fig. 1
Clinical picture upon arrival. Note the biting marks on the patient's tongue and the absence of signs of direct trauma to either shoulder.
Fig. 2
Fig. 2
Emergency department X-ray in AP view.
Fig. 3
Fig. 3
Emergency department CT scan.
Fig. 4
Fig. 4
CT scan 3D reconstruction.
Fig. 5
Fig. 5
Post-operative X-ray.
Fig. 6
Fig. 6
Two-year follow-up X-ray.
Fig. 7
Fig. 7
Two-year follow-up visit.
See this image and copyright information in PMC

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