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Journal of Case Reports
Bilateral Anterior Glenohumeral Dislocation after Epileptic Seizure
Ghassen Drissi, Maher Arfa, Khaked Mohamed, Nada Ben Brahim 
Department of Orthopaedics, University Faculty of Medicine of Tunis, la Rabta Hospital, Tunis, Tunisia.
Corresponding Author:
Dr. Ghassen Drissi
Email: drissi.ghassen@yahoo.fr
Received: 06-NOV-2018 Accepted: 23-JUN-2019 Published Online: 25-SEP-2019
DOI: http://dx.doi.org/10.17659/01.2019.0052
Abstract
Background: The unilateral glenohumeral dislocation is the most frequent form of joint dislocation, but the bilateral dislocation is very uncommon. Although the expected form of dislocation after an epileptic seizure is the posterior form, the bilateral anterior form is much rarer. Case Report: A 30 year old man presented to emergency department with pain and deformity of both shoulders following fall due to convulsive seizure. On physical examination at the emergency, we noticed a total loss of function of both upper limbs fixed in abduction that was irreducible. Standard plain X-ray assessment of both shoulders confirmed the diagnosis of bilateral anterior-internal dislocation. Conclusion: In unilateral shoulder dislocations, the incidence of posterior dislocations is markedly less than that of anterior shoulder dislocations. The opposite is true of bilateral shoulder dislocations. Bilateral anterior shoulder dislocations after an epileptic fit is very uncommon.
Keywords : Epilepsy, Joint Dislocations, Pain, Seizures, Shoulder Dislocation.
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