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An Unusual Case of Post-traumatic Bilateral Anterior Shoulder Dislocation
RD01-RD03
Correspondence
Gaurav Lalasaheb Patil,
F-404, Wisdom Park, Finolex Chowk, Pimpri, Pune, Maharashtra, India.
E-mail: grvpatil8@gmail.com
Bilateral anterior shoulder dislocation is a rare entity. It is uncommon for bilateral shoulder dislocations to occur simultaneously and they almost always occur in the posterior direction. On the other hand, only a few cases of anterior shoulder have been reported. A 46-year-old male reported to the Emergency Orthopaedic Department after an automobile accident with complaints of pain and swelling over bilateral shoulders. The patient presented with severe ecchymosis over the anterior aspect of both shoulder joints. There was a bilateral anterior flattening of shoulder contour and anterior fullness. Plain radiographs revealed anterior dislocation of both the shoulder joints. The reduction was done by Kocher’s manoeuvre. Radiographs were repeated after the treatment and showed a considerable reduction. Both the shoulder joints were immobilised in arm chest bandaging. Both traumatic and atraumatic causes can lead to bilateral anterior shoulder dislocation. Such dislocations occurring simultaneously are rare. The aetiology behind dislocations should not conflict the emergency physicians or orthopaedic surgeons regarding the diagnosis. Fracture, neurovascular injuries, rotator cuff tear may be associated with such dislocations. Diagnosis can easily be made by clinical and radiological examinations. An early reduction, proper follow-up and adequate physiotherapy can regain a full range of movements.