Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 3

Simultaneous Bilateral Anterior Dislocation of Glenohumeral Joint in Elderly Patients with Seizures: A Case Report

Kastanis G1*, Spyrantis M1, Lazanaki E2, Velivasakis G1, Christoforidis C1 and Pantouvaki A3

1Department of Orthopaedic, General Hospital of Heraklion, Venizeleio, Crete, Greece
2Department of Anesthesiology, General Hospital of Heraklion, Venizeleio, Crete, Greece
3Department of Physiotherapy, General Hospital of Heraklion, Venizeleio, Crete, Greece

*Corresponding Author: Kastanis G, Department of Orthopaedic, General Hospital of Heraklion, Venizeleio, Crete, Greece.

Received: January 27, 2020; Published: February 18, 2020



  Anterior glenohumeral dislocation is the most common lesion of dislocations that appears in emergency department. Bilateral anterior shoulder dislocation is a rare injury and in majority of cases originates from trauma. We review two cases (a male, 70 years old and a female, 68 years old) with a simultaneous bilateral anterior dislocation of the shoulder after an epileptic seizure during daily activities. Dislocations were diagnosed after detailed clinical and imaging examination. Under general anesthesia closed reduction with Kocher technique was applied in both patients. A percentage more than 10% of the bilateral anterior dislocation may missed out in the first diagnosis which leads to serious morbidity and loss of function in patients. The aim of this study is to describe two rare cases with simultaneous bilateral anterior glenohumeral dislocation.

Keywords: Shoulder; Dislocation; Bilateral Anterior Dislocation; Epileptic Seizures; Elderly



  1. Devalia KL and Peter VK. “Bilateral anterior shoulder dislocation”. Journal of Postgraduate Medicine  51 (2005): 72-73.
  2. Tripathy SK., et al. “Simultaneous bilateral anterior shoulder dislocation: Report of two cases and review of the literature”. Chinese Journal of Traumatology 14 (2011): 312-315.
  3. Nourredine H., et al. “Bilateral anterior shoulder dislocation”. BMJ Case Reports (2013).
  4. Siu YC and Lui TH. “Bilateral anterior shoulder dislocation”. Archives of Trauma Research 3.4 (2014): e18178. 
  5. Meena S., et al. “Bilateral anterior shoulder dislocation”. Journal of Natural Science, Biology and Medicine 4.2 (2013): 499-501. 
  6. Turhan E and Demirel M. “Bilateral anterior glenohumeral disloca¬tion in a horse rider: a case report and a review of the literature”. Archives of Orthopaedic and Trauma Surgery 128.1 (2008): 79-82. 
  7. Ballesteros R., et al. “Bilateral anterior dislocation of the shoulder: review of seventy cases and proposal of a new etiological mechanical classification”. The Journal of Emergency Medicine 44.1 (2013): 269-279.
  8. Lasanianos N and Mouzopoulos G. “An undiagnosed bilateral ante¬rior shoulder dislocation after a seizure: a case report”. Cases Journal 1.1 (2008): 342. 
  9. Bellazzini MA and Deming DA. “Bilateral anterior shoulder disloca¬tion in a young and healthy man without obvious cause”. American Journal of Emergency Medicine 25.6 (2007): 734. 
  10. Taneja AK., et al. “Bilateral anterior glenohumeral dislocation and coracoid processes fracture after seizure: acute MRI findings of this rare association”. Clinical Imaging 37.6 (2013):1131-1134. 
  11. Marty B., et al. “Bilateral anterior shoul¬der dislocation fracture after an epileptic seizure. A case report]”. Unfallchirurg 97.7 (1994): 382-384. 
  12. Ahmad K., et al. “Bilateral spontaneous anterior shoulder dislocation: A missed orthopedic injury mistaken as proximal neuropathy”. Chinese Journal of Traumatology 20 (2017): 370e-372.
  13. Schneider KN., et al. “Bilateral Anterior Shoulder Dislocation in the Elderly - A Case Report and Review of the Literature”. Journal of Orthopaedic Case Report 7.5 (2017): 42-49. 
  14. Dala-Ali B., et al. “Management of acute anterior shoulder dislocation”. British Journal of Sports Medicine 48 (2014): 1209-1215.
  15. Owens BD., et al. “Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events”. Journal of Bone and Joint Surgery America 92 (2010): 1605.
  16. Chuang TY., et al. “Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability”. Arthroscopy 24 (2008): 376-382.
  17. Mancini GB., et al. “Anterior shoulder dislocation and injuries of the rotator cuff in patients aged over 40 years. Clinical and sonographic study”. Chirurgia Degli Organi di Movimento 86 (2001): 37-44.
  18. Oron A., et al. “Bilateral anterior shoulder dislocation in a paratrooper: A case report”. Clinical Researsc in Ortopaedics 1.1 (2018): 1-2.


Citation: Kastanis G., et al. "Simultaneous Bilateral Anterior Dislocation of Glenohumeral Joint in Elderly Patients with Seizures: A Case Report".Acta Scientific Orthopaedics 3.3 (2020): 06-10.


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