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Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

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Author(s): Claro Rui | Sousa Ricardo | Massada Marta | Ramos Joaquim | Lourenco Jose

Journal: International Journal of Shoulder Surgery
ISSN 0973-6042

Volume: 3;
Issue: 2;
Start page: 41;
Date: 2009;
Original page

Keywords: Convulsive seizure | electrocution | posterior fracture-dislocation shoulder

ABSTRACT
Bilateral posterior fracture-dislocation of the shoulder is a very rare injury. Almost 50% of bilateral posterior dislocations are due to a convulsive seizure, rising to 90% if the dislocations are associated with fractures. Electric shock accounts for less than 5% of bilateral posterior dislocations of the shoulder. A systematization of the clinical and radiological approach, followed by an early diagnosis and proper surgical treatment is essential. Authors report 2 cases of bilateral posterior fracture-dislocation of the shoulder, one caused by a convulsive seizure and the other by an electric shock. A review of literature and a treatment protocol are also presented.
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