Bilateral Anterior Shoulder Dislocation after an Episode of Grand-Mal Seizure: A Case Report and Literature Review
Abstract
Background: Among all joint dislocations, dislocations of the shoulder are the most common. Although posterior shoulder dislocation is infrequent, it is more common following seizures. Trauma, electrocution, and seizures can cause bilateral shoulder dislocation. Anterior shoulder dislocations can be accompaniment by greater tuberosity (GT) fractures, Bankart fractures, and other complications such as rotator cuff tears and neuro-vascular injuries.
Case Report: This article describes a 19-year-old boy who suffered from bilateral anterior shoulder dislocation due to an episode of generalized seizure, which happened after taking tramadol.
Conclusion: Any sign of shoulder pain in a patient who has experienced a generalized tonic-clonic seizure should warrant full radiographic evaluation to prevent the complications.
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2. Raptis K, Koutserimpas C, Alpantaki K, Kaiafas S, Fandridis E, Bourlos D. Neglected bilateral anterior shoulder dislocation
following epileptic seizure: A case report and literature review.
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10.2739/kurumemedj.MS661008. [PubMed: 32336735].
3. Meena S, Saini P, Singh V, Kumar R, Trikha V. Bilateral anterior shoulder dislocation. J Nat Sci Biol Med. 2013;4(2):499-501. doi: 10.4103/0976-9668.117003. [PubMed: 24082765]. [PubMed Central: PMC3783813].
4. Boostani R, Derakhshan S. Tramadol induced seizure: A 3-year study. Caspian J Intern Med. 2012;3(3):484-7. [PubMed: 24009919]. [PubMed Central: PMC3755854].
5. Katzung BG. Basic & clinical pharmacology. New York, NY: McGraw-Hill Education; 2017.
6. Rudy BS, Hennrikus WL. Bilateral anterior shoulder dislocation. JAAPA. 2017;30(7):25-7. doi: 10.1097/01.JAA.0000515543.89945.e5. [PubMed: 28644218].
7. Wheelton A, Dowen D. A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure. J Orthop Case Rep. 2015;5(2):38-40. doi: 10.13107/jocr.2250-0685.269. [PubMed: 27299040]. [PubMed Central: PMC4722586].
8. Lasanianos N, Mouzopoulos G. An undiagnosed bilateral anterior shoulder dislocation after a seizure: A case report. Cases J. 2008;1(1):342. doi: 10.1186/1757-1626-1-342. [PubMed: 19025598]. [PubMed Central: PMC2596117].
9. Abdelaziz G, Haouzi MA, Fekhaoui MR, Moncef B, Bassir RA, Kharmaz M, et al. Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report. Sch J App Med Sci. 2020;8(8):1852-4. doi: 10.36347/sjams.2020.v08i08.011.
10. Bremner LF, Dewing CB, McDonald LS, Provencher MT.
Simultaneous bilateral anterior shoulder fracture dislocation following a seizure: A case report. Mil Med. 2013;178(3):e400-e403. doi: 10.7205/MILMED-D-12-00378. [PubMed: 23707135].
11. Mynter H. XIV. Subacromial dislocation from muscular spasm. Ann Surg. 1902;36(1):117-9. doi: 10.1097/00000658-190207000-00014. [PubMed: 17861143]. [PubMed Central: PMC1430708].
12. Aufranc OE, Jones WN, Turner RH. Bilateral shoulder fracture-dislocations. JAMA. 1966;195(13):1140-3. [PubMed: 5952086].
13. Dinopoulos HT, Giannoudis PV, Smith RM, Matthews SJ. Bilateral anterior shoulder fracture-dislocation. A case report and a review of the literature. Int Orthop. 1999;23(2):128-30. doi: 10.1007/s002640050327. [PubMed: 10422035]. [PubMed Central: PMC3619786].
14. Suryavanshi A, Mittal A, Dongre S, Kashyap N. Bilateral anterior shoulder dislocation with symmetrical greater tuberosity fracture following seizure. J Orthop Case Rep. 2012;2(1):28-31. [PubMed: 27298850]. [PubMed Central: PMC4844497].
15. Taneja AK, Pecci Neto L, Skaf A. Bilateral anterior glenohumeral dislocation and coracoid processes fracture after seizure: Acute MRI findings of this rare association. Clin Imaging. 2013;37(6):1131-4. doi: 10.1016/j.clinimag.2013.08.007. [PubMed: 24050938].
16. Shiber JR, Diaz JA, Bohsali KI. Bilateral anterior shoulder dislocations due to seizure. Trop Med Surg. 2014;2(1):160.
17. Martin AN, Tsekes D, White WJ, Rossouw D. Chloroquine-induced bilateral anterior shoulder dislocation: A unique aetiology for a rare clinical problem. BMJ Case Rep. 2016;2016:bcr2015214292. doi: 10.1136/bcr-2015-214292. [PubMed: 27005796]. [PubMed Central: PMC4823559].
18. Safdari M, Tavakoli M, Tafaghodi P, Rahimian M, Abad M. Bilateral anterior shoulder dislocation following trramadol use. J North Khorasan Univ Med Sci. 2016;7(4):939-45. [In Persian].
19. Abdelaziz G, Mohammed F, Omar K, Moncef B, Bassir RA. Ghannam Abdelaziz., et al. Acute bilateral anterior shoulder dislocation after an epileptic seizure: A case report. EC Ortho-Paedics. 2020;11(5):59-61.
2. Raptis K, Koutserimpas C, Alpantaki K, Kaiafas S, Fandridis E, Bourlos D. Neglected bilateral anterior shoulder dislocation
following epileptic seizure: A case report and literature review.
Kurume Med J. 2020;66(1):65-70. doi:
10.2739/kurumemedj.MS661008. [PubMed: 32336735].
3. Meena S, Saini P, Singh V, Kumar R, Trikha V. Bilateral anterior shoulder dislocation. J Nat Sci Biol Med. 2013;4(2):499-501. doi: 10.4103/0976-9668.117003. [PubMed: 24082765]. [PubMed Central: PMC3783813].
4. Boostani R, Derakhshan S. Tramadol induced seizure: A 3-year study. Caspian J Intern Med. 2012;3(3):484-7. [PubMed: 24009919]. [PubMed Central: PMC3755854].
5. Katzung BG. Basic & clinical pharmacology. New York, NY: McGraw-Hill Education; 2017.
6. Rudy BS, Hennrikus WL. Bilateral anterior shoulder dislocation. JAAPA. 2017;30(7):25-7. doi: 10.1097/01.JAA.0000515543.89945.e5. [PubMed: 28644218].
7. Wheelton A, Dowen D. A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure. J Orthop Case Rep. 2015;5(2):38-40. doi: 10.13107/jocr.2250-0685.269. [PubMed: 27299040]. [PubMed Central: PMC4722586].
8. Lasanianos N, Mouzopoulos G. An undiagnosed bilateral anterior shoulder dislocation after a seizure: A case report. Cases J. 2008;1(1):342. doi: 10.1186/1757-1626-1-342. [PubMed: 19025598]. [PubMed Central: PMC2596117].
9. Abdelaziz G, Haouzi MA, Fekhaoui MR, Moncef B, Bassir RA, Kharmaz M, et al. Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report. Sch J App Med Sci. 2020;8(8):1852-4. doi: 10.36347/sjams.2020.v08i08.011.
10. Bremner LF, Dewing CB, McDonald LS, Provencher MT.
Simultaneous bilateral anterior shoulder fracture dislocation following a seizure: A case report. Mil Med. 2013;178(3):e400-e403. doi: 10.7205/MILMED-D-12-00378. [PubMed: 23707135].
11. Mynter H. XIV. Subacromial dislocation from muscular spasm. Ann Surg. 1902;36(1):117-9. doi: 10.1097/00000658-190207000-00014. [PubMed: 17861143]. [PubMed Central: PMC1430708].
12. Aufranc OE, Jones WN, Turner RH. Bilateral shoulder fracture-dislocations. JAMA. 1966;195(13):1140-3. [PubMed: 5952086].
13. Dinopoulos HT, Giannoudis PV, Smith RM, Matthews SJ. Bilateral anterior shoulder fracture-dislocation. A case report and a review of the literature. Int Orthop. 1999;23(2):128-30. doi: 10.1007/s002640050327. [PubMed: 10422035]. [PubMed Central: PMC3619786].
14. Suryavanshi A, Mittal A, Dongre S, Kashyap N. Bilateral anterior shoulder dislocation with symmetrical greater tuberosity fracture following seizure. J Orthop Case Rep. 2012;2(1):28-31. [PubMed: 27298850]. [PubMed Central: PMC4844497].
15. Taneja AK, Pecci Neto L, Skaf A. Bilateral anterior glenohumeral dislocation and coracoid processes fracture after seizure: Acute MRI findings of this rare association. Clin Imaging. 2013;37(6):1131-4. doi: 10.1016/j.clinimag.2013.08.007. [PubMed: 24050938].
16. Shiber JR, Diaz JA, Bohsali KI. Bilateral anterior shoulder dislocations due to seizure. Trop Med Surg. 2014;2(1):160.
17. Martin AN, Tsekes D, White WJ, Rossouw D. Chloroquine-induced bilateral anterior shoulder dislocation: A unique aetiology for a rare clinical problem. BMJ Case Rep. 2016;2016:bcr2015214292. doi: 10.1136/bcr-2015-214292. [PubMed: 27005796]. [PubMed Central: PMC4823559].
18. Safdari M, Tavakoli M, Tafaghodi P, Rahimian M, Abad M. Bilateral anterior shoulder dislocation following trramadol use. J North Khorasan Univ Med Sci. 2016;7(4):939-45. [In Persian].
19. Abdelaziz G, Mohammed F, Omar K, Moncef B, Bassir RA. Ghannam Abdelaziz., et al. Acute bilateral anterior shoulder dislocation after an epileptic seizure: A case report. EC Ortho-Paedics. 2020;11(5):59-61.
| Files | ||
| Issue | Vol 7, No 2 (2021) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v7i2.7004 | |
| Keywords | ||
| Shoulder Dislocation; Tramadol; Tonic-Clonic Seizure; Grand-Mal Seizure Disorder | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Talebi S, Teimourey A, Ghadiri A. Bilateral Anterior Shoulder Dislocation after an Episode of Grand-Mal Seizure: A Case Report and Literature Review. J Orthop Spine Trauma. 2021;7(2):64-6.
