Bilateral anterior shoulder dislocation with concomitant greater tuberosity fractures following seizures: A rare case report

Background: Shoulder dislocation is an urgent condition, and every attempt should be made to reduce it in the emergency room. A thorough and vigilante clinical examination should be performed by the emergency room physician at the first instance itself. A low threshold should be kept for ordering radiographs to avoid missing subtle findings. It is possible to miss these injuries in cases where the dislocation is bilateral where the hallmark feature of joint asymmetry may be absent or if the patient in post ictal drowsy state. Case report: We present a case of a 26 year old female with Bilateral Anterior shoulder dislocation with concomitant Greater tuberosity fractures following an episode of seizure managed with closed reduction and internal fixation of the greater tuberosity fragments.At 10 months follow up, shoulder was stable and functional range was regained and there was complete union of both sided tuberosities. Conclusion: Prompt diagnosis and closed reduction of bilateral anterior shoulder dislocation cases followed by a period of immobilization and physiotherapy have shown good functional outcomes. Operative intervention should be done in cases where the closed reduction maneuvers have failed or there are concomitant injuries which are hampering the shoulder stability.