A unique case of asymmetric bilateral shoulder dislocation with proximal humeral fractures: Case report

• Published in: Visual journal of emergency medicine Vol. 36; p. 102054
• Main Authors: El Boustani, Yasser, Fekhaoui, Reda, Mouhib, Iliass, Loughzail, Reda, Mekkaoui, Jalal, Bouffetal, Moncef, Bassir, Rida Allah, Lamrani, Moulay Omar, Kharmaz, Mohamed, Berrada, Mohamed saleh
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-07-2024
• ISSN: 2405-4690; 2405-4690
• DOI: 10.1016/j.visj.2024.102054

Unilateral anterior shoulder dislocation is the most common joint dislocation, accounting for 95% of cases, while posterior dislocations are rare, comprising 2–5%. Bilateral shoulder dislocations are uncommon, with posterior types more frequent than anterior or inferior ones. Asymmetrical bilateral fracture dislocations, featuring one anterior and one posterior dislocation, are exceedingly rare.
We report a unique case of a 25-year-old male fitness coach who presented with asymmetrical bilateral shoulder dislocations following a fall after a convulsive episode. The right shoulder was anteriorly dislocated, and the left was posteriorly dislocated, both with proximal humeral fractures.
Asymmetrical bilateral shoulder dislocations with proximal humeral fractures are extremely rare. Accurate history-taking, thorough clinical examination, and appropriate imaging are crucial for timely diagnosis and effective management to avoid complications.