Abstract
We report a rare case of bilateral anterior shoulder dislocation associated with coracoid
processes fracture after a seizure episode in a 37-year-old woman. This combination
of findings is rare, especially by the presence of bilateral coracoid processes fracture.
Possible mechanisms related are direct trauma of humeral heads over the coracoid processes
or sudden pull of biceps short head attachment site during uncontrolled contractures.
Few reports published similar combination of injuries, and to our knowledge, this
is the first to demonstrate its acute features by magnetic resonance imaging. A review
of the literature is also presented.
Keywords
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References
- Anterior shoulder instability associated with coracoid nonunion in patients with a seizure disorder.J Bone Joint Surg. 2012; 94: e40-e41
- Fractured coracoid with anterior shoulder dislocation and greater tuberosity fracture—report of a bilateral case.Acta Orthop Scand. 2000; 71: 95-97
- Non-union of a fractured coracoid process after dislocation of the shoulder. A case report.J Bone Joint Surg Br. 1985; 67: 722-723
- Instability of the shoulder following seizures.J Bone Joint Surg Br. 2012; 94: 721-728
- Bilateral anterior dislocation of the shoulder: review of seventy cases and proposal of a new etiological–mechanical classification.J Emerg Med. 2013; 44: 269-279
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- Seizures, lateral decubitus, aspiration, and shoulder dislocation. Time to change the guidelines?.Neurology. 2001; 56: 290-291
Article info
Publication history
Published online: September 18, 2013
Accepted:
August 1,
2013
Received in revised form:
June 20,
2013
Received:
April 10,
2013
Footnotes
☆Disclosure: No conflicts of interest.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
