Non-operative treatment of neglected bilateral posterior four-part fracturedislocation of the shoulders-a case report
Abstract
Background: Bilateral posterior dislocation of the shoulders is rare and may result from a seizure. A 48 yearold HIV-positive man who presented eight weeks after bilateral posterior shoulder dislocation and bilateral fractures of the surgical necks of both humeri is reviewed. He was treated with an algesics and physiotherapy and was able to return to work after 9 months.
Conclusion: The rarity of this lesion, its late presentation, the importance of a high index of suspicion in making the diagnosis and the fair outcome of non-operative treatment informed this report.
Keywords: Posterior glenohumeral dislocation, Bilateral dislocation ,Shoulder fracture- dislocation
Résumé
Contexte: La dislocation postérieure bilatérale des épaules est rare et peut en résulter d’une saisie. Un homme séropositif âgé de 48 ans qui a présenté huit semaines après dislocation postérieure bilatérale de l’épaule et fractures bilatérales des cols chirurgicales des deux humérus est examiné. Il a été traité avec des analgésiques et la physiothérapie et a été en mesure de retourner au travail après 9 mois.
Conclusion: La rareté de cette lésion, sa présentation tardive, l’importance d’un indice de suspicion élevé pour faire le diagnostic et le résultat équitable de traitement non-opératoire ont informé ce rapport présent.
Mots-clés:Dislocation scapulo-humérale postérieure, dislocation bilatérale, fracture -dislocation de l’épaule.
Correspondence: Dr. Adeleke O. Ifesanya, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Nigeria. E-mail: lekeifesanya@yahoo.com
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