Traumatic bilateral posterior dislocation of the shoulder: a case report

Authors

  • Juan Manuel Concha Universidad del Cauca, Faculty of Health Sciences, Department of Surgical Science, Popayán, Colombia. | Hospital Susana López de Valencia E.S.E., Orthopedics and Trauma Service, Popayán, Colombia. | Servicios Ortopédicos Especializados del Suroccidente (SOESO) S.A.S., Popayán, Colombia. https://orcid.org/0000-0003-4207-7797
  • Carlos Alberto Calvache Hospital Susana López de Valencia E.S.E., Orthopedics and Trauma Service, Popayán, Colombia. | Servicios Ortopédicos Especializados del Suroccidente (SOESO) S.A.S., Popayán, Colombia. https://orcid.org/0009-0008-2203-4662
  • Miguel Eduardo Palechor Hospital Susana López de Valencia E.S.E., Orthopedics and Trauma Service, Popayán, Colombia. | Servicios Ortopédicos Especializados del Suroccidente (SOESO) S.A.S., Popayán, Colombia. https://orcid.org/0000-0001-5005-9818
  • Diego Armando Mahe Hospital Susana López de Valencia E.S.E., Orthopedics and Trauma Service, Popayán, Colombia. | Servicios Ortopédicos Especializados del Suroccidente (SOESO) S.A.S., Popayán, Colombia. https://orcid.org/0009-0009-5440-2201

DOI:

https://doi.org/10.58814/01208845.45

Keywords:

Shoulder Dislocation, Closed Fracture Reduction, Case report

Abstract

Introduction: Traumatic posterior dislocation of the shoulder is a rare injury. Bilateral dislocation is even less frequent and is associated with seizures or electrical shock.

Case presentation: A 25-year-old man was treated at the Emergency Department of a secondary care hospital in Popayán (Colombia) after crashing his motorcycle into a car. Based on his clinical signs and X-ray and computed tomography findings, the diagnosis of bilateral posterior dislocation of the shoulder was confirmed, and a closed reduction was performed. Rehabilitation began three weeks after the procedure and shoulder function was monitored monthly using the abbreviated Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Recovery was satisfactory and no functional limitation or X-ray changes suggestive of osteoarthritis or bone necrosis were observed at 1-year follow-up.

Conclusion: Traumatic posterior dislocation of the shoulder is a rare and usually overlooked condition, so it should be considered as a differential diagnosis in patients with shoulder trauma, in order to provide timely treatment and avoid severe functional sequelae.

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References

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Published

2024-01-31

How to Cite

1.
Concha JM, Calvache CA, Palechor ME, Mahe DA. Traumatic bilateral posterior dislocation of the shoulder: a case report. Rev. Colomb. Ortop. Traumatol. [Internet]. 2024 Jan. 31 [cited 2025 May 11];38(1):e45. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/45

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Section

Case report