Department of Trauma and Orthopaedics, Galway University Hospitals, Galway, HSE West, Ireland
Department of Trauma and Orthopaedics, Galway University Hospitals, Galway, HSE West, Ireland.
BMJ Case Rep. 2022 Feb 9;15(2):e240173. doi: 10.1136/bcr-2020-240173.
Bilateral posterior shoulder fracture dislocation is a debilitating injury and is quite rare. This injury pattern has been described in the literature as either secondary to seizure, electrocution or major trauma. We present a case of an elderly man who appears to have sustained the injury after an episode of retching and vomiting. With our patient witnessed closely throughout and no trauma, electrocution or seizure activity reported, we propose that the violent action of retching and vomiting not only has the potential to cause this injury pattern but also was the only credible cause in our patient. This case not only adds to the list of potential injuries caused by retching and vomiting but also questions the validity of a previously limited list of modes-of-injury for posterior shoulder fracture dislocation.
双侧后肩骨折脱位是一种使人虚弱的损伤，且十分罕见。这种损伤模式在文献中被描述为继发于癫痫发作、电击或重大创伤。我们报告了一例老年男性患者，他似乎是在呕吐后发生了这种损伤。由于我们的患者在整个过程中都被密切观察，且没有报告创伤、电击或癫痫发作，我们推测呕吐的剧烈动作不仅有可能导致这种损伤模式，而且是我们患者唯一可信的原因。该病例不仅增加了呕吐引起的潜在损伤类型，还对先前有限的后肩骨折脱位损伤模式提出了质疑。
