AlAskar Batool, Alqahtani Abdulaziz, Alsuhaim Sultan
Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus. 2023 Feb 24;15(2):e35391. doi: 10.7759/cureus.35391. eCollection 2023 Feb.
Although the shoulder is one of the most commonly dislocated joints in the body, bilateral gleno-humeral joint dislocation is considered rare. Due to its complexity and paucity of cases reported in the literature, it represents both a diagnostic and therapeutic challenge. We report a rare case of an adolescent boy who suffered chronic bilateral anterior shoulder dislocations with proximal humerus fracture and Hill-Sachs lesion after febrile seizure following COVID-19 vaccination. An 18-year-old male presented with bilateral proximal humerus fracture with anterior shoulder dislocation following a first-time seizure. He was managed with a bilateral Latarjet procedure and proximal humerus interlocking osteosynthesis (PHILOS) on the left side, and the right-side fracture was fixed with two 3.5 mm cannulated screws. After one year, the patient had a somewhat satisfactory outcome with a DASH (disabilities of the arm, shoulder, and hand) score of 31.8. Bilateral anterior shoulder dislocation with associated proximal humerus fracture remains one of the rare orthopedic injuries. Recurrent shoulder dislocations lead to chronic glenoid bone loss, which needs fixation along with fracture.
尽管肩部是人体最常发生脱位的关节之一，但双侧盂肱关节脱位被认为较为罕见。由于其复杂性以及文献报道的病例较少，它在诊断和治疗方面都具有挑战性。我们报告了一例罕见病例，一名青少年男性在接种新冠疫苗后发热惊厥，导致双侧肩关节前脱位伴肱骨近端骨折及希尔-萨克斯损伤。一名18岁男性首次癫痫发作后出现双侧肱骨近端骨折伴肩关节前脱位。他接受了双侧Latarjet手术，左侧进行了肱骨近端锁定接骨板内固定术（PHILOS），右侧骨折用两枚3.5毫米空心螺钉固定。一年后，患者的结果较为满意，上肢、肩部和手部功能障碍评分（DASH）为31.8。双侧肩关节前脱位伴肱骨近端骨折仍然是罕见的骨科损伤之一。复发性肩关节脱位会导致慢性关节盂骨质流失，骨折时需要同时进行固定。
