George Jerrin, Wilt Erika, Sharma Shivangi, Burke Connor D
Department of Orthopedic Surgery, University of Toledo, College of Medicine, Toledo, Ohio, United States.
J Orthop Case Rep. 2025 Apr;15(4):141-145. doi: 10.13107/jocr.2025.v15.i04.5476.
Bilateral anterior shoulder dislocation with associated fracture is a rare pediatric injury that may occur secondary to different etiologies. While trauma is often cited as the most common cause, this injury pattern can also seldomly occur following a seizure episode. With anterior shoulder dislocation, timely reduction is of utmost importance to prevent potential complications.
We present a case of bilateral anterior shoulder dislocations with greater tuberosity fractures in a 17-year-old male secondary to status epilepticus. Closed reduction of each dislocation followed by surgical fixation was performed. On final follow-up, the patient demonstrated appropriate range of motion with intact strength, motor, and sensory function of both upper extremities.
Our patient had an uncommon presentation of bilateral shoulder fracture-dislocations secondary to atypical etiology. Delayed diagnosis and treatment of a shoulder dislocation may have devastating consequences, especially in the pediatric population. This includes the increased risk of avascular necrosis if not managed appropriately. In this case, we highlight the significance of being vigilant about the potential complications of bilateral shoulder dislocations while patients are admitted and in critical status. This unusual presentation in a pediatric male with status epilepticus illustrates the necessity for prompt recognition and intervention. Healthcare professionals should remain cognizant of this potential presentation to mitigate potential long-term consequences of failed recognition of this pathology.
双侧肩关节前脱位伴骨折是一种罕见的儿科损伤，可能继发于不同病因。虽然创伤常被认为是最常见的原因，但这种损伤模式也很少在癫痫发作后出现。对于肩关节前脱位，及时复位对于预防潜在并发症至关重要。
我们报告一例17岁男性因癫痫持续状态导致双侧肩关节前脱位伴大结节骨折的病例。对每个脱位进行了闭合复位，随后进行了手术固定。在最后一次随访时，患者双上肢活动范围正常，力量、运动及感觉功能完好。
我们的患者因非典型病因出现双侧肩关节骨折脱位这一罕见表现。肩关节脱位的延迟诊断和治疗可能会产生灾难性后果，尤其是在儿科人群中。这包括如果处理不当会增加缺血性坏死的风险。在本病例中，我们强调在患者住院且处于危急状态时，对双侧肩关节脱位潜在并发症保持警惕的重要性。这名患有癫痫持续状态的儿科男性的这种不寻常表现说明了及时识别和干预的必要性。医疗保健专业人员应认识到这种潜在表现，以减轻未能识别这种病理情况可能导致的潜在长期后果。
