Presentation
The patient was assaulted. Presents with bilateral shoulder pain and limitation of motion.
Patient Data
Portable X-rays confirm bilateral anterior shoulder dislocations with Hill-Sachs defects. The shoulders are otherwise normal.
Case courtesy: Dr MN. Patel
Post-reduction X-rays confirm satisfactory relocation of the humeral heads with bilateral Hill-Sachs defects, especially on the left.
Case Discussion
Features consistent with bilateral anterior shoulder dislocations secondary to blunt trauma during an assault on the victim.
Seizure disorders represent the most common cause of bilateral shoulder dislocations. Electrocution may also cause bilateral shoulder dislocations. These are usually posterior dislocations in both instances however occasionally anterior dislocations occur.
Direct trauma represents a common cause of bilateral anterior shoulder dislocations.
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