Bilateral and asymmetric dislocation fracture of the shoulder about a case

Abstract

According to the literature review, it is found that so far few cases of bilateral dislocation fracture of the shoulder have been documented. The most frequently observed circumstances in these types of injuries are electrocution and convulsions. Dislocation fractures are already rare, but bilateral and asymmetric dislocation fractures are even rarer. Case Report: A 48-year-old worker, right-handed, was admitted to the medical emergency rooms following electrification; after being observed for 24 hours, he was allowed to leave the hospital. However, he was discharged to the orthopedic emergency pavilion due to pain in both shoulders. After a clinical and radiological examination, the diagnosis of dislocated fracture of the shoulder was made and the patient was referred to us 9 days after the fire, hence his admission. He received an inverted total prosthesis of the right shoulder and 07 days later another inverted total prosthesis. The patient was immobilized in the neutral position of both shoulders for two weeks, followed by rehabilitation in a rehabilitation center. The patient experienced a significant recovery in the function of both his shoulders, with a constant score of 65 on the left and 70 points on the right.  Conclusion: The results of these prostheses are promising with an advantage for inverted prostheses, the simple humeral prosthesis almost loses all indication in the treatment of fractures of the proximal humerus. in view of the bad and uncertain results, it is necessary to favor osteosynthesis by plate in young subjects with more attention to the reduction of the trochiter. The shoulder prosthesis must be included in the therapeutic arsenal of these fractures and must be generalized in our country.

Key words: Bilateral dislocation fracture, shoulder, electrification, inverted total prosthesis.