Bilateral Posterior Fracture-Dislocation of the Shoulder after Electrical Shock Treated with Bilateral Hemiarthroplasty: A Case Report

Bilateral Posterior Fracture-Dislocation of the Shoulder after Electrical Shock Treated with Bilateral Hemiarthroplasty: A Case Report

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This is a case report of a bilateral posterior fracture- dislocation of the shoulder after electrical shock and presents the first such patient treated with bilateral shoulder hemiarthroplasty.At first presentation, the upper limbs of the patient were in a position of internal rotation, and passive and active external Accessory rotations were painful.Radiographs and computed tomography of both shoulders showed bilateral posterior fracture-dislocation.

Defects over 50% of the head articular surfaces led to unstable and unsuccessful initial closed and open reductions.The patient was then treated with cemented hemiarthroplasties with very good functional results two years post-operatively.This case presentation underlines the critical value of systematic clinical and Master Cylinders radiographic evaluation of severe bilateral shoulder fracture- dislocations, prior to the ultimate proper treatment with cemented humeral shoulder hemiarthroplasties, followed by appropriate rehabilitation programme, for successful patient outcomes.