Bilateral Anterior Shoulder Dislocation after an Episode of Grand-Mal Seizure: A Case Report and Literature Review

Shahin Talebi; Alireza Teimoury; Aboulfazl Ghadiri

doi:10.18502/jost.v7i2.7004

Shahin Talebi Assistant Professor, Department of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Alireza Teimoury Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Aboulfazl Ghadiri Resident, Department of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran

DOI: https://doi.org/10.18502/jost.v7i2.7004

Keywords: Shoulder Dislocation; Tramadol; Tonic-Clonic Seizure; Grand-Mal Seizure Disorder

Abstract

Background: Among all joint dislocations, dislocations of the shoulder are the most common. Although posterior shoulder dislocation is infrequent, it is more common following seizures. Trauma, electrocution, and seizures can cause bilateral shoulder dislocation. Anterior shoulder dislocations can be accompaniment by greater tuberosity (GT) fractures, Bankart fractures, and other complications such as rotator cuff tears and neuro-vascular injuries.

Case Report: This article describes a 19-year-old boy who suffered from bilateral anterior shoulder dislocation due to an episode of generalized seizure, which happened after taking tramadol.

Conclusion: Any sign of shoulder pain in a patient who has experienced a generalized tonic-clonic seizure should warrant full radiographic evaluation to prevent the complications.