EAS Publisher | An Unusual Case of Bilateral Symmetric Anterior Shoulder Dislocation with Associated Bilateral Greater Tuberosity Fracture during Rapid Eye Movement Sleep Behavior Disorder

An Unusual Case of Bilateral Symmetric Anterior Shoulder Dislocation with Associated Bilateral Greater Tuberosity Fracture during Rapid Eye Movement Sleep Behavior Disorder

DOI : https://doi.org/10.36349/easjop.2021.v03i05.001

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Bilateral shoulder dislocation is rare, and often posteriorly directed. Bilateral symmetric anterior shoulder dislocation is all the more rare. Its mechanism can be due to fall in an unconscious state or due to the contraction of the pectoralis and latissimus against an unyielding arm. We report a rare case of bilateral symmetric anterior shoulder dislocation with associated bilateral fracture of the greater tuberosity caused by violent muscle contractions during sleep, as part of the rapid eye movement sleep behaviour disorder. This trauma circumstance has never been reported in the literature, to our knowledge. The diagnosis was suspected clinically and confirmed by standard radiography and CT scan. The Bilateral dislocation was managed by closed reduction, and the associated bilateral greater tuberosity fracture had internal fixation by screws. The anatomical and functional result was satisfactory after three months postoperatively. Through this case, we wanted to draw the attention of orthopaedic surgeons to this pathology which is rarely missed in trauma condition, but it can be missed in non-traumatic and involuntary muscular contraction conditions.

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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