Neglected Traumatic Bilateral Anterior Fracture Dislocation of the Shoulder: A Case Report

Abstract

Introduction: Traumatic bilateral anterior dislocation is rare as the mechanism to produce such injury is unusual. Dislocation of shoulder is almost always posterior.
Case Report: We present a 43 years schizophrenic old man presented to our centre with bilateral anterior fracture dislocation of the shoulders with displaced Neer’s 3-part fracture of the proximal humerus on right side and a 4-part fracture on the left side. The patient was treated by delto- pectoral approach using plating bilaterally. The follow up at 1 year was a reasonably good range of movements.
Conclusion: Open reduction and internal fixation by PHILOS (Proximal humerus interlocking osteosynthesis) preferred in 3 or 4 part displaced fractures presenting late.