Bilateral posterior fracture-dislocation of the shoulder caused by an epileptic seizure - Diagnostic, treatment and result

The case of an 39-year-old man is presented, who sustained a bilateral lock ed fracture dislocation of the shoulders occurring during an epileptic seiz ure. Radiographs demostrated a compression-fracture of the anteromedial asp ect of the humeral head bilaterally (reversed Hill-Sachs-lesions). Addition ally, fractures of the lesser and greater tuberosity were diagnosed at the right site. Open reduction and internal fixation was performed in both shou lders within 12 hours. 6 months later the patient has no complaints with a free range of motion. Diagnostics, treatment and result are discussed in co ntext with the literature.