{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:15:49Z","timestamp":1780420549347,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Bilateral dislocations of the glenohumeral joint are most often posterior, secondary to convulsive seizures. We report a case of bilateral anterior dislocation with fracture of the two major tubercles following a very rare mechanism.\n\nCase Report: A 52-year-old patient admitted at the emergency department for bilateral closed shoulder trauma following a tonic-clonic seizure. The patient had a blood pressure of 160\/100 mm Hg and a clear consciousness. Symmetrical and bilateral clinical examination of the shoulders shows the signs of bilateral anterior dislocation of the shoulders. The vascular and nerve examinations were normal. Standard shoulder X-ray showed bilateral dislocation in its anterior subcoracoid variety associated with fracture of the major tubercles. The blood test performed showed severe hyponatremia at 113 mmol\/L. The dislocations were reduced by the Milch maneuver under sedation. The X-rays showed the reductions. Both shoulders were immobilized with an orthosis and cushion in mild abduction for 4 weeks. The patient stayed in the cardiology department for the management of hypertension and hyponatremia. He benefited the functional rehabilitation sessions after the removal of the orthosis. At the last follow-up at 9 months of the trauma, the shoulders were stable, painless, without recurrence or instability with a normal lifestyle and a muscular strength of 4\/5.\n\nConclusion: This case highlights the importance of general exam and anamnesis in bilateral shoulder dislocations with major tubercles fractures following a tonic-clonic hypertensive convulsion. The treatment is multidisciplinary with orthopedic and cardiological.\n\nKeywords: Shoulders dislocation, shoulder fractures, seizures.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6808","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T05:32:48Z","timestamp":1770787968000},"page":"217-220","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Shoulder Dislocation with Fracture of Major Tubercles \u2013 A Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedic and Trauma Surgery, Bocar Sidi Sall Teaching Hospital, Kati, Mali,","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layes","family":"Tour\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa","family":"Sidib\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedic and Trauma Surgery, Gabriel Tour\u00e9 Teaching Hospital, Bamako, Mali,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00e9r\u00e9djou Fatou","family":"Sanogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedic and Trauma Surgery, Gabriel Tour\u00e9 Teaching Hospital, Bamako, Mali,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliou","family":"Bah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedic and Trauma Surgery, M\u00e8re-Enfants \u201cLuxembourg\u201d Teaching Hospital, Bamako, Mali.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul Kadri","family":"Moussa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedic and Trauma Surgery, Gabriel Tour\u00e9 Teaching Hospital, Bamako, Mali,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T05:32:50Z","timestamp":1770787970000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/bilateral-shoulder-dislocation-with-fracture-of-major-tubercles-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6808","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}