{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:38Z","timestamp":1787755238580,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 34-year-old man presented with bilateral locked posterior shoulder dislocations associated with proximal humerus fractures secondary to a tonic-clonic seizure. The patient underwent open reduction and internal fixation of both shoulders. At 1 year postoperatively, the patient exhibited near-complete recovery of shoulder function with no pain, excellent radiographic outcomes, and no evidence of early avascular necrosis (AVN) or hardware complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>While this injury's sequelae can be devastating, an interdisciplinary approach may help optimize outcomes, and a prompt reduction with stable fixation may facilitate earlier fracture healing and rehabilitation progression, potentially contributing to a lower likelihood of AVN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00569","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T14:00:27Z","timestamp":1744898427000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Locked Posterior Fracture-Dislocations of the Shoulders Following a Seizure"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5894-3373","authenticated-orcid":false,"given":"Diane","family":"Ghanem","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2118-1683","authenticated-orcid":false,"given":"Jayden","family":"Simo","sequence":"additional","affiliation":[{"name":"The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0877-1147","authenticated-orcid":false,"given":"Henry","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4769-3986","authenticated-orcid":false,"given":"Daniel","family":"Badin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9204-0477","authenticated-orcid":false,"given":"Babar","family":"Shafiq","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"issue":"7","key":"bib1-20250417","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.2106\/00004623-197153070-00023","article-title":"Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive 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