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Triple "E" syndrome: Bilateral locked posterior fracture dislocation of the shoulders

From the Department of Medicine (Drs. Brackstone and Kertesz), University of Western Ontario, London, Canada; and the Bond Clinic, P.A. (Dr. Patterson), Winter Haven, FL.

Address correspondence and reprint requests to Dr. Stuart D. Patterson, Bond Clinic, P.A., 500 East Central Avenue, Winter Haven, FL 33880-3094; e-mail: stuartdrew{at}earthlink.net

Bilateral locked posterior fracture dislocation of the shoulders is one of the least common injuries of the shoulder, and this injury has been suggested to be pathognomonic of seizures when diagnosed in the absence of trauma. The authors present a case of idiopathic bilateral locked posterior fracture dislocations of the shoulder, along with a review of the medical literature. The authors also present the "triple E syndrome," describing the possible etiologies of this injury: epilepsy (or any convulsive seizure), electrocution, or extreme trauma.

This article has been cited by other articles:

				C. M. Robinson and J. Aderinto Posterior Shoulder Dislocations and Fracture-Dislocations J. Bone Joint Surg. Am., March 1, 2005; 87(3): 639 - 650. [Abstract] [Full Text] [PDF]