This study aimed to evaluate the SHOULDER DISLOCATION following tramadol-induced seizure and its potential difference with other SHOULDER DISLOCATIONs. We evaluated six cases that used tramadol tablets and some of them had a history of seizure. All of the cases had SHOULDER DISLOCATION. According to the findings, tramadol use and tramadol-induced seizure may increase the risk of SHOULDER DISLOCATION.

Introduction: Unilateral anterior SHOULDER DISLOCATION is one of the most common problems encountered in orthopedic practice. However, simultaneous bilateral anterior DISLOCATION of the SHOULDERs is quite rare.Case Presentation: We report a case of a 75-year-old woman presented with simultaneous bilateral anterior SHOULDER DISLOCATION following a trauma, complicated with a traction injury to the posterior cord of the brachial plexus. Conclusions: Bilateral anterior SHOULDER DISLOCATION is very rare. The excessive traction force during closed reduction may lead to nerve palsy. Clear documentation of neurovascular status and adequate imaging before and after a reduction should be performed.

Seizure resulted from tramadol can cause bilateral joint DISLOCATION. This study is a rare case report that represents fracture and DISLOCATION of right SHOULDER due to seizure in a 32years old man that had consumed a 300mg single dose of tramadol. He did not have any history of previous seizure or spontaneous DISLOCATION of the SHOULDER. The right SHOULDER radiography and MRI demonstrated DISLOCATION of the head of humerus with fracture of its greater tuberosity. Seizure as a side effects of therapeutic dose of tramadol, can occur during sleep, resulting to serious complications.

Background: A dislocated SHOULDER may be caused by a traumatic injury or a weakened capsular ligament. A variety of conditions can negatively impact patients with SHOULDER DISLOCATIONs by affecting their stabilizing structures (1). Dislocated SHOULDERs are caused by traumatic events in 95% of cases, and atraumatic events in 5% of cases. To determine the true cause of a DISLOCATION, it is essential to distinguish the type and severity of the event. This information is necessary when determining the treatment (1-3). A SHOULDER DISLOCATION occurs in 1. 7% of the population over their lifetime (4). This amounts to 24 per 100000 people per year in the United States (1). In over 95% of SHOULDER DISLOCATIONs, the humerus is displaced anteriorly (5). . .

Background: There have been many operations for treatment of recurrent anterior SHOULDER DISLOCATION. The Bristow procedure with its dynamic and static effect can prevent SHOULDER DISLOCATION. The aim of this study was to evaluate the long term results of this procedure in our center.Methods: 19 patients with mean age of 25 years had undergone Bristow procedure for anterior SHOULDER instability. A retrospective clinical evaluation was not performed with an average follow- up of 7.5 years (3-14 years). Pain, recurrence of instability, range of motion and ability to return to sporting activities were the parameters evaluated by constant SHOULDER score (CSS).Results: No DISLOCATIONs but 3 cases of instability feeling were observed. The two athletes (one volleyball player and one wrestler) were unable to return to their sports. Fifteen patients (78.9%) gad excellent or good CSS scores.Conclusions: Bristow is a good procedure for controlling recurrent SHOULDER DISLOCATION, but because it produces limitation in external rotation of SHOULDER, is not recommended as the first choice for athletic population. The radiographs of the SHOULDERs at follow- up revealed early osteoarthritis in 3 cases. These were the same cases that had limited external rotation.

Proximal humerus fracture-DISLOCATION is a rare condition that occurs mostly in young adults due to high energy trauma and about 60-79 percent of misdiagnosis is occurred in the first diagnosis. In this article, we present two patients with proximal humerus fracture-posterior DISLOCATION the fractures of whom were diagnosed, but after the radiographic studies including x-ray and computer tomography (CT) scan, the posterior DISLOCATION was misdiagnosed. In addition, complications, management, and avoidance of this misdiagnosis were discussed.

The SHOULDER is the most commonly dislocated joint in the body . Ninety-five percent of SHOULDER DISLOCATIONs are anterior. Bilateral simultaneous DISLOCATION of the SHOULDER is a rare entity. They are mostly posterior following seizure. Bilateral anterior DISLOCATION after trauma; however, is still rarer, mainly as the mechanism necessary to produce such injury is unusual. Only 8 cases are reported in the literature, out of these only 2 are not associated with fractures . We report a rare case of bilateral traumatic anterior SHOULDER DISLOCATION and discuss the mechanism of injury.

Background: Treatment of recurrent SHOULDER DISLOCATION with open technique has a long successful history in orthopaedic surgery. Arthroscopic repair, however, has a much shorter history especially in Iran. This is a short-term follow-up study of such an operation in Iran.Methods: Forty patients (39 males, 1 female) with recurrent anterior SHOULDER DISLOCATION who had undergone arthroscopic stabilization over a two-year period were evaluated in a retrospective study. The cases had a mean age of 25.3 years, and had 15.5 months (6-30 months) average follow-up. The assessment scores were “The University of California-Los Angeles” (UCLA), “Rowe” and “American SHOULDER and Elbow Society Scores” (ASES).Results: Mean Rowe score was 95.5 (77-100); with excellent scores in 32 patients, good in 4, fair in 3 and poor in one. Mean UCLA score was 33.3 (25-35), with good and excellent results in all but 4 cases. ASES was 2-3 in 3 patients, and the rest being painless and without any symptoms. Thirty six patients returned to their previous levels of activity, and achieved good results; the results were fair in 3, and poor in one patient who had recurrent instability.Conclusions: Short-term results of arthroscopic repair of anterior SHOULDER instability are encouraging.

Background: One of the side effects of tramadol is seizure. Tramadol is a synthetic analgesic used to treat mild to moderate pain. Tramadol can cause seizures in the range of treatment and toxic doses. This seizure is usually in a generalized tonic-clonic from and usually occurs in the first 24 hours after ingestion. Case Presentation: The patient was a 32-year-old man referring to the emergency department with a right SHOULDER joint DISLOCATION. It was reported that after a tonic-clonic seizure for about 1 minute, it has been followed by foaming at the mouth, eye lifting, urinary incontinence and loss of consciousness for about 5 minutes. He used a combination substance of sildenafil and tramadol to treat an early ejaculation. The patient has referred to the hospital 5 times with SHOULDER DISLOCATION, without providing a detailed explanation about the use of tramadol and subsequent seizures Discussion: Tramadol misuse and overdose is a common medical issue in Iran and around the world. Regarding the arbitrary use of tramadol in Iran, especially through the non-scientific prescriptions by apothecaries in some cases such as early ejaculation treatment, attention to patient records along with the cause of referral is essential. Conclusion: Considering the prevalence of tramadol use, the community of physicians is advised to think of tramadol as a common cause for SHOULDER DISLOCATION.