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

• Published in: Neurology Vol. 56; no. 10; p. 1403
• Main Authors: Brackstone, M, Patterson, S D, Kertesz, A
• Format: Journal Article
• Language: English
• Published: United States 22.05.2001
• Subjects: Adult; Electric Injuries - complications; Electric Injuries - pathology; Electric Injuries - physiopathology; Functional Laterality - physiology; Humans; Male; Seizures - complications; Seizures - physiopathology; Shoulder Dislocation - etiology; Shoulder Dislocation - pathology; Shoulder Dislocation - physiopathology; Shoulder Fractures - etiology; Shoulder Fractures - pathology; Shoulder Fractures - physiopathology; Wounds and Injuries - complications; Wounds and Injuries - pathology; Wounds and Injuries - physiopathology
• ISSN: 0028-3878
• DOI: 10.1212/WNL.56.10.1403

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.