Bilateral Divergent Fracture Dislocations in a COVID-19 Patient Following a Hyponatremia-Induced Seizure

Document Type : CASE REPORT


Rothman Orthopedic Institute, Philadelphia, PA, USA


Bilateral divergent fracture dislocations of the shoulder are very rare. Caution with regards to seizure 
development in COVID-19 patients must be taken to avoid such injuries. This is the case of a male 
COVID-19 patient who sustained hyponatremia-induced seizure that resulted in bilateral divergent 
shoulder fracture dislocations. The patient suffered a lesser tuberosity fracture on his left shoulder 
which was posteriorly dislocated, and a greater tuberosity fracture on his right, which was anteriorly 
dislocated. The patient underwent bilateral open reduction and internal fixation, with suture anchor 
fixation for the lesser tuberosity fracture on the left side, and a proximal humerus locking plate for the 
greater tuberosity fracture on the right side. Education on postoperative complications and expectations 
were provided to the patient.
 Level of evidence: IV 


Main Subjects

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