Neglected bilateral posterior shoulder fracture dislocation in an uncontrolled seizure patient

Posterior dislocation of the shoulder is a rare injury that occurs secondary to trauma and seizures. diagnosis is often missed and treatment is challenging. neglected posterior dislocation is associated with hill-sachs lesion which leads to locking of dislocation. correct diagnosis is achieved by history taking, a physical examination and appropriate imaging. in neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the mclaughlin procedure shows excellent results at follow-up.