Management of lower extremity orthopaedic injuries in epileptic patients: A systematic review

Yen, Winston; Falik, Nouraiz; Passfall, Lara; Krol, Oscar; Sanchez, Thomas E.; Penny, Gregory S.; Wham, Bradley C.; Suneja, Nishant

doi:10.1016/j.jor.2021.05.005

Cited by 1 publication

(2 citation statements)

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“…Approximately 30–35% of patients with epilepsy experience some seizure-related injuries. Fractures occur in 0.25–2.4% of patients with seizures [ 8 , 9 ]. A recent systematic review reported that the most common fractures caused by epilepsy were the following: bilateral posterior shoulder joint dislocation fractures (33%), thoracolumbar spine compression fractures (29%), skull and jaw fractures (8%), and bilateral femoral neck fractures (6%) [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review reported that the most common fractures caused by epilepsy were the following: bilateral posterior shoulder joint dislocation fractures (33%), thoracolumbar spine compression fractures (29%), skull and jaw fractures (8%), and bilateral femoral neck fractures (6%) [ 9 ]. Uncontrolled violent muscle movements that are seen in epileptic seizures cause atypical bone fractures; however, these injuries are often missed, and diagnosis is delayed because of a lack of appropriate knowledge, clinical suspicion, and examination [ 8 ]. Early diagnosis is required to avoid subsequent complications, such as AVN; therefore, not only orthopedic surgeons but also pediatricians, neurologists, and emergency physicians should be aware of postepileptic fractures.…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Bilateral Femoral Neck Fractures in a Pediatric Patient Attributed to Epilepsy Convulsion: A Case Report

Honjo,

Okamoto

2023

JOCR

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Introduction: Bilateral femoral neck fractures are rare among children. Although several case reports have been published, fractures caused by epilepsy attacks in children have not been reported in the literature. This is the first report of simultaneous bilateral femoral neck fractures in a pediatric patient with epilepsy convulsions. Case Report: This is a case of a child with bilateral femoral neck fractures caused by epileptic seizures. A 13-year-old Japanese boy had an epileptic seizure and was admitted to our hospital. The patient complained of bilateral thigh pain. Plain radiography revealed a bilateral femoral neck fracture. Conclusion: The patient’s simultaneous bilateral femoral neck fractures were successfully managed with closed reduction and internal fixation, a careful postoperative course, and ultrasound fracture therapy. Despite the delay in diagnosis, bone union was confirmed 6 months postoperatively. Pediatric bilateral femoral neck fractures without a history of trauma are rare and likely to be missed. This case was a teachable experience highlighting the importance of being vigilant about fractures in children with postepileptic seizures. Keywords: Pediatric femoral neck fracture, epilepsy, anti-seizure medication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%