2009
DOI: 10.4103/0973-6042.57937
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Simultaneous occurrence of acute posterior shoulder dislocation and posterior shoulder-fracture dislocation after epileptic seizure

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Cited by 8 publications
(7 citation statements)
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“…Posterior shoulder dislocation is the most common type of shoulder dislocation following an epileptiform seizure. 5 , 6 The mechanism of such dislocation is axial loading of internally rotated and adducted arm due to violent muscular contractions during a seizure. Bilateral anterior shoulder dislocation is very rare because it requires an adequate synchronous and simultaneous force.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Posterior shoulder dislocation is the most common type of shoulder dislocation following an epileptiform seizure. 5 , 6 The mechanism of such dislocation is axial loading of internally rotated and adducted arm due to violent muscular contractions during a seizure. Bilateral anterior shoulder dislocation is very rare because it requires an adequate synchronous and simultaneous force.…”
Section: Discussionmentioning
confidence: 99%
“…Orthopedic injuries can occur during epileptic seizures. 1 Fractures and/or dislocations of the shoulder, 2 , 3 , 4 , 5 , 6 skull, 7 humerus, 6 femur, 8 acetabulum, 8 , 9 and vertebrae 9 , 10 have been described in the literatures. In fact, the risk of fracture doubles with epilepsy, resulting either directly from seizure-induced injury or indirectly through drug-induced bone demineralization.…”
Section: Introductionmentioning
confidence: 99%
“…[3] The proximal humerus was the most common site of fractures in the atraumatic group. [3,6] Some seizure-induced fractures, such as compression fracture of the vertebrae and fractures of the humerus or the head or neck of the femur, resemble more common fractures caused by external trauma. If a patient is not known to have epilepsy or if the seizure was not witnessed, the unexpected finding of such a fracture may lead to a suspicion of assault, particularly if the patient is not in a condition to give a clinical history.…”
Section: Discussionmentioning
confidence: 99%
“…Medium size defect of 25% to 50% usually needs reconstruction, lesser tuberosity transfer, or rotational osteotomy. Large defect (more than 50%) should be managed by shoulder arthroplasty as described in the algorithm of Figure 4 [ 6 , 11 , 15 – 17 ].…”
Section: Discussionmentioning
confidence: 99%