Department of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens.
Department of Materials Science and Technology, University of Crete.
Kurume Med J. 2020 Jul 1;66(1):65-70. doi: 10.2739/kurumemedj.MS661008. Epub 2020 Apr 24.
Anterior shoulder dislocations following an epileptic event are considered rare. An extremely rare case of a 41 year old female suffering from bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures after an epileptic seizure is presented. The patient presented to the out-patient orthopaedic clinic due to persistent pain and restriction of shoulders movement, 4 weeks after an epileptic seizure. Clinical examination and radiological evaluation established the diagnosis of bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures. Closed reduction was performed under general anesthesia. There are 12 such cases in the literature, including the present one. Thirty percent of these cases had a delayed diagnosis. It is of paramount importance to have a high clinical suspicion for myoskeletal injuries and especially for shoulder dislocations following an epileptic episode, even in the absence of a traumatic event.
癫痫发作后发生的前肩脱位被认为很少见。本文报告了一例极其罕见的病例，一名 41 岁女性在癫痫发作后出现双侧前肩脱位，同时伴有大结节骨折。患者在癫痫发作后 4 周因持续性肩部疼痛和活动受限就诊于门诊骨科。临床检查和影像学评估确立了双侧前肩脱位伴大结节骨折的诊断。在全身麻醉下进行闭合复位。文献中有 12 例此类病例，包括本病例。这些病例中有 30%存在延迟诊断。即使没有外伤事件，对于癫痫发作后的肌肉骨骼损伤，尤其是肩部脱位，临床医生应高度怀疑，这一点至关重要。
