Pathinathan Kalaventhan, Perera N N, Marasinghe M M G S N, Hewavitharana S D, Mendis D C D, Parathan S, Sivakumaran Dishanth, Fernando Nihal
Postgraduate Trainee in Orthopaedic Surgery, University of Colombo, Sri Lanka.
Consultant Orthopaedic Suregeon, Teaching Hospital-Kurunagala, Sri Lanka.
Ann Med Surg (Lond). 2022 Apr 20;77:103646. doi: 10.1016/j.amsu.2022.103646. eCollection 2022 May.
and Importance: Bilateral shoulder dislocations are uncommon and those are usually posterior dislocations. Bilateral anterior fracture-dislocations are rarest of their kind following seizure episodes.
We present a case of bilateral fracture-dislocations of the shoulder following a seizure episode. Bilateral dislocations were relocated to the emergency unit and managed conservatively as he refused to undergo surgery. The patient was followed up at the Orthopaedic clinic and achieved a full range of movements of the bilateral shoulder the one-year post-intervention.
A closed reduction is also an option on occasion like this patient.
Careful radiological assessment and follow-up with physiotherapy will help to achieve a good outcome.
及重要性：双侧肩关节脱位并不常见，且通常为后脱位。双侧前侧骨折脱位是癫痫发作后此类情况中最为罕见的。
我们呈现一例癫痫发作后双侧肩关节骨折脱位的病例。双侧脱位在急诊室进行了复位，并因其拒绝手术而采取保守治疗。患者在骨科门诊接受随访，干预后一年双侧肩关节实现了全范围活动。
像该患者这种情况，闭合复位有时也是一种选择。
仔细的影像学评估以及物理治疗随访将有助于取得良好疗效。
