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癫痫大发作后双侧肩关节前脱位:一例报告

Bilateral Anterior Glenohumeral Dislocation Following Grand Mal Epileptic Seizure: A Case Report.

作者信息

Samadov Farid, Rafi Servin, Sulek Yusuf, Eren Osman Tugrul

机构信息

Department of Orthopedics, University of Health Sciences Türkiye, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

出版信息

Sisli Etfal Hastan Tip Bul. 2022 Dec 19;56(4):568-571. doi: 10.14744/SEMB.2022.48403. eCollection 2022.

Abstract

Bilateral simultaneous shoulder dislocations are very rare injuries. Majority of the cases in the literature are posterior shoulder dislocations due to widespread contractions seen in grand-map epileptic seizures, electrocutions, and electric shocks. The literature shows us that bilateral anterior shoulder dislocations are generally seen after trauma related injuries rather than subsequent to epileptic seizures. A 39-year-old male presented to the emergency department our clinic with bilateral anterior glenohumeral dislocation following grand mal epileptic seizure. The patient was treated conservatively with close reduction, Velpeau bandage, PT&R, and neurology consultation. Due to the bilateral displacement of patients shoulders and his age treatment was planned conservatively.

摘要

双侧同时性肩关节脱位是非常罕见的损伤。文献中的大多数病例是后肩关节脱位,原因是在癫痫大发作、触电和电击时出现广泛的肌肉收缩。文献表明,双侧前肩关节脱位通常见于创伤相关损伤之后,而非癫痫发作之后。一名39岁男性因癫痫大发作后双侧肩肱关节前脱位到我们诊所的急诊科就诊。患者接受了手法复位、Velpeau绷带固定、物理治疗和康复治疗以及神经科会诊等保守治疗。由于患者双肩双侧移位且年龄因素,治疗方案计划采用保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/9833344/c23c2ba476f1/SEMB-56-568-g001.jpg

相似文献

1
Bilateral Anterior Glenohumeral Dislocation Following Grand Mal Epileptic Seizure: A Case Report.癫痫大发作后双侧肩关节前脱位:一例报告
Sisli Etfal Hastan Tip Bul. 2022 Dec 19;56(4):568-571. doi: 10.14744/SEMB.2022.48403. eCollection 2022.

本文引用的文献

1
Secondary frozen shoulder after traumatic anterior shoulder instability.创伤性前肩关节不稳后继发冻结肩
JSES Int. 2019 Dec 16;4(1):72-76. doi: 10.1016/j.jses.2019.10.100. eCollection 2020 Mar.
3
Bilateral posterior fracture-dislocation of the shoulder.双侧肩关节后脱位骨折
Orthopedics. 2002 Apr;25(4):433-4. doi: 10.3928/0147-7447-20020401-21.
8
Bilateral anterior dislocation of the shoulder.
South Med J. 1984 Oct;77(10):1340-1. doi: 10.1097/00007611-198410000-00040.

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