Recurrent shoulder instability in a patient with uncontrolled epileptic seizures: A decade-long clinical course ending in Eden-Hybinette procedure - A case report.

INTRODUCTION

Epileptic seizures can cause recurrent shoulder instability due to violent muscle contractions, often leading to glenoid bone loss. Proper seizure management and surgical intervention are crucial for stability.

CASE PRESENTATION

A 24-year-old male with epilepsy experienced recurrent anterior shoulder dislocations despite prior Bankart repair and remplissage. Progressive glenoid bone loss necessitated an Eden-Hybinette procedure using an autologous iliac crest bone graft, successfully restoring stability.

DISCUSSION

Seizure-induced dislocations often require revision surgery. While Bankart repair may fail in epilepsy-related cases, the Eden-Hybinette procedure effectively addresses glenoid defects. Seizure control is key to preventing recurrence.

CONCLUSION

This case underscores the importance of seizure management and the Eden-Hybinette procedure as a viable revision strategy for epilepsy-related recurrent shoulder instability.