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[癫痫发作后双侧肩关节前脱位骨折。病例报告]

[Bilateral anterior shoulder dislocation fracture after an epileptic seizure. A case report].

作者信息

Marty B, Simmen H P, Käch K, Trentz O

机构信息

Klinik für Unfallchirurgie, Departement Chirurgie, Universitätsspital Zürich.

出版信息

Unfallchirurg. 1994 Jul;97(7):382-4.

PMID:7939743
Abstract

Fractures can occur during violent muscular violence such as occur in the course of epileptic seizures, though this is rare (0.3%). The proximal part of the humerus is most frequently affected. The typical lesion is bilateral posterior dislocation or fracture-dislocation. We present a rare case of bilateral anterior fracture-dislocation of the shoulder sustained as the result of an epileptic fit. The treatment given was open reduction, refixation of the anterior labrum and screw fixation of the fragments. A review of the literature revealed only 18 cases of bilateral anterior dislocations caused by convulsive seizures.

摘要

骨折可发生于剧烈肌肉活动时,如癫痫发作过程中,不过这种情况很罕见(0.3%)。肱骨近端最常受累。典型损伤为双侧后脱位或骨折脱位。我们报告一例因癫痫发作导致的双侧肩关节前骨折脱位罕见病例。治疗方法为切开复位、修复前盂唇并对骨折碎片进行螺钉固定。文献回顾显示,仅有18例由惊厥发作引起的双侧前脱位病例。

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