Marty B, Simmen H P, Käch K, Trentz O
Klinik für Unfallchirurgie, Departement Chirurgie, Universitätsspital Zürich.
Unfallchirurg. 1994 Jul;97(7):382-4.
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.
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。
