Vanderhooft E, Swiontkowski M
Department of Orthopedics, Harborview Medical Center, Seattle, Washington.
Ann Emerg Med. 1994 Dec;24(6):1188-91. doi: 10.1016/s0196-0644(94)70254-3.
Fractures of the hip following seizure are uncommon but may have devastating consequences if allowed to go unrecognized. The presence of groin pain suggests hip pathology, but the ability to ambulate does not necessarily rule out fracture. Sprains around joints are common; hip sprains are not. Given the powerful contractions that occur with convulsions, musculoskeletal pain following seizure should not be dismissed until fractures or dislocations have been ruled out. We report the case of a young man with bilateral hip fractures following seizure, illustrating the violent muscular forces possible.
癫痫发作后发生髋部骨折并不常见,但如果未被识别,可能会产生严重后果。腹股沟疼痛提示髋部病变,但能够行走并不一定排除骨折。关节周围扭伤很常见;髋部扭伤则不然。鉴于抽搐时会出现强烈收缩,在排除骨折或脱位之前,不应忽视癫痫发作后的肌肉骨骼疼痛。我们报告了一例癫痫发作后双侧髋部骨折的年轻男性病例,说明了可能存在的暴力肌肉力量。