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A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure
INTRODUCTION: Bilateral anterior shoulder dislocation following a seizure has recently been demonstrated as being more common than previously believed with 44 cases in the literature. This case is unique as it was caused by a first time seizure and there was no associated fracture of the humerus. CA...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722586/ https://www.ncbi.nlm.nih.gov/pubmed/27299040 http://dx.doi.org/10.13107/jocr.2250-0685.269 |
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author | Wheelton, Andrew Dowen, Daniel |
author_facet | Wheelton, Andrew Dowen, Daniel |
author_sort | Wheelton, Andrew |
collection | PubMed |
description | INTRODUCTION: Bilateral anterior shoulder dislocation following a seizure has recently been demonstrated as being more common than previously believed with 44 cases in the literature. This case is unique as it was caused by a first time seizure and there was no associated fracture of the humerus. CASE REPORT: A previously fit and well 32 year old man presented to the Emergency Department following a convulsive episode. On initial assessment he was drowsy and the focus of investigation was the cause of the seizure, he was prepared for transfer to the medical ward. As he became more alert he complained of bilateral shoulder pain. Further clinical exam highlighted he had reduced range of movement in the shoulder joint bilaterally with a symmetrical clinical appearance of gleno-humeral dislocation. Radiographs confirmed bilateral anterior gleno-humeral dislocations which were reduced under sedation uneventfully. CONCLUSION: Post ictal patients can be difficult to assess when drowsy. Although not all seizures require musculoskeletal examination attending medical staff should remain vigilant to the possibility of injury following seizure to afford prompt diagnosis and treatment. |
format | Online Article Text |
id | pubmed-4722586 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-47225862016-06-13 A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure Wheelton, Andrew Dowen, Daniel J Orthop Case Rep Case Report INTRODUCTION: Bilateral anterior shoulder dislocation following a seizure has recently been demonstrated as being more common than previously believed with 44 cases in the literature. This case is unique as it was caused by a first time seizure and there was no associated fracture of the humerus. CASE REPORT: A previously fit and well 32 year old man presented to the Emergency Department following a convulsive episode. On initial assessment he was drowsy and the focus of investigation was the cause of the seizure, he was prepared for transfer to the medical ward. As he became more alert he complained of bilateral shoulder pain. Further clinical exam highlighted he had reduced range of movement in the shoulder joint bilaterally with a symmetrical clinical appearance of gleno-humeral dislocation. Radiographs confirmed bilateral anterior gleno-humeral dislocations which were reduced under sedation uneventfully. CONCLUSION: Post ictal patients can be difficult to assess when drowsy. Although not all seizures require musculoskeletal examination attending medical staff should remain vigilant to the possibility of injury following seizure to afford prompt diagnosis and treatment. Indian Orthopaedic Research Group 2015 /pmc/articles/PMC4722586/ /pubmed/27299040 http://dx.doi.org/10.13107/jocr.2250-0685.269 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Wheelton, Andrew Dowen, Daniel A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title | A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title_full | A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title_fullStr | A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title_full_unstemmed | A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title_short | A Case of Bilateral Anterior Gleno-Humeral Dislocation following First Time Seizure |
title_sort | case of bilateral anterior gleno-humeral dislocation following first time seizure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722586/ https://www.ncbi.nlm.nih.gov/pubmed/27299040 http://dx.doi.org/10.13107/jocr.2250-0685.269 |
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