Instability of the shoulder following seizures

E. B. Goudie, I. R. Murray, C. M. Robinson

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

Dislocation of the shoulder may occur during seizures in epileptics and other patients who have convulsions. Following the initial injury, recurrent instability is common owing to a tendency to develop large bony abnormalities of the humeral head and glenoid and a susceptibility to further seizures. Assessment is difficult and diagnosis may be missed, resulting in chronic locked dislocations with protracted morbidity. Many patients have medical comorbidities, and successful treatment requires a multidisciplinary approach addressing the underlying seizure disorder in addition to the shoulder pathology. The use of bony augmentation procedures may have improved the outcomes after surgical intervention, but currently there is no evidence-based consensus to guide treatment. This review outlines the epidemiology and pathoanatomy of seizure-related instability, summarising the currently-favoured options for treatment, and their results.

Original languageEnglish
Pages (from-to)721-728
Number of pages8
JournalJournal of Bone and Joint Surgery, British Volume
Volume94B
Issue number6
DOIs
Publication statusPublished - Jun 2012

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