Shoulder Dislocation and Non Displaced Humerus Head Fracture Due to Epileptic Attack

Abstract

The majority of proximal edge fractures of the humerus are either non-displaced or minimally displaced. Sometimes these fractures are accompanied by humerus head dislocations. These fractures and dislocations can be treated conservatively methods and some cases can be treated with surgery. The method which will be least harmful to the surrounding soft tissues should be preferred. In 25% of shoulder dislocations, a positive family history can be found. The majority of shoulder dislocations are anterior dislocations. As in our cases, some chronic diseases such as epilepsy can form bases for shoulder fracture and dislocations. If the interventions of these cases are performed more diligently, we consider that the patients can be treated more effectively with simpler methods

Keywords

• Epilepsy, humerus, fracture, dislocation, complication

Epilepsi Nöbeti Sırasında Oluşan Omuz Çıkığı ve Non Deplase Humerus Başı Fraktürü

Abstract

The majority of proximal edge fractures of the humerus are either non-displaced or minimally displaced. Sometimes these fractures are accompanied by humerus head dislocations. These fractures and dislocations can be treated conservatively methods and some cases can be treated with surgery. The method which will be least harmful to the surrounding soft tissues should be preferred. In 25% of shoulder dislocations, a positive family history can be found. The majority of shoulder dislocations are anterior dislocations. As in our cases, some chronic diseases such as epilepsy can form bases for shoulder fracture and dislocations. If the interventions of these cases are performed more diligently, we consider that the patients can be treated more effectively with simpler methods.

Keywords

• Epilepsy, humerus, fracture, dislocation, complication

References

1. Flatow EL. Fractures of the proximal humerus. In: Bucholz RW, Heckman JD, editors. Fractures in adults. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2001;997-1004.
2. Gorschewsky O, Puetz A, Klakow A, Pitzl M, Neumann W. The treatment of proximal humeral fractures with intramedullary tita- nium helix wire by 97 patients. Arch Orthop Trauma Surg. 2005; 125: 670-5. [CrossRef]
3. Devalia KL, Peter VK. Bilateral post traumatic anterior shoulder dislocation. J Postgrad Med. 2005; 51: 72-3.
4. Thomas DP, Graham GP. Missed bilateral anterior fracture disloca- tions of the shoulder. Injury. 1996; 27: 661-2. [CrossRef]
5. Mancini GB, Lazzeri S. Bilateral posterior fracture-dislocation of the shoulder. Orthopedics. 2002; 25: 433-4.
6. Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg. 1995; 77: 928-32.
7. Gauoines RF, Murthy VL, Hoppenfeld S. Proximal humeral frac- tures. In: Hoppenfeld S, Murthy VL, editors. Treatment and reha- bilitation of fractures. Philadelphia: Lippincott Williams&Wilkins; 2000; 85-101.
8. Marie-Jeanne TFD, Peeters V, Kastelein GW, Breslau PJ. Proximal humerus fractures a prospective study of the functional outcome after conservative treatment. Eur J Trauma Emerg Surg. 2001; 3: 133-6.

9. Kalkan T, Demirkale I, Öçgüder A, Ünlü S, Bozkurt M. Bilateral anterior shoulder dislocation in two cases due to housework ac- cidents. Acta Orthop Traumatol Turc. 2009; 43: 260-3. [CrossRef]
10. Elsayed S, Hussein A, Konyves A, Jones DG. Bilateral luxatio erecta humeri: Case report. Injury Extra. 2005; 36: 447-9. [CrossRef]