10. Ulusal, 1st Intercontınental Emergency Medicine Congress,, Antalya, Türkiye, no.89, ss.62
Objective: Bilateral simultaneous dislocations of the glenohumeral joints in all planes are rare injuries. Most cases are posterior and due to seizures associated with generalized convulsion or after severe electric shock. On the other hand, bilateral anterior islocations have also been reported in patients who have epileptic seizures. This paper presents a case of bilateral simultaneous anterior dislocation of glenohumeral joints caused by epileptic seizures.
Case: A 25 years old female presented in emergency with pain, swelling and deformity of bilateral shoulder joints after epileptic seizures. There was history of seizure disorder. She did not use regularly drug. The physical fexamination shown obvious bilateral anterior glenohumeral dislocation with no peripheral motor or vascular deficit. Computerized tomography scan was done for confirmation of extent and pattern of fracture of left and right glenohumeral joint (Figure 1) Emergency surgery under general anesthesia was suggested to patient and she transferred to orthopedic clinic.
Conclusion: It is not known why some dislocations occur anteriorly during seizure activity. Probably, Cause of this may be due to the position of the shoulders during the seizure. Extremity pathologies in epileptic patients must be kept in mind.
Keywords: Dislocation, Epileptic seizures, emergency department