The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients

Document Type : SYSTEMATIC REVIEW

Authors
Winston W. Yen 1
Geoffrey W. Cloud 1
J. Roscoe Wasserburg 1
Gregory S. Penny 1
Louis M. Day 1
Scott C. Pascal 1
Steven M. Andelman 1
Arvind G. Von Keudell 2
Nishant Suneja 3
1 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA
2 Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA
3 1 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA 3 Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston MA
10.22038/abjs.2021.56488.2803
Abstract
Background: During seizures, injury of the upper extremities may occur. Standardized guidelines are deficient for 
diagnosis and perioperative care. 
Methods: PubMed, Embase, Cochrane, Scopus, and Web of Science databases were systematically screened 
using predefined search terms. 
Results: Of the 59 patients included, 36 (61.0%) involved a posterior shoulder dislocation. Associated fractures were 
observed in 34 (57.6%) cases with surgical procedures performed in 30 (50.8%) patients. Functional outcomes were 
reported in 44 patients, with over half (23 of 44, [52.2%]) endorsing range of motion deficits. 
Conclusion: Standardized guidelines, to guarantee timely management of injury in post-seizure patients, are 
needed with a customized treatment approach that accommodates the various aspects of their condition.
Level of evidence: II
Keywords
Epilepsy
Orthopaedic injuries
Orthopaedic surgery
Perioperative management
Upper extremity
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The Archives of Bone and Joint Surgery
Volume 10, Issue 4
April 2022
Pages 301-310

  • Receive Date 15 April 2021
  • Accept Date 02 June 2021