Bilateral Posterior Four-Part Fracture-Dislocation of the Proximal Humerus After First-Time Seizure

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 Oct 15

PMID 34650863

Citations 6

Authors

John D Murphy

Phillip R Braunlich

Mohit Bansal

Lauren Edge

John N Harker

Affiliations

Soon will be listed here.

Abstract

This report presents a previously undescribed case and treatment of bilateral four-part proximal humerus (PH) fracture-dislocations presented in a 61-year-old Caucasian male patient following a first-time seizure episode. The patient was treated with bilateral reverse total shoulder arthroplasty due to pre-existing glenohumeral arthritis and rotator cuff atrophy. The surgery was successful, and the patient's postoperative recovery was uneventful. Fractures of the proximal humerus are a relatively common adult osteoporotic fracture; however, posterior fracture-dislocations of the PH, frequently related to motor vehicle accidents, seizures, or electrical shock, are remarkably scarce. A treatment algorithm for these injuries is lacking.

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References

Yigit M, Yaman A, Yigit E, Turkdogan K . The overlooked side of convulsion: bilateral posterior fracture and dislocation of proximal humerus. J Pak Med Assoc. 2016; 66(5):621-2. View

Hertel R, Hempfing A, Stiehler M, Leunig M . Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004; 13(4):427-33. DOI: 10.1016/j.jse.2004.01.034. View

Gurzi M, De Meo D, Pugliese M, Di Giorgio L, Persiani P, Villani C . Bilateral posterior fracture-dislocation of the shoulder after epileptic seizure. Trauma Case Rep. 2018; 13:35-41. PMC: 5887118. DOI: 10.1016/j.tcr.2017.11.006. View

Ritchie Gill J, Murphy C, Quansah B, Carrothers A . Seizure induced polytrauma; not just posterior dislocation of the shoulder. BMJ Case Rep. 2015; 2015. PMC: 4551015. DOI: 10.1136/bcr-2015-211445. View

Pushpakumara J, Sivathiran S, Roshan L, Gunatilake S . Bilateral posterior fracture-dislocation of the shoulders following epileptic seizures: a case report and review of the literature. BMC Res Notes. 2015; 8:704. PMC: 4657314. DOI: 10.1186/s13104-015-1674-y. View

Tellisi N, Abusitta G, Fernandes R . Bilateral posterior fracture dislocation of the shoulders following seizure. Saudi Med J. 2004; 25(11):1727-9. View

Clough T, Bale R . Bilateral posterior shoulder dislocation: the importance of the axillary radiographic view. Eur J Emerg Med. 2001; 8(2):161-3. DOI: 10.1097/00063110-200106000-00017. View

Claro R, Sousa R, Massada M, Ramos J, Lourenco J . Bilateral posterior fracture-dislocation of the shoulder: Report of two cases. Int J Shoulder Surg. 2010; 3(2):41-5. PMC: 2904541. DOI: 10.4103/0973-6042.57935. View

Copuroglu C, Aykac B, Tuncer B, Ozcan M, Yalniz E . Simultaneous occurrence of acute posterior shoulder dislocation and posterior shoulder-fracture dislocation after epileptic seizure. Int J Shoulder Surg. 2010; 3(2):49-51. PMC: 2904543. DOI: 10.4103/0973-6042.57937. View

10.

Steinmann S . Posterior shoulder instability. Arthroscopy. 2003; 19 Suppl 1:102-5. DOI: 10.1016/j.arthro.2003.09.033. View

11.

Kasha S, Bandari G . Bilateral Posterior Fracture-Dislocation of Shoulder Following Seizures Secondary to Cavernous Sinus Venous Thrombosis - A Rare Association. J Orthop Case Rep. 2019; 8(4):49-52. PMC: 6343556. DOI: 10.13107/jocr.2250-0685.1156. View

12.

Court-Brown C, Caesar B . Epidemiology of adult fractures: A review. Injury. 2006; 37(8):691-7. DOI: 10.1016/j.injury.2006.04.130. View

13.

Makunts T, Alpatty S, Lee K, Atayee R, Abagyan R . Proton-pump inhibitor use is associated with a broad spectrum of neurological adverse events including impaired hearing, vision, and memory. Sci Rep. 2019; 9(1):17280. PMC: 6872761. DOI: 10.1038/s41598-019-53622-3. View