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

نویسندگان
Yen, Winston W. ID 1
Penny, Gregory S. ID 2
Pascal, Scott C. ID 3
Von Keudell, Arvind G. ID 4
Cloud, Geoffrey W. ID 5
Wasserburg, J. Roscoe ID 6
Day, Louis M. ID 7
Andelman, Steven M. ID 8
Suneja, Nishant ID 9

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 and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

3 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

4 Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA

5 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

6 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

7 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

8 Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

9 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

doi
10.22038/abjs.2021.56488.2803
چکیده

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

کلیدواژه‌ها
Epilepsy, orthopaedic injuries, orthopaedic surgery, perioperative management, Upper extremity