Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation: What to do?
- Author:
Hardik SHETH
1
;
Abhijeet-Ashok SALUNKE
;
Ramesh PANCHAL
;
Jimmy CHOKSHI
;
G-I NAMBI
;
Saranjeet SINGH
;
Amit PATEL
;
Ranu SHETH
Author Information
1. Pramukswami Medical College, Anand, Gujrat, India.
- Publication Type:Case Reports
- MeSH:
Acetabulum;
injuries;
Aged;
Epilepsy;
complications;
Fracture Dislocation;
diagnostic imaging;
surgery;
Fractures, Bone;
surgery;
Humans;
Male;
Shoulder Fractures;
diagnostic imaging;
surgery
- From:
Chinese Journal of Traumatology
2016;19(1):59-62
- CountryChina
- Language:English
-
Abstract:
Musculoskeletal injuries following seizures have a high morbidity and mortality. These injuries are often missed and the diagnosis is delayed due to a lack of clinical suspicion and appropriate investigations.We report a case of 72 years old male with simultaneous bilateral central acetabular fracture dislocation and bilateral posterior shoulder fracture dislocation secondary to an epileptic seizure. Present study high- lights the significance of clinical suspicion and clinico-radiological evaluation for diagnosis of a rare injury following episode of seizures. Simultaneous fracture dislocation of all four limbs treated with a holistic approach can lead to a good functional recovery. Surgical management with open reduction and internal fixation is preferred and replacement arthroplasty should be reserved for cases with implant failure and elderly patients.