1.Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation: What to do?
Hardik SHETH ; Abhijeet-Ashok SALUNKE ; Ramesh PANCHAL ; Jimmy CHOKSHI ; G-I NAMBI ; Saranjeet SINGH ; Amit PATEL ; Ranu SHETH
Chinese Journal of Traumatology 2016;19(1):59-62
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.
Acetabulum
;
injuries
;
Aged
;
Epilepsy
;
complications
;
Fracture Dislocation
;
diagnostic imaging
;
surgery
;
Fractures, Bone
;
surgery
;
Humans
;
Male
;
Shoulder Fractures
;
diagnostic imaging
;
surgery