Title of article :
A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients
Author/Authors :
Yen ، Winston W. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Cloud ، Geoffrey W. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Wasserburg ، J. Roscoe Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Penny ، Gregory S. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Day ، Louis M. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Pascal ، Scott C. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Andelman ، Steven M. Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY) , Keudell ، Arvind G. Von Department of Orthopaedic Surgery - Brigham and Women’s Hospital , Suneja ، Nishant Department of Orthopaedic Surgery and Rehabilitation Medicine - Downstate Medical Center - State University of New York (SUNY)
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%]) end orsing 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.
Keywords :
Epilepsy , Orthopaedic injuries , Orthopaedic surgery , Perioperative management , Upper extremity
Journal title :
The Archives of Bone and Joint Surgery
Journal title :
The Archives of Bone and Joint Surgery
