Simultaneous bilateral fractures of the hip following a grand mal seizure. An unusual complication.
Pathological fractures as a consequence of convulsive seizures without direct trauma occur in 0.3% of cases. Some lesions such as bilateral posterior dislocation of the shoulder, fracture-dislocation of the shoulder or fracture and/or dislocation of the hip strongly suggest a seizure as the aetiology. We report on a patient with simultaneous central dislocation of one hip with fracture of the contralateral femoral neck provoked by spontaneous seizures. Unrecognized associated injuries following a convulsion may result in long-term functional disability and legal consequences.
Ribacoba-Montero
R
R
Hospital Alverez Buylla, Mieres, Spain.
Salas-Puig
J
J
D000077:Acetabulum / Q000293:injuries*; D000368:Aged; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D005265:Femoral Neck Fractures / Q000209:etiology*; D050723:Fractures, Bone / Q000209:etiology*; D025981:Hip Injuries; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology*; D008297:Male