Posterior dislocation fractures of the shoulder in seizure disorders--two case reports and a review of literature.
We present two patients with complaints of shoulder pain after an epileptic seizure. Both patients had a posterior dislocation fracture of the shoulder. After reviewing the literature the following conclusions can be drawn: (1) A posterior shoulder dislocation fracture is rare. (2) One should not underestimate the muscular forces in seizure disorders and be alert for dislocation fractures of the shoulder and/or other joints. (3) The diagnosis is frequently missed, but an axillary radiograph or a CT scan always reveals the fracture.
Gosens
T
T
Atrium Medical Centre, PO Box 4446, 6401 CX, Heerlen, The Netherlands.
Poels
P J
PJ
Rondhuis
J J
JJ
D000328:Adult; D004827:Epilepsy / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging* / Q000209:etiology; D012784:Shoulder Fractures / Q000000981:diagnostic imaging* / Q000209:etiology