title: Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation: What to do?
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.
authors.affiliation: Pramukswami Medical College, Anand, Gujrat, India.
authors.forename: Hardik
authors.initials: H
authors.lastname: Sheth
authors.forename: Abhijeet-Ashok
authors.initials: AA
authors.lastname: Salunke
authors.forename: Ramesh
authors.initials: R
authors.lastname: Panchal
authors.forename: Jimmy
authors.initials: J
authors.lastname: Chokshi
authors.forename: G-I
authors.initials: GI
authors.lastname: Nambi
authors.forename: Saranjeet
authors.initials: S
authors.lastname: Singh
authors.forename: Amit
authors.initials: A
authors.lastname: Patel
authors.forename: Ranu
authors.initials: R
authors.lastname: Sheth
mesh_terms: D000077:Acetabulum / Q000293:injuries*; D000368:Aged; D004827:Epilepsy / Q000150:complications*; D000072039:Fracture Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*