Management of recurrent shoulder instability in patients with epilepsy.
Epileptic seizures can cause dislocation of the shoulder. Recurrent instability is common and occurs soon after the first dislocation. Significant bone loss from the humeral head and glenoid is thought to be responsible for this, and therefore the majority of surgical approaches focus on bone augmentation of the glenohumeral joint. Understanding of the current management strategies and the anatomic lesions associated with seizure-related shoulder instability will guide clinical decision-making. The purpose of this article was to review the pathoanatomy, treatment options, and clinical outcomes of seizure-related shoulder instability.
The Shoulder and Elbow Service, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK. Electronic address: tanujan1@hotmail.com.
Tanujan
T
Thangarajah
The Shoulder and Elbow Service, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
Simon M
SM
Lambert
D004827:Epilepsy / Q000150:complications*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012783:Shoulder Dislocation / Q000209:etiology / Q000473:pathology / Q000601:surgery*
Bone loss; dislocation; epilepsy; instability; seizure; shoulder