Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation： What to do？

作     者：Hardik Sheth Abhijeet Ashok Salunke Ramesh Panchal Jimmy Chokshi G.I. Nambi Saranjeet Singh Amit Patel Ranu Sheth 

作者机构：Pramukswami Medical College Anand. Gujrat. India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2016年第19卷第1期

页      面：59-62页

核心收录：

学科分类：1006[医学-中西医结合] 100507[医学-中医外科学] 1005[医学-中医学] 100602[医学-中西医结合临床] 10[医学] 

主　　题：Epilepsy Seizures Acetabulum Fracture Dislocation Shoulder 

摘      要：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.