Bilateral Posterior Fracture-Dislocation of the Shoulders Secondary to Uremic Encephalopathy

被引:0
作者
Mencia, Marlon M. [1 ]
Goalan, Raakesh [2 ]
机构
[1] Univ West Indies, Dept Clin Surg Sci, Port Of Spain, Trinidad Tobago
[2] Eric Williams Med Sci Complex, Dept Orthopaed, San Juan, Trinidad Tobago
来源
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS | 2023年 / 7卷 / 01期
关键词
HUMERAL HEAD; GLENOHUMERAL DISLOCATION; DIAGNOSIS; TRAUMA;
D O I
10.5435/JAAOSGlobal-D-20-00255
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Bilateral posterior fracture-dislocation of the shoulder is an uncommon injury pattern usually caused by epileptic seizures. The cause of the seizure activity remains unknown in most cases, although the injury has been associated with several conditions. A 59-year-old man with uncontrolled hypertension presented with new-onset generalized tonic-clonic seizures. He was diagnosed with uremic encephalopathy and bilateral posterior fracture-dislocation of his shoulders. His medical condition required stabilization leading to a delay in definitive surgery and a subsequent poor outcome. This case highlights the previously unknown association between bilateral fracture-dislocation of the shoulders and seizures caused by uremic encephalopathy. In these complex situations with competing clinical priorities, it is important to initiate prompt treatment of the cause in any new-onset seizures, to facilitate expedient surgical management of the orthopaedic injury.
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页数:8
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