ArticleArchives of orthopaedic and trauma surgery2023
Epidemiology and specific features of shoulder injuries in patients affected by epileptic seizures.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Shoulder instability and associated shoulder injuries in patients with epilepsy.BMC musculoskeletal disorders · 2026Article
- Atraumatic Bilateral Anterior Shoulder Dislocation With Bilateral Greater Tuberosity Fractures Accompanied by the Diagnosis of Epilepsy: A Case Report.Clinical medicine insights. Case reports · 2026Article
- Article
- Humeral head and distal tibia osteochondral allograft for bipolar bone loss in the setting of anterior shoulder instability from seizure disorder.JSES international · 2025Article
- Simultaneous bilateral reverse total shoulder arthroplasty for bilateral seizure-induced posterior shoulder fracture-dislocation complicated by severe postoperative anemia and hemorrhagic shock: a case report.JSES reviews, reports, and techniques · 2024Article
- Bilateral Anterior Shoulder Dislocation: A Systematic Review.The archives of bone and joint surgery · 2024Review
- Bilateral Locked Posterior Fracture-Dislocation of the Shoulder After Epileptic Seizures Secondary to Cavernous Hemangioma: A Case Report and Literature Review.The American journal of case reports · 2023Review
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEpileptic seizures can cause multiple shoulder injuries, the most common of which are dislocations, recurrent instability, fractures, and isolated lesions of the rotator cuff. Currently, only limited literature exists which describes the frequency and types of lesions in cohorts of epileptic patients and the corresponding treatment outcome. This study aims to document the occurrence of shoulder lesions in patients affected by seizures and to provide detailed information on trauma dynamics, specific lesion characteristics and treatment complications.
methodsAll patients referring to a tertiary epilepsy center were screened for shoulder injuries and the clinical records of those sustaining them during a seizure were reviewed. Demographic information, lesions' characteristics and trauma dynamics were analysed, as wells as-when carried out-the type of surgical intervention and any postoperative complications.
resultsThe average age at the time of injury of 106 included patients was 39.7 ± 17.5 years and a male predominance was recorded (65%). Bilateral injuries occurred in 29 patients, simultaneously in 17 cases. A younger age, bilateral shoulder injuries and shoulder dislocations were significantly associated with the occurrence of a shoulder injury solely by muscular activation (p = 0.0054, p = 0.011, p < 0.0001). The complication rate in 57 surgically treated patients with follow-up data was 38.7%, with recurring instability being the most frequently reported complication (62.5%).
conclusionsUncontrolled muscle activation during a seizure is a distinctive but not exclusive dynamic of injury in epileptic patients, accounting for more than the half of all shoulder lesions, especially in the younger. This can lead both to anterior and posterior dislocations or fracture-dislocations and is frequently cause of bilateral lesions and of instability recurrence after surgery. The high complication rates after surgical treatment in this selected subgroup of patients require that appropriate preventative measures are taken to increase the probability of treatment success. LEVEL OF EVIDENCE: Cohort study, level III.
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