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. 2012:2012:240838.
doi: 10.1155/2012/240838. Epub 2012 Sep 2.

Literature review and clinical presentation of bilateral acetabular fractures secondary to seizure attacks

Alexandre H Nehme  1 , Jihad F Matta, Alaa G Boughannam, Fouad C Jabbour, Joseph Imad, Ramzi Moucharafieh
Affiliations

Literature review and clinical presentation of bilateral acetabular fractures secondary to seizure attacks

Alexandre H Nehme et al. Case Rep Orthop. 2012.

Abstract

Central acetabular fracture dislocation is usually caused by high-energy external trauma. However, 26 cases that occurred as a result of a seizure attack appeared in the literature from 1970 to 2007, with the seizure attacks themselves caused by many different factors. In this setting, the central acetabular fracture not caused by direct trauma might initially remain unnoticed leading to a delayed diagnosis. In some cases, this may lead to death as a result of massive blood loss. We here present a case of bilateral central acetabular fracture dislocation as a result of a seizure attack.

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Figures

Figure 1
Figure 1
Linear non displaced fracture of the left acetabulum.
Figure 2
Figure 2
Intrapelvic 3D CT reconstructed view of the right Hip with protrusion of the right femoral head.
Figure 3
Figure 3
Intrapelvic 3D CT reconstructed view of the right Hip with protrusion of the left femoral head.
Figure 4
Figure 4
AP Pelvis X-ray showing displaced fractures of both acetabuli with intrapelvic protrusion of both femoral heads.
Figure 5
Figure 5
Acceptable hip congruity achieved following traction and formation of a callus with adequate healing of both acetabuli.
See this image and copyright information in PMC

References

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