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Review
. 2022 Apr;10(4):301-310.
doi: 10.22038/ABJS.2021.56488.2803.

A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients

Winston W Yen  1 , Geoffrey W Cloud  1 , J Roscoe Wasserburg  1 , Gregory S Penny  1 , Louis M Day  1 , Scott C Pascal  1 , Steven M Andelman  1 , Arvind G Von Keudell  2 , Nishant Suneja  1
Affiliations
Review

A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients

Winston W Yen et al. Arch Bone Jt Surg. 2022 Apr.

Abstract

Background: During seizures, injury of the upper extremities may occur. Standardized guidelines are deficient for diagnosis and perioperative care.

Methods: PubMed, Embase, Cochrane, Scopus, and Web of Science databases were systematically screened using predefined search terms.

Results: Of the 59 patients included, 36 (61.0%) involved a posterior shoulder dislocation. Associated fractures were observed in 34 (57.6%) cases with surgical procedures performed in 30 (50.8%) patients. Functional outcomes were reported in 44 patients, with over half (23 of 44, [52.2%]) endorsing range of motion deficits.

Conclusion: Standardized guidelines, to guarantee timely management of injury in post-seizure patients, are needed with a customized treatment approach that accommodates the various aspects of their condition.

Keywords: Epilepsy; Orthopaedic injuries; Orthopaedic surgery; Perioperative management; Upper extremity.

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Figures

Figure 1
Figure 1
Depiction of the PRISMA flowchart utilized for study identification, exclusion, inclusion, and analysis
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