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

  • سال انتشار: 1401
  • محل انتشار: مجله استخوان و جراحی عمومی، دوره: 10، شماره: 4
  • کد COI اختصاصی: JR_TABO-10-4_002
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 138
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نویسندگان

Winston Yen

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Geoffrey Cloud

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

J. Roscoe Wasserburg

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Gregory Penny

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Louis Day

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Scott Pascal

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Steven Andelman

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA

Arvind Von Keudell

Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA

Nishant Suneja

۱ Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA ۳ Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Harvard Medical

چکیده

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 ۵۹ patients included, ۳۶ (۶۱.۰%) involved a posterior shoulder dislocation. Associated fractures were observed in ۳۴ (۵۷.۶%) cases with surgical procedures performed in ۳۰ (۵۰.۸%) patients. Functional outcomes were reported in ۴۴ patients, with over half (۲۳ of ۴۴, [۵۲.۲%]) 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.Level of evidence: II

کلیدواژه ها

Epilepsy, orthopaedic injuries, orthopaedic surgery, perioperative management, Upper extremity

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