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Updated: Sep 7, 2025
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A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients
Winston W Yen1, Geoffrey W Cloud1, J Roscoe Wasserburg1
1Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA.
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.
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