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

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

Keywords:

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