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

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

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