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

Object Injury of the upper extremities may occur during seizures. There is a lack of standardized guidelines available when diagnosing and planning 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 intervention performed in 30 (50.8%) patients. 44 patients reported functional outcomes, with over half (23 of 44, [52.2%]) endorsing range of motion deficits. Conclusions Post-seizure patients may require standardized diagnostic protocols to ensure prompt management with a specialized treatment approach that accommodates the nuances of their condition.