A Systematic Review of the Management of Upper Extremity Orthopaedic Injuries in Epileptic Patients
ARCHIVES OF BONE AND JOINT SURGERY-ABJS(2022)
摘要
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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关键词
Epilepsy, Orthopaedic injuries, Orthopaedic surgery, Perioperative management, Upper extremity
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