Universität zu Köln

Cucchi, Davide ORCID: 0000-0001-6284-7977, Baumgartner, Tobias, Walter, Sebastian Gottfried, Menon, Alessandra, Ossendorff, Robert ORCID: 0000-0002-6636-8065, Surges, Rainer, Burger, Christof, Wirtz, Dieter Christian and Friedrich, Max Julian (2023). Epidemiology and specific features of shoulder injuries in patients affected by epileptic seizures. Arch. Orthop. Trauma Surg., 143 (4). S. 1999 - 2010. NEW YORK: SPRINGER. ISSN 1434-3916

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Abstract

PurposeEpileptic seizures can cause multiple shoulder injuries, the most common of which are dislocations, recurrent instability, fractures, and isolated lesions of the rotator cuff. Currently, only limited literature exists which describes the frequency and types of lesions in cohorts of epileptic patients and the corresponding treatment outcome. This study aims to document the occurrence of shoulder lesions in patients affected by seizures and to provide detailed information on trauma dynamics, specific lesion characteristics and treatment complications.MethodsAll patients referring to a tertiary epilepsy center were screened for shoulder injuries and the clinical records of those sustaining them during a seizure were reviewed. Demographic information, lesions' characteristics and trauma dynamics were analysed, as wells as-when carried out-the type of surgical intervention and any postoperative complications.ResultsThe average age at the time of injury of 106 included patients was 39.7 +/- 17.5 years and a male predominance was recorded (65%). Bilateral injuries occurred in 29 patients, simultaneously in 17 cases. A younger age, bilateral shoulder injuries and shoulder dislocations were significantly associated with the occurrence of a shoulder injury solely by muscular activation (p = 0.0054, p = 0.011, p < 0.0001). The complication rate in 57 surgically treated patients with follow-up data was 38.7%, with recurring instability being the most frequently reported complication (62.5%).ConclusionsUncontrolled muscle activation during a seizure is a distinctive but not exclusive dynamic of injury in epileptic patients, accounting for more than the half of all shoulder lesions, especially in the younger. This can lead both to anterior and posterior dislocations or fracture-dislocations and is frequently cause of bilateral lesions and of instability recurrence after surgery. The high complication rates after surgical treatment in this selected subgroup of patients require that appropriate preventative measures are taken to increase the probability of treatment success.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Cucchi, Davide UNSPECIFIED orcid.org/0000-0001-6284-7977 UNSPECIFIED Baumgartner, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Sebastian Gottfried UNSPECIFIED UNSPECIFIED UNSPECIFIED Menon, Alessandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Ossendorff, Robert UNSPECIFIED orcid.org/0000-0002-6636-8065 UNSPECIFIED Surges, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Burger, Christof UNSPECIFIED UNSPECIFIED UNSPECIFIED Wirtz, Dieter Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Friedrich, Max Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-675892
DOI:	10.1007/s00402-022-04420-6
Journal or Publication Title:	Arch. Orthop. Trauma Surg.
Volume:	143
Number:	4
Page Range:	S. 1999 - 2010
Date:	2023
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3916
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTERIOR FRACTURE-DISLOCATION; RISK-FACTORS; PHYSICAL INJURIES; INSTABILITY; ACCIDENTS; PEOPLE; OSTEOPOROSIS; TRAUMA Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67589