J Korean Shoulder Elbow Soc.  2009 Jun;12(1):98-101.

Arthroscopic Bankart Repair for Post-seizure Anterior Instabilities of Shoulder : 2 Cases Report

• Moon YL
• Yang H
• Gorthi V

Abstract

PURPOSE: These case reports have been prepared to highlight the uncommon occurrence of anterior shoulder dislocation after an epileptic seizure, the recognition of which is important as this type of injury is associated with bony lesions and a high incidence of recurrence.
MATERIALS AND METHODS
We report two cases of recurrent anterior dislocation of the shoulder due to grand mal epilepsy. These cases were treated as usual anterior dislocations of the shoulder, and were regularly followed to detect any recurrence of shoulder instability.
RESULTS
Outcome of the surgery in the two cases was different because of the differences in seizure control. In the patient in whom seizures were well-controlled, there was no recurrence of instability, while the patient with poorly controlled seizures developed a recurrence of the dislocation following shoulder repair.
CONCLUSION
The authors emphasize the need to control seizures in order to prevent injury recurrence in this subset of patients.

Keyword

Shoulder; Anterior dislocation; Seizure; Recurrent; arthroscopic Bankart repair

MeSH Terms

Dislocations
Epilepsy
Epilepsy, Tonic-Clonic
Humans
Incidence
Recurrence
Seizures
Shoulder
Shoulder Dislocation