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

During seizures, injury of the upper extremities may occur. Standardized guidelines are deficient for diagnosis and perioperative care. 

PubMed, Embase, Cochrane, Scopus, and Web of Science databases were systematically screened using predefined search terms. 

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. 

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