Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A missed orthopaedic injury following a seizure: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access A missed orthopaedic injury following a seizure a case report Laurence O Connor-Read 1 Benjamin Bloch2 and Harry Brownlow1 Address 1Royal Berkshire Hospital Reading UK and 2Milton Keynes General Hospital Milton Keynes UK Email Laurence O Connor-Read - laurenceoconnorread@ Benjamin Bloch - Harry Brownlow - hcbrownlow@ Corresponding author Published 10 May 2007 Received 20 December 2006 Journal of Medical Case Reports 2007 1 20 doi 1752-1947-1-20 Accepted 10 May 2007 This article is available from http content 1 1 20 2007 O Connor-Read et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Numerous orthopaedic injuries can follow a seizure and are often diagnosed late. This is the first documented case of a missed bilateral anterior shoulder dislocation following a seizure. The possible reasons for the greater incidence of posterior dislocations are examined and why bilateral anterior dislocations following a seizure are so rare. The article discusses the reasons for the delay and highlights potential pitfalls and learning points for junior emergency department doctors. Background Muscular contractions generated during a seizure can lead to a variety of musculoskeletal injuries. The literature contains descriptions of fractures and dislocations of the shoulder 1-4 femur 5 acetabulum 6 and compression 7 or burst 8 fractures of the vertebrae following a seizure. The incidence of orthopaedic injuries that are missed following a seizure is unknown. Bilateral shoulder dislocations are uncommon usually presenting as posterior dislocations following epilepsy electric .