A 30-year-old man presents with right shoulder pain following a seizure. Given the mechanism of injury, which two fractures is he at increased risk for?
Understand the Problem
The question describes a clinical scenario where a patient experiences shoulder pain after a seizure. It asks us to identify the two types of fractures the patient is at increased risk for, considering the mechanism of injury (seizure). Seizures can cause forceful muscle contractions that can lead to specific fracture patterns, and we need to select the most likely combination from the options provided.
Answer
Posterior shoulder dislocation and fracture of the humerus.
Following a seizure, a 30-year-old man with shoulder pain is at increased risk for posterior shoulder dislocation and fracture of the humerus. Seizures can cause violent muscle contractions, leading to these specific injuries.
Answer for screen readers
Following a seizure, a 30-year-old man with shoulder pain is at increased risk for posterior shoulder dislocation and fracture of the humerus. Seizures can cause violent muscle contractions, leading to these specific injuries.
More Information
Seizures cause strong muscle contractions that can result in musculoskeletal injuries, particularly in the shoulder. Posterior shoulder dislocations are more common than anterior dislocations in seizure-related injuries.
Tips
When assessing shoulder pain after a seizure, always consider the possibility of posterior shoulder dislocation and fractures, even if they are not immediately obvious on initial examination.
Sources
- Bilateral posterior shoulder fracture dislocations from seizures due ... - pmc.ncbi.nlm.nih.gov
- Simultaneous Bilateral Anterior Shoulder Fracture Dislocation ... - academic.oup.com
- [PDF] A rare case of bilateral central subluxation of the hip joint with ... - scielo.br
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