PURPOSE: In epileptic patients fractures are six times more frequent than in the general population. Known predisposing factors are anticonvulsant drugs, malnutrition, lack of physical activity and sunlight exposure. METHODS: In this study we describe two patients, one with a bilateral supracondylar fracture and one with a unilateral supracondylar fracture after an epileptic seizure. The literature concerning femur fracture following an epileptic insult is reviewed. RESULTS: A review of the literature revealed several cases of femur fractures associated with epilepsy, however no cases were found involving a supracondylar femur. CONCLUSIONS: Our hypothesis is that a tonic seizure with simultaneous contraction of both agonists and antagonists can cause this type of fracture in predisposing patients.
PURPOSE: In epilepticpatientsfractures are six times more frequent than in the general population. Known predisposing factors are anticonvulsant drugs, malnutrition, lack of physical activity and sunlight exposure. METHODS: In this study we describe two patients, one with a bilateral supracondylar fracture and one with a unilateral supracondylar fracture after an epilepticseizure. The literature concerning femur fracture following an epileptic insult is reviewed. RESULTS: A review of the literature revealed several cases of femur fractures associated with epilepsy, however no cases were found involving a supracondylar femur. CONCLUSIONS: Our hypothesis is that a tonic seizure with simultaneous contraction of both agonists and antagonists can cause this type of fracture in predisposing patients.
Authors: Winston W Yen; Nouraiz Falik; Lara G Passfall; Oscar Krol; Thomas E Sanchez; Gregory S Penny; Bradley C Wham; Nishant Suneja Journal: J Orthop Date: 2021-05-07