Recurrent shoulder instability in a patient with uncontrolled epileptic seizures: A decade-long clinical course ending in Eden-Hybinette procedure - A case report

Abstract

Introduction: Epileptic seizures can cause recurrent shoulder instability due to violent muscle contractions, often leading to glenoid bone loss. Proper seizure management and surgical intervention are crucial for stability.

Case presentation: A 24-year-old male with epilepsy experienced recurrent anterior shoulder dislocations despite prior Bankart repair and remplissage. Progressive glenoid bone loss necessitated an Eden-Hybinette procedure using an autologous iliac crest bone graft, successfully restoring stability.

Discussion: Seizure-induced dislocations often require revision surgery. While Bankart repair may fail in epilepsy-related cases, the Eden-Hybinette procedure effectively addresses glenoid defects. Seizure control is key to preventing recurrence.

Conclusion: This case underscores the importance of seizure management and the Eden-Hybinette procedure as a viable revision strategy for epilepsy-related recurrent shoulder instability.