Our Summary

This research paper studies the impact of a certain type of shoulder surgery on patients with epilepsy. People with epilepsy can suffer from shoulder dislocation, instability, and arthritis due to their seizures. The study looks at eight patients with epilepsy who underwent a surgery called anatomical shoulder arthroplasty to treat these shoulder issues.

The patients were reviewed after an average of almost 5 years following the surgery. All patients had major seizures after the surgery. Two of the patients needed further surgery due to erosion of a part of the shoulder joint. However, none of the patients had further instability in their shoulders.

The study found an improvement in shoulder movement and less pain after the surgery. A measurement called the Oxford Shoulder Score, which assesses shoulder function, improved after the surgery. Similarly, another measurement called the Subjective Shoulder Value, which assesses the patient’s perception of their shoulder’s function, also improved.

The study concludes that this type of shoulder surgery may be a suitable treatment for patients with epilepsy suffering from shoulder instability.

FAQs

  1. What is anatomical shoulder arthroplasty and how does it help patients with epilepsy?
  2. What were the common post-operative outcomes observed in patients with epilepsy who underwent anatomical shoulder arthroplasty?
  3. How did the shoulder function and patient’s perception of their shoulder’s function improve after the surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about shoulder replacement is to follow the post-operative rehabilitation plan carefully. This typically includes physical therapy exercises to help regain strength and range of motion in the shoulder. It is important to be consistent with these exercises to ensure a successful recovery and optimal function of the shoulder joint. Additionally, it is important to follow any restrictions on movement or weight-bearing that may be recommended by the surgeon to prevent complications and ensure proper healing.

Suitable For

Typically, patients who are recommended for shoulder replacement surgery are those who have severe shoulder pain and limited mobility due to conditions such as osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Other conditions that may warrant shoulder replacement surgery include rotator cuff tears, severe fractures, and avascular necrosis.

In the case of the study mentioned above, patients with epilepsy who suffered from shoulder dislocation, instability, and arthritis due to their seizures were recommended for anatomical shoulder arthroplasty. This surgery was found to be effective in improving shoulder movement and reducing pain in these patients.

It is important for patients considering shoulder replacement surgery to consult with a healthcare provider to determine if they are a suitable candidate for the procedure. Factors such as age, overall health, and the severity of the shoulder condition will be taken into consideration when recommending shoulder replacement surgery.

Timeline

Before the shoulder replacement surgery, the patient likely experiences symptoms such as shoulder pain, limited range of motion, weakness, and instability. They may have tried non-surgical treatments such as physical therapy, medications, and injections without success.

After the surgery, the patient will undergo a period of recovery and rehabilitation. This includes physical therapy to regain strength and range of motion in the shoulder. Pain and discomfort may persist for a period of time before gradually improving. The patient will gradually be able to return to their normal activities and may experience improved shoulder function and reduced pain in the long term.

Overall, the timeline for a patient before and after shoulder replacement surgery involves a period of symptoms, surgical intervention, recovery, and rehabilitation leading to improved shoulder function and quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with shoulder replacement surgery for someone with epilepsy?
  2. How will the surgery impact my epilepsy medication and seizure control?
  3. What is the expected recovery time and rehabilitation process following the surgery?
  4. Will I need to make any modifications to my daily activities or lifestyle after the surgery?
  5. How long can I expect the shoulder replacement to last, and what is the long-term outlook for shoulder function?
  6. Are there any alternative treatment options available for my shoulder condition?
  7. Will I need to undergo any additional imaging or tests to assess my suitability for shoulder replacement surgery?
  8. How experienced are you in performing shoulder replacement surgery on patients with epilepsy?
  9. What is the success rate of this type of shoulder surgery in patients with epilepsy?
  10. Are there any specific precautions or considerations I should be aware of before and after the surgery in relation to my epilepsy?

Reference

Authors: Thangarajah T, Falworth M, Lambert SM. Journal: J Orthop Surg (Hong Kong). 2017 May-Aug;25(2):2309499017717198. doi: 10.1177/2309499017717198. PMID: 28659057