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Of 2,800 patients admitted to hospital with a diagnosis of seizure,1.1% (30/2,800)sustained fracture.Of these,0.5%(15/2,800)had fracture due to direct trauma,0.3%(7/2,800)had fracture as a consequence of seizure alone, and in 0.3%(8/2,800)the etiology was not determined.In the trauma group,11 of 17 fractures involved the skull,nasal bones,and clavicle,while in the nontrauma group,the proximal humerus was the site in 6 of 9 fractures. These findings indicate that fracture is an uncommon complication of seizure and is extremely rare in the absence of trauma where,however,the fracture may be pathognomonic(bilateral posterior dislocation or fracture- dislocation of the shoulder)or highly suggestive(unilateral posterior dislocation,fracture-dislocation of the shoulder)of seizure. |
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