Eden Hybinette Procedure for Reconstruction of Shoulder Instability with Loss of Anterior Glenoid Bone Stock in an Epileptic Patient: A Case Report

Abstract

Shoulder instability is a relevant incidence injury in trauma, occasionally associated with glenoid bone loss in patients with epilepsy. There have been few articles describing specific operative treatments for this type of lesion and in this group of patients. This case report shows the successful surgical approach used in an epileptic patient with multiple right shoulder dislocations that happened mainly during seizures, through a Eden Hybinette technique where an iliac crest auto graft was used. The patient has been followed-up in a year of postoperative, with no new episodes of right shoulder luxation, no pain complaints and good range of shoulder motion without daily life or work-up limitations. Different surgical methods for these patients have been reported including soft tissue repair operations as well as skeletal reconstructions with bone block therapies, being Eden-Hybinette one of these techniques. This work portrays that this surgery is a valid option, at same time being both safe and that can be reproducible, as it allows an adequate position of the graft in the glenoid defect, potentially diminishing the risk of neurovascular and myotendinous injuries; but, most importantly reducing the shoulder luxation recurrences in patients with uncontrolled epilepsy and given them a chance of a good quality of life.