Técnica de Eden Hybinette en inestabilidad anterior de hombro con pérdida de stock óseo en paciente con epilepsia: reporte de caso

Abstract

Shoulder instability is occasionally associated with glenoid bone loss in patients with epilepsy. There have been few articles that describe specific surgical treatments for this type of injury. This case report shows a successful surgical approach used in an epileptic patient with multiple right shoulder dislocations that occurred mainly during seizures, through the Eden Hybinette technique, performed using an iliac crest autograft. The patient has been followed up for one year postoperatively, without new episodes of right shoulder dislocation, without complaints of pain, with good range of movement of the shoulder without limitations for daily or work activities. Different surgical methods have been published for these patients, including soft tissue repair operations, as well as skeletal reconstructions with bone graft, Eden Hybinette being one of these. This surgery is a valid option, since it allows an adequate position of the graft in the glenoid defect, potentially reducing the risk of neurovascular and myotendinous lesions; although, more importantly, it reduces the recurrences of shoulder dislocation in patients with uncontrolled epilepsy and gives them the opportunity for a good quality of life.Evidence Level: IV