Bedside
Rounds

Case #202Orthopedics

Unable to Move Shoulder After a Seizure

Unable to Move Shoulder After a Seizure
At a glance
HR 96 bpm BP 138/88 SpO2 98% XRAY_LEFT_SHOULDER_AP: AP view: Humeral head appears rounded and symmetrical (lightbulb sign) instead o

"31M post-seizure with internally rotated fixed shoulder."

Patient History

A 34-year-old male Security Guard presents with Cannot move my left shoulder at all since I had a fit about 2 hours ago. It is stuck in a strange position and hurts terribly if anyone tries to move it.. About 2 hours ago. I was at work and suddenly had a seizure. My colleagues tell me I fell on the ground shaking for about 2 minutes.

Clinical Examination & Labs

When I woke up, my left shoulder was in terrible pain and I could not move it at all. It is a deep, constant ache in the back of my shoulder. It gets much worse if I try to lift or rotate my arm outwards. The arm feels locked in this position against my stomach.

Diagnostic Management Pathway

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