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Bilateral Scapular Fracture and Triceps Tendon Rupture After a Grand Mal SeizureA Case Report
James E. Henry, DO1; Capt Rachel E. Beveridge, DO1; Ian Horner, DO1
1 Department of Orthopaedics, St. John’s Episcopal Hospital, 347 Beach 19th Street, Far Rockaway, NY 11691. E-mail address for J.E. Henry: jhenry@ehs.org. E-mail address for R.E. Beveridge: rebeveridge@gmail.com. E-mail address for I. Horner: dr.ianhorner@mac.com
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Investigation performed at Department of Orthopaedics, St. John’s Episcopal Hospital, Far Rockaway, New York

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Apr 10;3(2):e35 1-5. doi: 10.2106/JBJS.CC.K.00133
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We report a case of bilateral and simultaneous triceps tendon rupture and scapular fracture (Orthopaedic Trauma Association [OTA] classification 14-A3.2) after a single generalized tonic-clonic seizure. To the best of our knowledge, the current literature reports only three cases of bilateral complete triceps tendon rupture in hemodialysis patients1-3 and one case of bilateral partial triceps tendon rupture in an athlete4. Scapular fractures are most commonly caused by high-energy trauma, electric shock, or convulsions5-7, and there are several published cases of bilateral scapular fracture secondary to seizure activity6,8,9. Our case emphasizes the importance of recognizing renal osteodystrophy and secondary hyperparathyroidism as common underlying conditions leading to orthopaedic injuries. The patient was informed that data concerning the case would be submitted for publication, and he provided consent.
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