Outcomes of the Latarjet Procedure in Recurrent Anterior Shoulder Instability Due to Tramadol-Induced Seizure
Abstract
Background: This study was aimed to evaluate the final results of surgical treatment (Latarjet procedure) in the recurrent anterior shoulder instability following episodes of tramadol-induced seizure.
Methods: From January 2005 to March 2013, 47 patients with recurrent anterior shoulder dislocation after suffering a seizure episode following tramadol use underwent surgical procedure. There were 53 shoulders in 47 male patients (six had bilateral recurrent dislocations). The mean age of the patients at the time of operation was 24.7 years (ranging from 20 to 44 years). The average number of episodes of anterior shoulder dislocation before surgery was 16.
Results: External rotation with the elbow at the side improved from 45.8 ± 9.3° (30°-60°) pre-operatively to 61.5 ± 7.8° (45°-90°) post-operatively (P < 0.001). Forward elevation also increased significantly post-operatively (P = 0.002). Mean pre-operative Rowe score was 28.41 ± 4.30 (30-85) which increased to 73.57 ± 8.40 post-operatively. The Western Ontario Shoulder Instability Index (WOSI) score decreased from 1352 ± 74 to 618 ± 46 (P < 0.0001).
Conclusion: Correcting glenoid bone loss by Latarjet procedure combined, if necessary, with humeral head defect reconstruction could be a proper treatment method in patients experiencing recurrent anterior shoulder dislocation after idiosyncratic seizure reaction of tramadol.
1. Frink MC, Hennies HH, Englberger W, Haurand M, Wilffert B. Influence of tramadol on neurotransmitter systems of the rat brain. Arzneimittelforschung. 1996;46(11):1029-36. [PubMed: 8955860].
2. Lai J, Ma SW, Porreca F, Raffa RB. Tramadol, M1 metabolite and enantiomer affinities for cloned human opioid receptors expressed in transfected HN9.10 neuroblastoma cells. Eur J Pharmacol. 1996;316(2-3):369-72. doi: 10.1016/s0014-2999(96)00770-4. [PubMed: 8982709].
3. Richter W, Barth H, Flohe L, Giertz H. Clinical investigation on the development of dependence during oral therapy with tramadol. Arzneimittelforschung. 1985;35(11):1742-4. [PubMed: 4091874].
4. Shipton EA. Tramadol-present and future. Anaesth Intensive Care. 2000;28(4):363-74. doi: 10.1177/0310057X0002800403. [PubMed: 10969362].
5. Potschka H, Friderichs E, Loscher W. Anticonvulsant and proconvulsant effects of tramadol, its enantiomers and its M1 metabolite in the rat kindling model of epilepsy. Br J Pharmacol. 2000;131(2):203-12. doi: 10.1038/sj.bjp.0703562. [PubMed: 10991912]. [PubMed: PMC1572317].
6. Clarot F, Goulle JP, Vaz E, Proust B. Fatal overdoses of tramadol: Is benzodiazepine a risk factor of lethality? Forensic SciInt. 2003;134(1):57-61. doi: 10.1016/s0379-0738(03)00100-2.
[PubMed: 12842359].
7. Grond S, Sablotzki A. Clinical pharmacology of tramadol. Clin Pharmacokinet. 2004;43(13):879-923. doi: 10.2165/00003088-200443130-00004. [PubMed: 15509185].
8. Scott LJ, Perry CM. Tramadol: A review of its use in
perioperative pain. Drugs. 2000;60(1):139-76. doi:
10.2165/00003495-200060010-00008. [PubMed: 10929933].
9. Marquardt KA, Alsop JA, Albertson TE. Tramadol exposures reported to statewide poison control system. Ann Pharmacother. 2005;39(6):1039-44. doi: 10.1345/aph.1E577. [PubMed: 15870139].
10. Jovanovic-Cupic V, Martinovic Z, Nesic N. Seizures associated with intoxication and abuse of tramadol. Clin Toxicol (Phila). 2006;44(2):143-6. doi: 10.1080/1556365050014418. [PubMed: 16615669].
11. Zabihi E, Hoseinzaadeh A, Emami M, Mardani M, Mahmoud B, Akbar MA. Potential for tramadol abuse by patients visiting pharmacies in northern Iran. Subst Abuse. 2011;5:11-5. doi:
10.4137/SART.S6174. [PubMed: 22879746]. [PubMed Central: PMC3411529].
12. Bashirian S, Barati M, Fathi Y. Prevalence and Factors Associated With Tramadol Abuse Among College Students in West of Iran: An Application of the Theory of Planned Behavior. Avicenna J Neuro Psycho Physiology. 2014;1(1):26-30.
13. Rethnam U, Ulfin S, Sinha A. Post seizure anterior dislocation of shoulder-beware of recurrence. Seizure. 2006;15(5):348-9. doi: 10.1016/j.seizure.2006.02.001. [PubMed: 16531076].
14. Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg Br. 1995;77(6):928-32. [PubMed: 7593109].
15. Buhler M, Gerber C. Shoulder instability related to epileptic seizures. J Shoulder Elbow Surg. 2002;11(4):339-44. doi: 10.1067/mse.2002.124524. [PubMed: 12195251].
16. Burkhart SS, De Beer JF, Barth JR, Cresswell T, Roberts C, Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone
loss. Arthroscopy. 2007;23(10):1033-41. doi: 10.1016/j.arthro.2007.08.009. [PubMed: 17916467].
17. Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983;65(4):456-60. [PubMed: 6833319].
18. Gerber C, Lambert SM. Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg Am. 1996;78(3):376-82. doi: 10.2106/00004623-199603000-00008. [PubMed: 8613444].
19. Ivkovic A, Boric I, Cicak N. One-stage operation for locked bilateral posterior dislocation of the shoulder. J Bone Joint Surg Br. 2007;89(6):825-8. doi: 10.1302/0301-620X.89B6.18842. [PubMed: 17613513].
20. Robinson CM, Seah M, Akhtar MA. The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am. 2011;93(17):1605-13. doi: 10.2106/JBJS.J.00973. [PubMed: 21915575].
21. Robinson CM, Aderinto J. Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am. 2005;87(3):639-50. doi: 10.2106/JBJS.D.02371. [PubMed: 15741636].
22. Shaw JL. Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive seizures. J Bone Joint Surg Am. 1971;53(7):1437-40. [PubMed: 5000418].
23. Silbergeld DL, Harkness WF, Bell BA, Bircher MD. Posterior fracture dislocation of the shoulder secondary to epileptic seizures. J R Coll Surg Edinb. 1991;36(2):139-40. [PubMed: 2051416].
24. Hovelius L, Sandstrom B, Sundgren K, Saebo M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study I-clinical results. J Shoulder Elbow Surg.
2004;13(5):509-16. doi: 10.1016/j.jse.2004.02.013. [PubMed:
15383806].
25. Hovelius L, Sandstrom B, Saebo M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg. 2006;15(3):279-89. doi: 10.1016/j.jse.2005.09.014. [PubMed: 16679226].
26. Lunn JV, Castellano-Rosa J, Walch G. Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybinette operation. J Shoulder Elbow Surg. 2008;17(5):744-50. doi: 10.1016/j.jse.2008.03.002. [PubMed: 18619868].
27. Thangarajah T, Lambert S. The management of recurrent shoulder instability in patients with epilepsy: A 15-year experience. J Shoulder Elbow Surg. 2015;24(11):1723-7. doi: 10.1016/j.jse.2015.04.008. [PubMed: 26119633].
28. Hovelius L, Sandstrom B, Olofsson A, Svensson O, Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): Long-term follow-up in 319 shoulders. J Shoulder Elbow Surg. 2012;21(5): 647-60. doi: 10.1016/j.jse.2011.03.020. [PubMed: 21719316].
29. Hovelius L, Saeboe M. Neer Award 2008: Arthropathy after primary anterior shoulder dislocation-223 shoulders prospectively followed up for twenty-five years. J Shoulder Elbow Surg. 2009; 18(3):339-47. doi: 10.1016/j.jse.2008.11.004. [PubMed: 19254851].
30. Allain J, Goutallier D, Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am. 1998;80(6):841-52. doi: 10.2106/00004623-199806000-00008. [PubMed: 9655102].
31. Spoor AB, de Waal Malefijt J. Long-term results and arthropathy following the modified Bristow-Latarjet procedure. Int Orthop. 2005;29(5):265-7. doi: 10.1007/s00264-005-0634-x. [PubMed: 15959776]. [PubMed Central: PMC3456649].
32. Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Joint Surg Br. 2012;94(9):1260-4. doi: 10.1302/0301-620X.94B9.29401. [PubMed: 22933500].
2. Lai J, Ma SW, Porreca F, Raffa RB. Tramadol, M1 metabolite and enantiomer affinities for cloned human opioid receptors expressed in transfected HN9.10 neuroblastoma cells. Eur J Pharmacol. 1996;316(2-3):369-72. doi: 10.1016/s0014-2999(96)00770-4. [PubMed: 8982709].
3. Richter W, Barth H, Flohe L, Giertz H. Clinical investigation on the development of dependence during oral therapy with tramadol. Arzneimittelforschung. 1985;35(11):1742-4. [PubMed: 4091874].
4. Shipton EA. Tramadol-present and future. Anaesth Intensive Care. 2000;28(4):363-74. doi: 10.1177/0310057X0002800403. [PubMed: 10969362].
5. Potschka H, Friderichs E, Loscher W. Anticonvulsant and proconvulsant effects of tramadol, its enantiomers and its M1 metabolite in the rat kindling model of epilepsy. Br J Pharmacol. 2000;131(2):203-12. doi: 10.1038/sj.bjp.0703562. [PubMed: 10991912]. [PubMed: PMC1572317].
6. Clarot F, Goulle JP, Vaz E, Proust B. Fatal overdoses of tramadol: Is benzodiazepine a risk factor of lethality? Forensic SciInt. 2003;134(1):57-61. doi: 10.1016/s0379-0738(03)00100-2.
[PubMed: 12842359].
7. Grond S, Sablotzki A. Clinical pharmacology of tramadol. Clin Pharmacokinet. 2004;43(13):879-923. doi: 10.2165/00003088-200443130-00004. [PubMed: 15509185].
8. Scott LJ, Perry CM. Tramadol: A review of its use in
perioperative pain. Drugs. 2000;60(1):139-76. doi:
10.2165/00003495-200060010-00008. [PubMed: 10929933].
9. Marquardt KA, Alsop JA, Albertson TE. Tramadol exposures reported to statewide poison control system. Ann Pharmacother. 2005;39(6):1039-44. doi: 10.1345/aph.1E577. [PubMed: 15870139].
10. Jovanovic-Cupic V, Martinovic Z, Nesic N. Seizures associated with intoxication and abuse of tramadol. Clin Toxicol (Phila). 2006;44(2):143-6. doi: 10.1080/1556365050014418. [PubMed: 16615669].
11. Zabihi E, Hoseinzaadeh A, Emami M, Mardani M, Mahmoud B, Akbar MA. Potential for tramadol abuse by patients visiting pharmacies in northern Iran. Subst Abuse. 2011;5:11-5. doi:
10.4137/SART.S6174. [PubMed: 22879746]. [PubMed Central: PMC3411529].
12. Bashirian S, Barati M, Fathi Y. Prevalence and Factors Associated With Tramadol Abuse Among College Students in West of Iran: An Application of the Theory of Planned Behavior. Avicenna J Neuro Psycho Physiology. 2014;1(1):26-30.
13. Rethnam U, Ulfin S, Sinha A. Post seizure anterior dislocation of shoulder-beware of recurrence. Seizure. 2006;15(5):348-9. doi: 10.1016/j.seizure.2006.02.001. [PubMed: 16531076].
14. Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg Br. 1995;77(6):928-32. [PubMed: 7593109].
15. Buhler M, Gerber C. Shoulder instability related to epileptic seizures. J Shoulder Elbow Surg. 2002;11(4):339-44. doi: 10.1067/mse.2002.124524. [PubMed: 12195251].
16. Burkhart SS, De Beer JF, Barth JR, Cresswell T, Roberts C, Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone
loss. Arthroscopy. 2007;23(10):1033-41. doi: 10.1016/j.arthro.2007.08.009. [PubMed: 17916467].
17. Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983;65(4):456-60. [PubMed: 6833319].
18. Gerber C, Lambert SM. Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg Am. 1996;78(3):376-82. doi: 10.2106/00004623-199603000-00008. [PubMed: 8613444].
19. Ivkovic A, Boric I, Cicak N. One-stage operation for locked bilateral posterior dislocation of the shoulder. J Bone Joint Surg Br. 2007;89(6):825-8. doi: 10.1302/0301-620X.89B6.18842. [PubMed: 17613513].
20. Robinson CM, Seah M, Akhtar MA. The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am. 2011;93(17):1605-13. doi: 10.2106/JBJS.J.00973. [PubMed: 21915575].
21. Robinson CM, Aderinto J. Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am. 2005;87(3):639-50. doi: 10.2106/JBJS.D.02371. [PubMed: 15741636].
22. Shaw JL. Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive seizures. J Bone Joint Surg Am. 1971;53(7):1437-40. [PubMed: 5000418].
23. Silbergeld DL, Harkness WF, Bell BA, Bircher MD. Posterior fracture dislocation of the shoulder secondary to epileptic seizures. J R Coll Surg Edinb. 1991;36(2):139-40. [PubMed: 2051416].
24. Hovelius L, Sandstrom B, Sundgren K, Saebo M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study I-clinical results. J Shoulder Elbow Surg.
2004;13(5):509-16. doi: 10.1016/j.jse.2004.02.013. [PubMed:
15383806].
25. Hovelius L, Sandstrom B, Saebo M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg. 2006;15(3):279-89. doi: 10.1016/j.jse.2005.09.014. [PubMed: 16679226].
26. Lunn JV, Castellano-Rosa J, Walch G. Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybinette operation. J Shoulder Elbow Surg. 2008;17(5):744-50. doi: 10.1016/j.jse.2008.03.002. [PubMed: 18619868].
27. Thangarajah T, Lambert S. The management of recurrent shoulder instability in patients with epilepsy: A 15-year experience. J Shoulder Elbow Surg. 2015;24(11):1723-7. doi: 10.1016/j.jse.2015.04.008. [PubMed: 26119633].
28. Hovelius L, Sandstrom B, Olofsson A, Svensson O, Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): Long-term follow-up in 319 shoulders. J Shoulder Elbow Surg. 2012;21(5): 647-60. doi: 10.1016/j.jse.2011.03.020. [PubMed: 21719316].
29. Hovelius L, Saeboe M. Neer Award 2008: Arthropathy after primary anterior shoulder dislocation-223 shoulders prospectively followed up for twenty-five years. J Shoulder Elbow Surg. 2009; 18(3):339-47. doi: 10.1016/j.jse.2008.11.004. [PubMed: 19254851].
30. Allain J, Goutallier D, Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am. 1998;80(6):841-52. doi: 10.2106/00004623-199806000-00008. [PubMed: 9655102].
31. Spoor AB, de Waal Malefijt J. Long-term results and arthropathy following the modified Bristow-Latarjet procedure. Int Orthop. 2005;29(5):265-7. doi: 10.1007/s00264-005-0634-x. [PubMed: 15959776]. [PubMed Central: PMC3456649].
32. Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Joint Surg Br. 2012;94(9):1260-4. doi: 10.1302/0301-620X.94B9.29401. [PubMed: 22933500].
| Files | ||
| Issue | Vol 7, No 2 (2021) | |
| Section | Research Articles | |
| DOI | https://doi.org/10.18502/jost.v7i2.7000 | |
| Keywords | ||
| Seizure; Shoulder Dislocation; Tramadol | ||
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How to Cite
1.
Guity MR, Najafi A, Mansouri P, Bagheri N. Outcomes of the Latarjet Procedure in Recurrent Anterior Shoulder Instability Due to Tramadol-Induced Seizure. J Orthop Spine Trauma. 2021;7(2):48-52.
