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Bilateral luxatio erecta: a case report.

Kyle Petty¹, James Price¹, Morris Kharasch¹

¹NorthShore Center for Simulation and Innovation, NorthShore University Health System, Evanston, Illinois.

The Journal of Emergency Medicine

|November 19, 2013

Summary

This summary is machine-generated.

Luxatio erecta humeri, a rare inferior shoulder dislocation, can occur bilaterally from falls. Prompt recognition of its unique signs and a methodical reduction technique are key for effective emergency department care.

Keywords:

bilateral luxatio erecta inferior shoulder dislocation

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Area of Science:

Orthopedic Surgery
Emergency Medicine
Radiology

Background:

Luxatio erecta humeri (inferior shoulder dislocation) is a rare injury, accounting for only 0.5% of all shoulder dislocations.
Typically caused by direct force on an abducted arm, bilateral cases are exceptionally uncommon.

Observation:

A case of bilateral luxatio erecta is presented in a senior male following a forward fall on a treadmill.
The patient sustained the injury by grabbing treadmill rails, resulting in abducted arms absorbing the fall's impact.

Findings:

Successful reduction was achieved in the emergency department using a two-step method: conversion to anterior dislocation followed by full reduction.
Key clinical signs include fixed shoulder abduction with elbow flexion and forearm pronation, and the humeral head palpable inferior to the glenoid fossa.

Implications:

Highlights the importance of considering non-anterior shoulder dislocations in the emergency setting.
Emphasizes the need for adequate muscle relaxation, a systematic approach, and proper immobilization for treating luxatio erecta.
This case underscores the diagnostic and management considerations for rare shoulder joint injuries.