An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation.

Area of Science:

• Orthopaedic Surgery
• Trauma Management
• Emergency Medicine

Background:

• Inferior shoulder dislocation (luxatio erecta humeri) and posterior hip dislocation are rare emergency presentations.
• Falling is the most common cause of luxatio erecta humeri.

Observation:

• A construction worker rescued from a collapsed building presented with both luxatio erecta humeri and complex posterior hip dislocation.
• The injury mechanism involved entrapment, a novel etiology for luxatio erecta humeri.

Findings:

• Luxatio erecta humeri was successfully reduced using a one-step closed reduction technique under procedural anesthesia.
• This case highlights the possibility of concomitant injuries in different regions, such as the shoulder and hip, in trauma patients.

Implications:

• Entrapment can be an unrecognized cause of luxatio erecta humeri.
• Complex injuries, including those in distant regions, can accompany luxatio erecta humeri.
• A one-step closed reduction is a feasible and effective treatment for luxatio erecta humeri in multi-trauma patients.