Bilateral Erecta Luxation: A Case Report and Literature Review
Guilherme Augusto Stirma1, Armando Romani Secundino, Filipe Ribas Baracho
1Department of Orthopedic Surgery, Shoulder and Elbow, Federal University of Paraná-UFPR, Curitiba, Brazil.
Case:
A 69-year-old man fell from a height, resulting in direct axial loading while both shoulders were fully abducted. He was referred to the surgical ward, and both shoulders were reduced by closed reduction using the traction-countertraction maneuver. After little improvement of complaints of pain in the right shoulder over 45 days, magnetic resonance demonstrated traumatic rupture of the supraspinatus.
Conclusion:
Inferior dislocation (luxation erecta) is an uncommon event, with bilateral dislocation being even rarer. Treatment should be initiated urgently via closed reduction or, if this is not possible, through open reduction. The long-term prognosis is favorable after appropriate treatment.
