Bilateral luxatio erecta: a case report

Luxatio erecta is a rare form of glenohumeral dislocation in which the humeral head is displaced inferior to the glenoid, accounting for fewer than 0.5% of all shoulder dislocations; thus, bilateral involvement is exceedingly rare. We present a rare case of bilateral luxatio erecta in a 59-year-old male complicated by progressive ulnar neuropathy and rotator cuff deficiency, successfully managed with staged surgical intervention in the form of left-sided rotator cuff repair and right-sided reverse total shoulder arthroplasty, demonstrating good functional outcomes at over 2-year follow-up. This case adds to the limited literature related to bilateral luxatio erecta and suggests that early identification and staged management of any associated pathology may help optimize long-term functional recovery.