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Inferior glenohumeral dislocation.

K Saxena, J Stavas

    Annals of Emergency Medicine
    |November 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This case report details the successful reduction of an inferior glenohumeral dislocation, also known as luxatio erecta, in a 55-year-old male. Prompt reduction and subsequent rotator cuff repair are crucial for managing this rare shoulder injury.

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    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Radiology

    Background:

    • Inferior glenohumeral dislocation (luxatio erecta) is a rare shoulder injury resulting from severe hyperabduction.
    • This mechanism often leads to associated rotator cuff tears, complicating the presentation and management.
    • Alcoholism can be a contributing factor in patients presenting with shoulder dislocations.

    Observation:

    • A 55-year-old male with a history of alcoholism presented with an inability to move his right arm, which was fixed in an overhead, flexed position.
    • Radiographic imaging confirmed an inferior glenohumeral dislocation of the right shoulder.
    • The patient experienced an audible click upon successful reduction using traction-counter-traction.

    Findings:

    • Successful closed reduction of the inferior glenohumeral dislocation was achieved via traction-counter-traction.

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  • The patient's arm was immobilized post-reduction, and he was discharged for follow-up.
  • The underlying rotator cuff injury, common in luxatio erecta, requires further evaluation and potential surgical intervention.

    • Implications:

    • Prompt diagnosis and reduction are essential for managing luxatio erecta to prevent neurovascular complications.
    • Surgical repair of the rotator cuff is typically indicated following the initial reduction of the dislocation.
    • This case highlights the importance of considering severe shoulder dislocations in patients with risk factors like alcoholism and hyperabduction injuries.