A case of bilateral luxatio erecta

Martorana, Umberto; D’Arienzo, Michele

doi:10.1007/s10195-008-0039-x

Cited by 22 publications

(18 citation statements)

References 8 publications

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“…[1,2,12,13] Neurovascular examination and follow-up radiographs are important to exclude iatrogenic fractures after reduction. Successfully reduced cases should be immobilized by using arm-body bandage.…”

Section: Conflict-of-interest Issues Regarding the Authorship Or Artimentioning

confidence: 99%

Inferior glenohumeral dislocation (luxatio erecta humeri): Report of six cases and review of the literature

İmerci¹,

Golcuk²,

Uğur³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Conflict-of-interest Issues Regarding the Authorship Or Artimentioning

confidence: 99%

Inferior glenohumeral dislocation (luxatio erecta humeri): Report of six cases and review of the literature

İmerci¹,

Golcuk²,

Uğur³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…Fractures or lesions of the rotator cuff have been described in approximately 80% of the cases; neurological manifestations (most commonly, injury to the axillary nerve) in 60%; and vascular lesions in 3% (6,11) . Neurological deficits resolve rapidly and may either cease soon after the reduction or last for one to two weeks, which suggests that the injury mechanism is most commonly neuropraxia (8,11,12) . The incidence of vascular lesions is low, but it is still greater than in other types of shoulder dislocation (1,6) .…”

Section: Discussionmentioning

confidence: 99%

“…The reduction technique generally used is traction-countertraction, in which traction is applied to the totally abducted limb while countertraction is applied using a cloth placed superiorly on the ipsilateral shoulder. When the humeral head has been reduced to the glenoid cavity, the limb is totally adducted and is placed in immobilization, which should be maintained for at least two weeks (3,6,8,11,14) . IN some cases, closed reduction is not possible, and open reduction is necessary (4) .…”

Section: Discussionmentioning

confidence: 99%

Luxatio erecta bilateral: um relato de caso

Acosta¹,

Resch²,

Rodrigues³

2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTInferior shoulder dislocation (luxactio erecta) is a rare lesion affecting approximately 0.5% of dislocations of this joint. The vast majority of these cases occur unilaterally. In September 2004, a 43 year old man was brought to the emergency room of the University Hospital of Santa Maria (HUSM) complaining of bilateral shoulder pain and inability to lower the arms, as a result of a fall with the arms abducted, while carrying out work activities. After physical examination and radiological exams, it was found that the patient had a bilateral inferior shoulder dislocation.He was referred to the surgical ward and after intravenous sedation, both shoulders were reduced by closed reduction using the traction-countertraction maneuver. The patient was discharged the day after the reduction. Both arms were immobilized with a velpeau sling in total adduction and intrarotation, with instructions to maintain immobilization for three weeks. The patient was also advised to receive physiotherapy.

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“…Najučestaliji su prelomi velikog tuberkuluma i glave humerusa, zatim prelomi glenoida, akromiona, a u reĎim slučajevima čak i tela lopatične kosti [23]. Prelomi ovakvog tipa najčešće predstavljaju komplikaciju koja zahteva hirurški tretman [5].…”

Section: Diskusijaunclassified

Bilateral inferior dislocation of the shoulder joint (bilateral luxatio erecta humeri): Case report

Milosevic¹,

Božilović²,

Jović³

2014

Tim Med Glas

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Sažetak:Uvod: Donja luksacija ramenog zgloba (luxatio erecta humeri) predstavlja izuzetno retku vrstu dislokacije, sa incidencom od svega 0,5% u odnosu na sve dislokacije ramenog zgloba. Ovaj rad prikazuje pacijenta sa obostranom donjom luksacijom zgloba ramena, objašnjava kliničku sliku, dijagnozu i tretman ove retke luksacije. Prikaz slučaja: Pacijent je došao u sluţbu za prijem i zbrinjavanje urgentnih stanja nakon pada sa visine na ravno. Pri padu na pod dočekao se obema rukama u abdukovanom poloţaju, iznad glave. Pri pregledu obe nadlaktice nalaze se u poloţaju hiperabdukcije i umerene spoljašnje rotacije, flektiranih zglobova lakta i podlakticama u nepotpunoj pronaciji. Palpacijom nadlaktica obe glave humerusa bile su opipljive u aksilarnoj jami i priljubljene uz bočne zidove grudnog koša. Pomeranje prstiju šaka bilo je oteţano, do nemoguće, desnostrano izraţenije. Rendgengrafskim ispitivanjem potvrĎena je dijagnoza luxatio erecta humeri bilateralis. Izvedena je zatvorena repozicija metodom trakcije-kontratrakcije. Nakon ortopedske repozicije evidentira se slabost gornjih ekstremiteta. Neurološkom procenom konstatuje se obostrana brahijalna pleksopatija, izraţenija desnostrano. Pacijent je nakon dijagnostičko-terapijskih procedura imobilisan Desault bandaţom. Zaključak: Klinička dijagnoza luxatio erecta humeri je karakteristična i lako prepoznatljiva, uprkos retkom dijagnostikovanju. Radiografija je od krucijalnog značaja za postavljanje konačne dijagnoze ovog tipa luksacije. Neurološke komplikacije bile su evidentirane i tretirane nakon repozicije. Rehabilitaciona terapija još uvek je u toku, čime se otvara mogućnost daljeg praćenja i davanja definitivnog iskaza o dugoročnoj prognozi ove luksacije. Ključne reči:donja luksacija ramenog zgloba, luxatio erecta humeri bilateralis, rameni zglob Summary:Introduction: Lower dislocation of the shoulder joint (luxatio erecta humeri) is rare, with an incidence of 0.5% in relation to all dislocations. This paper shows a patient with bilateral lower luxation of the shoulder joint, explains the clinical presentation, diagnosis and treatment of this rare dislocation. Case report: The patient presented to the Emergency Department after the accidental fall from a height onto a flat surface. During the fall, he put both of arms in abducted position, overhead. On examination, both upper arms were hyper-abducted with moderate external rotation, elbows joints were in flexion, and forearms in incomplete pronation. Both of humeral heads were palpable in the axillary fossa and attached overside of the chest wall. Finger movements were difficult, to impossible, to the right side more prominent. Radiography examination confirmed luxatio erecta humeri bilateralis. After that, we performed a closed reduction using traction/countertraction method. After the orthopedic repositioning we recorded weakness of the upper extremities. Neurological assessment proved bilateral brachial plexopathy, prominent on the right-side. After diagnostic and therapeutic procedures, the patient wase immo...

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A case of bilateral luxatio erecta

Cited by 22 publications

References 8 publications

Inferior glenohumeral dislocation (luxatio erecta humeri): Report of six cases and review of the literature

Inferior glenohumeral dislocation (luxatio erecta humeri): Report of six cases and review of the literature

Luxatio erecta bilateral: um relato de caso

Bilateral inferior dislocation of the shoulder joint (bilateral luxatio erecta humeri): Case report

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