Erecta dislocation of the shoulder joint—A rare injury: About four cases

Diallo, Malick; Kasse, Amadou Ndiassé; Limam, Sid’Ahmed Mohamed; Sané, Jean Claude; Dembelé, Bamory; Sy, Mouhamadou Habib

doi:10.1002/ccr3.2221

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…Posterior dislocations are far less common (2–5 %) and only rarely cause neurovascular disruption [16]. Inferior dislocations are the least common (<0.5 %) type of dislocation, often caused by hyperabduction, and pose the highest risk for axillary artery and brachial plexus injury [17]. Our patient’s dislocation was inferior and complicated by axillary artery involvement.…”

Section: Discussionmentioning

confidence: 96%

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Elkbuli

Ehrhardt

McKenney

et al. 2020

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 96%

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Elkbuli

Ehrhardt

McKenney

et al. 2020

International Journal of Surgery Case Reports

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“…In our case, the singular and fixed attitude of the arm elevated and hyperabducted at the shoulder and the forearm and the hand pronated lying behind the head, with the humeral head prominence visible and palpable in the axilla, helped us in the diagnosis before the radiographic examination. It is distinctive of LEH an abducted arm over 90° [ 1 ]. Some complications are reported for the LEH as fractures of acromion, greater tuberosity, humeral head, glena, clavicle, coracoid, furthermore, may be present with the LEH glenohumeral cartilage or capsular defects, rotator cuff and labral tears, humeral avulsion of glenohumeral ligament, disruptions of the adjacent muscles [ 5 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Luxatio erecta humeri (LEH) is an unusual injury. This dislocation is described in a series of cases reported in the literature [ 1 - 7 ] and recently identified a total of 199 patients [ 8 ]. Most cases can be treated with closed reduction and immobilization, but in case of irreducibility, it requires reduction under general anesthesia and/or further operative measures.…”

Section: Introductionmentioning

confidence: 99%

Luxatio Erecta Humeri: A Case Report

Minicelli

2023

jocr

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Introduction: Luxatio erecta humeri (LEH) is a rare type of inferior shoulder dislocation (ISD) and easy misdiagnosed or missed. We reported a case of a traumatic LEH with a radiological interpretation of ISD. We felt that the physical presentation was compatible with the LHE type and the closed reduction by the traction and countertraction method we accomplished without complications. Case Report: We present a case of 38-year-old man with a LEH. We performed for the early diagnosis the clinical examination and the X-rays. We felt that the physical presentation was compatible with an erecta dislocation of the humerus, whereas radiologically, this injury was interpreted simply as the inferior dislocation of the right shoulder. The closed reduction by the traction and countertraction method was accomplished without complications. We kept the reduction with a Velpeau arm sling shoulder immobilizer brace for 3 weeks and after a shoulder rehabilitation, the outcome was good. Conclusion: The luxation erecta humeri is a type of ISD still little known but the singular and unmistakable physical presentation should allow for an early diagnosis to obtain an easy closed reduction and a good outcome. Keywords: Luxation erecta humeri, inferior shoulder dislocation, case report.

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“…In our case, the two-step maneuver was successfully performed in the operating room with a single surgeon and the use of minimal force. While there is a paucity of data demonstrating significant differences between the use of GA or conscious sedation, studies have shown that closed reduction of ISD under GA results in satisfactory outcomes [8] , [9] , [10] . In similar cases with associated bony injuries and multiple reduction attempts, surgeons may prefer reducing complex dislocations in the operating room under GA with procedural fluoroscopy to avoid further injury to ensure a safe and timely reduction.…”

Section: Discussionmentioning

confidence: 99%

Atypical presentation of an inferior shoulder dislocation with an engaging Hill-Sachs lesion: A case report

Panico

Roy

Brustein

2021

Trauma Case Reports

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Case Inferior shoulder dislocations (ISD) are very rare occurrences estimated to make up only 0.5% of all shoulder dislocations and are typically associated with high-energy trauma and humerus fractures. We present an unusual case of an ISD due to the absence of the pathognomonic arm posture, mimicking an anterior shoulder dislocation. After multiple failed attempts at closed reduction in the Emergency Department, orthopaedics was consulted for further evaluation. Appropriate imaging was ordered, including an axillary radiograph and CT scan, which demonstrated an ISD with an engaging Hill-Sachs lesion and displaced greater tuberosity fracture. The patient was taken to the operating room the same day and underwent a successful closed reduction utilizing intraoperative fluoroscopic imaging. Conclusion Early reduction of ISD is critical to preventing complications, such as axillary neuropraxia and brachial plexopathy. However, closed reduction of ISD is often difficult. The two-step maneuver under general anesthesia in the operating room with procedural fluoroscopy is recommended to ensure a safe, adequate, and timely reduction.

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Erecta dislocation of the shoulder joint—A rare injury: About four cases

Cited by 4 publications

References 7 publications

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Luxatio Erecta Humeri: A Case Report

Atypical presentation of an inferior shoulder dislocation with an engaging Hill-Sachs lesion: A case report

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