Irreducible luxatio erecta humeri caused by an aberrant position of the axillary nerve

Frank, M; Laratta, Joseph L.; Tan, Virak

doi:10.1016/j.jse.2011.11.022

Cited by 18 publications

(23 citation statements)

References 10 publications

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“…The clinical presentation is dramatic [6]. Creases may be present over the superior aspect of the shoulder and the glenoid fossa will be empty with the humeral head palpable on the lateral chest wall [4,7,8]. The patient generally resists any attempt at movement of the affected arm [4,8].…”

Section: Discussionmentioning

confidence: 99%

“…Creases may be present over the superior aspect of the shoulder and the glenoid fossa will be empty with the humeral head palpable on the lateral chest wall [4,7,8]. The patient generally resists any attempt at movement of the affected arm [4,8]. Several immediate neurovascular complications may occur including brachial plexus, the axillary nerve and the axillary vessels [9,10].…”

Section: Discussionmentioning

confidence: 99%

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Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

Kaziz¹,

Amine²,

Benzarti³

et al. 2018

J Musculoskelet Disord Treat

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Introduction: Inferior dislocation of the shoulder is a rare injury. Some specific complications may occur immediately or during follow-up. We present a rare case of erecta dislocation with a neurological injury. Case presentation: We report a 23-year-old female admitted for erecta dislocation on her right shoulder after sport accident complicated with a fracture of the greater tuberosity and axillary nerve palsy. A closed reduction had been indicated with a reduction of both fracture and dislocation. Functional treatment had been adopted. The neurapraxia had resolved spontaneously. At last outcome, the patient is satisfactory with a full range of motion on her right shoulder. Discussion: Inferior shoulder dislocation leads, usually to tears on soft tissue of the shoulder especially capsular, labral and inferior glenohumeral ligament. Immediate complications are serious such as neurological palsy and vascular problems. Indications depend on reducibility and associated injuries. Conclusion: Neurological complication especially neurapraxia is a serious injury but did not require open reduction and surgical exploration explained by the traction at the point where the axillary nerve passes through the quadrangular space.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

Kaziz¹,

Amine²,

Benzarti³

et al. 2018

J Musculoskelet Disord Treat

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“…In this study, we reviewed the mechanism of injuries of all cases (57 articles) and classified the injuries into seven parts: Falling accidents (25 articles),[ 3 8 9 10 12 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 54 ] accidents related to working (5 articles),[ 12 14 35 36 37 38 ] sport related injuries (9 articles),[ 2 19 36 39 40 41 42 43 44 45 ] traffic accidents (10 articles),[ 4 13 15 45 46 47 48 49 50 57 ] alcholism, epilepsy, syncope, seizure and sleeping related injuries (6 articles),[ 5 8 18 40 51 52 ] unusual age (infant) with unusual mechanism (1 article),[ 53 ] boat accident (1 article)[ 54 ] [ Table 1 ].…”

Section: Discussionmentioning

confidence: 99%

Luxatio erecta humeri: Report of a swimming injury with analysis of the mechanism of the injury and associated injuries in literature

Gökkuş

Sağtaş

Saylık³

et al. 2015

J Emerg Trauma Shock

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Inferior shoulder dislocation also referred to as luxatio erecta is an unusual and rare type of shoulder dislocation. Its incidence is about 0.5% among all shoulder dislocations. After an exhaustive search of all the available literature we were unable to find a swimming accident case that did not have other associated injuries and an uneventful reduction. The mechanism of the injury was mostly related to direct axial loading and indirect hyperabduction lever arm. We would like to emphasize the importance of this being a swimming accident, a type of accident that requires awareness of the possibility of dangerous asphyxia injuries caused by panic in the water (swimming pool, river, lake, sea, etc.). We described the nature of the injury and review the literature concerning the mechanism of the injury and associated neurovascular impairment at admission time. We also presented a supplemental video to contribute to the education of young residents and orthopedic surgeons.

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“…Intra-operative images (top is superior, bottom is inferior, left is lateral, and right is medial) demonstrate tendon of the long head of the biceps after being reduced from the glenohumeral joint (in a, the arrow points to long head biceps tendon), and stitches within the subscapularis tendon during initial rotator cuff repair (in b, the arrow points to the subscapularis tendon) posterior shoulder dislocation [13]. Other less common causes of an irreducible glenohumeral joint to be considered include an entrapped fracture fragment [8,16] or surrounding nerve, such as the musculocutaneous [17] or axillary nerve [4].…”

Section: Discussionmentioning

confidence: 99%

“…Most dislocations either spontaneously reduce prior to presentation or are amenable to closed reduction at the point of care if the dislocation persists at the time of presentation [3,4]. In certain instances, operative management is required when closed reduction of the dislocated shoulder fails.…”

Section: Introductionmentioning

confidence: 99%

Irreducible superolateral dislocation of the glenohumeral joint

et al. 2015

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The overwhelming majority of glenohumeral dislocations are anterior dislocations that either spontaneously reduce or are reduced at the point of care without significant complications. Posterior dislocations are uncommon, and superior and inferior dislocations are even rarer. We present a case of "superolateral" shoulder dislocation in which the entire rotator cuff was torn either off its insertion or at the musculotendinous junction in combination with a large longitudinal split tear of the deltoid muscle. This allowed the humeral head to dislocate both superiorly and laterally into a subcutaneous position through the tear of the anterolateral deltoid muscle with an associated de-gloving soft tissue lesion. Buttonholing of the humeral head through the deltoid and interposition of the dislocated long head of the biceps tendon and macerated rotator cuff prevented closed reduction of the glenohumeral joint. The resultant radiographic appearance and treatment of this dislocation is unique. To our knowledge, this is the first reported case of this dislocation in the literature.

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Irreducible luxatio erecta humeri caused by an aberrant position of the axillary nerve

Cited by 18 publications

References 10 publications

Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

Luxatio erecta humeri: Report of a swimming injury with analysis of the mechanism of the injury and associated injuries in literature

Irreducible superolateral dislocation of the glenohumeral joint

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