Traumatic inferior shoulder dislocation: a review of management and outcome

Nambiar, Mithun; Owen, Denise; Moore, P. J.; Carr, Ashley; Thomas, Malcolm

doi:10.1007/s00068-017-0854-y

Cited by 34 publications

(62 citation statements)

References 32 publications

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“…Nambiar et al evaluated all of the published case reports regarding unilateral or bilateral LEH, and found that falls accounted for 45% of all cases, where falls from standing height accounted for 12% of all cases. 8 Reduction techniques for LEH have been described in the literature with the most common reduction technique being overhead traction. 7,9 This method involves bringing the patient's arm into full abduction and, with an assistant to provide counter traction, physician applies upward directed force.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation

Kessler

Hinkley

Houserman

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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Luxatio erecta is a description for a specific and rare type of shoulder dislocation where the humeral head dislocates directly inferior. This rare form of glenohumeral dislocation accounts for only 0.5% of shoulder dislocations. It is even less common for both shoulders to be bilaterally dislocated inferiorly with the characteristic “hands up” posture. A limited number of these bilateral occurrences are described in the literature to date and most have been from higher energy trauma. We have described a low energy case of bilateral luxatio erecta and the reduction method used and the continued instability following successful reduction under procedural anesthesia.

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Section: Discussionmentioning

confidence: 99%

Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation

Kessler

Hinkley

Houserman

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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“…Several immediate neurovascular complications may occur including brachial plexus, the axillary nerve and the axillary vessels [9,10]. Diagnosis and documentation of these complications before the reduction is compulsory from the medico-legal point of view and also for proper primary management of these injuries [11]. The pathomechanics of the luxatio erecta is well described in the literature: It involves hyper-abduction of the humerus [12].…”

Section: Discussionmentioning

confidence: 99%

“…The greater tuberosity was avulsed by the rotator cuff when the humeral head dislocated inferiorly [17]. Fourth, concerning the neurological injuries, there are present at approximatively in 60% of cases, most commonly to the axillary nerve probably due to traction at the point it passes through the quadrangular space [11,18]. All the three cords of the brachial plexus pass through the axilla and would be tethered in the dislocated position, and accordingly, our case presented the symptoms of hypoesthesia and muscle weakness over the right forearm and hand before closed reduction.…”

Section: Introductionmentioning

confidence: 99%

“…All the three cords of the brachial plexus pass through the axilla and would be tethered in the dislocated position, and accordingly, our case presented the symptoms of hypoesthesia and muscle weakness over the right forearm and hand before closed reduction. The neurological defect usually resolved between 1 day and 6 months [11]. Finally, 3.3% of cases are complicated by vascular injury, which is usually associated with a decreased radial pulse [19].…”

Section: Introductionmentioning

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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“…The most common causes of shoulder dislocations are due to electrical shock, extreme trauma and epilepsy [6]. Bilateral luxatio erecta is an extremely rare condition with 29 cases identified in the literature [7].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Bilateral Luxatio Erecta from a Sliding Injury Down a Ladder; A Rare Case Report and Literature Review

Biswas

Peirish

2019

BEAT

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Bilateral inferior shoulder dislocations also known as luxatio erecta is an extremely rare injury that is commonly complicated with injuries to the humeral head, glenoid, clavicle, scapula, rotator cuff, capsule, ligaments, brachial plexus, axillary artery and vein. Our patient is a 66-year-old man who presented with both upper extremities above his head in a fixed abducted position after sliding down a ladder approximately 6-meters. Initial radiographs revealed both humeral heads to be located below the glenoid fossa with each humeral shaft parallel to the scapular spines. Computed tomography (CT) revealed a right Hill-Sachs compression fracture (posterolateral humeral head) with a bony Bankart fracture (anteroinferior glenoid) and an avulsion fracture of the left acromion. Successful closed reduction was obtained. Upon follow up, bilateral rotator cuff tears were suspected and confirmed with magnetic resonance imaging (MRI). Early recognition, treatment and follow-up is essential to minimize complications.

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Traumatic inferior shoulder dislocation: a review of management and outcome

Abstract: Clinical and radiographic assessment of ISD is key to diagnosis and successful reduction. Patients can be treated with shoulder immobilisation for 2-3 weeks. In the setting of ongoing pain or instability, further imaging should be performed. The outcome of ISD is generally favourable.

Cited by 34 publications

References 32 publications

Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation

Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation

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

Traumatic Bilateral Luxatio Erecta from a Sliding Injury Down a Ladder; A Rare Case Report and Literature Review

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