Bilateral inferior shoulder dislocation: both subglenoid and subcoracoid types seen in the same patient

Newman, Kevin; Bendall, R.

doi:10.1016/0020-1383(93)90323-x

Cited by 13 publications

(7 citation statements)

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“…1 First described by Middeldorpf and Scharm in 1859, 2 it occurs when the shoulder is forced into hyperabduction with the proximal humerus being levered over the acromion process. 3 It may also result from direct axial loading on the fully abducted arm. On physical examination the aVected side is held above the head with the shoulder abducted and externally rotated.…”

Section: Discussionmentioning

confidence: 99%

Hands up: a case of bilateral inferior shoulder dislocation

Kumar

O’Rourke²,

Pillay³

2001

Emergency Medicine Journal

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Section: Discussionmentioning

confidence: 99%

Hands up: a case of bilateral inferior shoulder dislocation

Kumar

O’Rourke²,

Pillay³

2001

Emergency Medicine Journal

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“…7 Newman reported a case of a 75-year-old woman pedestrian who was thrown forward with outstretched arms after she was struck by a motor vehicle. 8 In most cases of bilateral luxatio erecta, including this case, the axial load originates superiorly. This causes the humeral head to move inferior to the glenoid fossa leading to glenohumeral dislocation.…”

Section: Discussionmentioning

confidence: 97%

Bilateral Luxatio Erecta Complicated by Venous Thrombosis

Garcia¹,

Ponsky²,

Brody³

et al. 2006

The Journal of Trauma: Injury, Infection, and Critical Care

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Inferior shoulder dislocation or luxatio erecta is an exceedingly rare form of shoulder dislocation and compromises less than 0.5% of all shoulder dislocations. Furthermore, bilateral luxatio erecta is reported only nine times in the English literature. This paper documents the tenth case of bilateral luxatio erecta. This tenth patient suffered an axial load injury to his outstretched arms and displaced both humeral heads inferiorly. After closed reduction, the patient was discharged home on hospital day two. However, he developed an axillary vein thrombosis 3 days later and required anticoagulation therapy. This report reviews the mechanisms of injury associated with inferior shoulder dislocations as well as the presentation and treatment of luxatio erecta. The complication of axillary vein thrombosis and its treatment in this patient are discussed also.

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“…Falls were the commonest mechanism of injury in 32 out of 42 cases (76.2%), particularly high energy falls (fall from a height [ 19 – 23 ], ladder [ 10 , 24 – 34 ] from a horse [ 35 ], and from a boat [ 36 ] accounting to 20 out of 42 cases (45,2%), while fall from standing height [ 37 – 46 ] accounting to 10 out of 42 cases (23,8%)). Road traffic accident was the cause of TBLE in eight cases [ 47 – 54 ] (19%). In two cases, the injury was related to an attempt to hold/prevent a heavy object from falling above the head [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

The 'Holy Grail' of shoulder dislocations: a systematic review on traumatic bilateral luxatio erecta; is it in reality a once-in-a-lifetime experience for an orthopaedic surgeon?

Ntourantonis,

Mousafeiris,

Pantazis

et al. 2023

Arch Orthop Trauma Surg

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Introduction Even though shoulder dislocation is thought to be the most common dislocation treated in the Emergency Department, inferior ones, known as Luxatio Erecta, comprise only 0.5% of them. Taking into consideration the rareness of unilateral Luxatio Erecta, bilateral cases should be even fewer. The purpose of this paper is to identify the reported number of cases of Traumatic Bilateral Luxatio Erecta in the literature over the last 100 years and to summarize the mechanism of injury, the initial management, and the complications of these patients. Materials and methods We performed a systematic review of the literature regarding Traumatic Bilateral Luxatio Erecta. All articles published until 31st of December 2022 in PubMed and Google Scholar databases were searched using the terms “luxatio erecta”, ‘inferior dislocation”, and “bilateral”. Results Eighty-two articles were retrieved from PubMed and Google Scholar search. Forty-four of them were initially included in our review. Six additional articles meeting the inclusion criteria were found from cross-references. Conclusion The presence of this injury is extremely rare with only 51 cases in the literature. The incidence of concomitant injuries and complications seems to be extremely high and neurological deficits were detected on 42.8% of patients with Bilateral Luxatio Erecta. To our knowledge, this is the first systematic review of the literature regarding Traumatic Bilateral Luxatio Erecta that includes articles not only in English, a fact that provides more reliability on the estimation of the real number of cases of this rare injury compared to any other review on this subject to date.

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Bilateral inferior shoulder dislocation: both subglenoid and subcoracoid types seen in the same patient

Cited by 13 publications

References 1 publication

Hands up: a case of bilateral inferior shoulder dislocation

Hands up: a case of bilateral inferior shoulder dislocation

Bilateral Luxatio Erecta Complicated by Venous Thrombosis

The 'Holy Grail' of shoulder dislocations: a systematic review on traumatic bilateral luxatio erecta; is it in reality a once-in-a-lifetime experience for an orthopaedic surgeon?

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