Luxatio erecta: Clinical presentation and management in the Emergency Department

Yanturali, Sedat; Aksay, Ersin; Holliman, C. James; Duman, Özge; Ozen, Yahya Kemal

doi:10.1016/j.jemermed.2004.12.016

Cited by 26 publications

(30 citation statements)

References 10 publications

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“…[7] The classical view, which is also characteristic, is the hyper-adduction of the affected arm, flexion of the elbow, and the hand positioned over or behind the head. [5,7,8] The unaffected hand supports the arm in order to stabilize the affected arm and alleviate the pain. On physical examination, the glenoid cavity is empty and the head of the dislocated humerus can be palpated in the axilla or over the chest wall.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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: Discussionmentioning

confidence: 99%

“…In such cases, it is usually observed that the inferior capsule of the joint is torn. [4,5] For the formation of the LE, a great amount of force is required; thus, many other injuries can be seen together. [6] The current study presents six cases of downward dislocation of the glenohumeral joint that were treated with closed reduction.…”

Section: Sonuçmentioning

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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“…Od velikog je značaja dobiti anteriornoposteriorni prikaz, aksilarnu ili Y-projekciju [17]. Radiografija uobičajeno prikazuje osovinu humerusa usmerenu put gore i paralelno u odnosu na lopatičnu bodlju, sa glavom humerusa koja je izmeštena iz glenoidne jame put dole [17,15].…”

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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“…Bone injuries were also prevalent in their review, with the greater tuberosity avulsion fracture being the most common type of fracture [1]. Although less frequent, fractures of the glenoid, the acromion, the humeral head, and the body of the scapula have also been reported [1,7].…”

Section: Introductionmentioning

confidence: 99%

“…the humeral shaft parallel to the scapular spine, and the humeral head at or below the inferior rim of glenoid [5]. Radiographs may also show the possible fractures of the greater tuberosity, the acromion, coracoid, humeral head, clavicle and the glenoid rim [4,7]. However, computed tomography is a better tool to evaluate associated fine fractures [8], and magnetic resonance imaging better reveals the injuries to the rotator cuff, the labrum, and the ligaments [5].…”

Section: Introductionmentioning

confidence: 99%

CT and MRI manifestations of luxatio erecta humeri and a review of the literature

Hassanzadeh¹,

Chang²,

Huang³

et al. 2015

Clinical Imaging

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Luxatio erecta: Clinical presentation and management in the Emergency Department

Cited by 26 publications

References 10 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

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

CT and MRI manifestations of luxatio erecta humeri and a review of the literature

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