Luxatio erecta (inferior dislocation of the shoulder): A report of two cases and a review of the literature

Inferior glenohumeral dislocation (luxatio erecta humeri): Report of six cases and review of the literature

“…Transscapular Y-graphy, computed tomography and magnetic resonance imaging would be helpful in the diagnosis and treatment. [1,2,9] The early diagnosis of LE is of critical importance. Inferior dislocation occurs mostly due to indirect injury.…”

“…[3,6] Adequate sedation and analgesia is fundamental to the procedure, and most of the LE cases can be treated successfully in the emergency room with closed reduction. Opposite-traction technique is the most effective closed reduction method.…”

“…[1] Multi-directional mobility of the shoulder joint, its anatomic structure and frequent exposition to traumas result in the more frequent occurrence of dislocations. [2] Forward and backward dislocations are observed at rates of 95% and 4-5%, respectively, in patients with shoulder dislocations. [1,3] Downward dislocation (luxatio erecta -LE), with an occurrence rate of 0.5% among all shoulder dislocations, on the other hand, is a traumatic case that is observed quite rarely, which generally occurs during hyperabduction type trauma of the arm.…”

“…[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.…”

“…[1,2,12,13] Neurovascular examination and follow-up radiographs are important to exclude iatrogenic fractures after reduction. Successfully reduced cases should be immobilized by using arm-body bandage.…”