Luxatio Erecta: Case Report

Case Report

Austin J Orthopade & Rheumatol. 2018; 5(1): 1065.

Luxatio Erecta: Case Report

Lamkhanter A*, Zadoug O, Ouzaa MR, Jalal Y, Antri I, Bensaleh R, Ibo N , Bouya A, El Ghoul N, Elghazoui A, , Bennis A, Benchekroune M, Zine A, Tanane M and Jaafar A

Department of Orthopedic Surgery and Traumatology I, Mohammed V Military Training Hospital of Rabat, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morroco

*Corresponding author: Adil Lamkhanter, Department of Orthopedic Surgery and Traumatology, Mohammed V Military Training Hospital of Rabat, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morroco

Received: February 27, 2018; Accepted: March 22, 2018; Published: March 29, 2018

Abstract

Although dislocations of the shoulder are very frequent, lower dislocation of the shoulder represents only 0.5% of all dislocations of the shoulder. It is frequently associated with neurovascular lesions and concomitant fractures. We report a case of pure erecta dislocation. We describe the mechanism and the therapeutic modalities of this injury.

Keywords: Luxatio erecta; Shoulder; Reduction

Introduction

Luxatio Erecta Humeri (LEH) is the rarest type of shoulder dislocation. It represents 0.5% of all shoulder dislocations [1]. The first description of this variety has been in 1859 by Middel dorpf and Scharm [2]. Clinically, it’s characterized by hyper abduction of the affected arm, flexion of the elbow and pronation of the forearm. The diagnosis is confirmed by antero posterior radiograph. This entity is frequently associated with neurovascular injuries. Concomitant fracture of clavicle, coracoid, greater tuberosities were also described. Early reduction should be done to prevent complications. We present a case of pure luxatio erecta , with discussion of the mechanism, clinical, radiographic and therapeutic features.

Case Presentation

A 60-year-old man who presented to the emergency department after falling several steps, causing pain and functional impotence of the right upper limb. Once admitted, the patient was conscious and cooperative. Upon physical examination, the right humerus was removed, the elbow flexed and the left hand resting on his forehead. He was unable to bring the elbow back to the body. No evidence of neurovascular compromise was noted (Figure 1). Radiological assessments of the right shoulder (plain X-ray and CT scan) revealed lower glenohumeral dislocation (Figure 2,3).