Clinical Practice and Cases in Emergency Medicine (Feb 2020)

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

  • Adam Kessler,
  • Jacob Hinkley,
  • David Houserman,
  • Jacob Lytle,
  • Michael Sorscher

DOI
https://doi.org/10.5811/cpcem.2019.9.44205
Journal volume & issue
Vol. 4, no. 1

Abstract

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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.