Garcia Ryan, Ponsky Todd, Brody Fredrick, Long Joy
Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA.
J Trauma. 2006 May;60(5):1132-4. doi: 10.1097/01.ta.0000217246.64718.02.
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.
肩关节下脱位或直立性脱位是一种极为罕见的肩关节脱位形式，在所有肩关节脱位中所占比例不到0.5%。此外，英文文献中仅报道过9例双侧直立性脱位。本文记录了第10例双侧直立性脱位病例。该第10例患者伸直的双臂遭受轴向负荷损伤，双侧肱骨头均向下移位。手法复位后，患者于住院第二天出院。然而，他在3天后发生了腋静脉血栓形成，需要进行抗凝治疗。本报告回顾了与肩关节下脱位相关的损伤机制以及直立性脱位的表现和治疗方法。还讨论了该患者腋静脉血栓形成的并发症及其治疗情况。
