Kessler Adam, Hinkley Jacob, Houserman David, Lytle Jacob, Sorscher Michael
Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan.
Des Moines University, Des Moines, Iowa.
Clin Pract Cases Emerg Med. 2019 Nov 19;4(1):38-41. doi: 10.5811/cpcem.2019.9.44205. eCollection 2020 Feb.
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.
肩关节下脱位是一种特定且罕见的肩关节脱位类型的描述，即肱骨头直接向下脱位。这种罕见的盂肱关节脱位形式仅占肩关节脱位的0.5%。双肩均以特征性的“举手”姿势双侧向下脱位的情况更为罕见。迄今为止，文献中描述的此类双侧病例数量有限，且大多数是由高能量创伤导致的。我们描述了一例双侧肩关节下脱位的低能量病例，以及所采用的复位方法和在程序麻醉下成功复位后持续存在的不稳定情况。
