Memar Shayan A, Stahnke Jake, Bauer Jace K, Nelson Ryan
Orthopedic Surgery, A.T. Still University Kirksville College of Osteopathic Medicine, Kirksville, USA.
Orthopedic Surgery, Ascension Genesys Regional Medical Center, Grand Blanc, USA.
Cureus. 2022 Aug 3;14(8):e27650. doi: 10.7759/cureus.27650. eCollection 2022 Aug.
Luxatio erecta humeri is an infrequent type of glenohumeral dislocation. The pathophysiologic mechanism responsible for luxatio erecta humeri is a traumatic incident of direct axial loading or a rapid hyperabduction injury. Patients commonly present with severe shoulder pain and the classic appearance of their arm externally rotated and stuck in abduction overhead. Radiographs help confirm the diagnosis by showing the humeral shaft parallel to the scapular spine and the humeral head inferior to the glenoid. Prompt recognition, neurovascular assessment, and reduction are necessary. This case details an incident of luxatio erecta humeri in an 83-year-old female after a ground-level fall with a history of ipsilateral rotator cuff repair greater than 20 years ago. She had subjective numbness in her fingers that resolved post-reduction. Anesthesia assisted in safely sedating the patient for orthopedics to successfully perform a closed reduction by combining techniques from the two most described maneuvers. The patient was discharged in a shoulder immobilizer for follow-up outpatient and later scheduled for reverse total shoulder arthroplasty.
肩关节直举脱位是一种少见的盂肱关节脱位类型。导致肩关节直举脱位的病理生理机制是直接轴向负荷的创伤事件或快速外展损伤。患者通常表现为肩部剧痛，其手臂呈典型的外旋并卡在过头外展位。X线片通过显示肱骨干与肩胛冈平行且肱骨头位于关节盂下方来帮助确诊。迅速识别、神经血管评估及复位是必要的。本病例详细介绍了一名83岁女性在平地摔倒后发生肩关节直举脱位的事件，该患者20多年前有同侧肩袖修补病史。她手指有主观麻木感，复位后缓解。麻醉辅助对患者进行安全镇静，以便骨科医生通过结合两种最常用手法的技术成功进行闭合复位。患者出院时佩戴肩部固定器进行门诊随访，随后计划进行反式全肩关节置换术。
