Saavedra-Islas Noé, Meza-Camacho Jorge, Padilla-Medina José Ramón, Villarreal-Villarreal Gregorio Alejandro, Peña-Martínez Víctor M, Alberto Acosta-Olivo Carlos
Department of Orthopedic Surgery and Traumatology, University Hospital "Dr José Eleuterio González", Universidad Autonoma de Nuevo León (U.A.N.L.), Monterrey, México.
Shoulder Elbow. 2022 Dec;14(6):663-667. doi: 10.1177/17585732221077255.
Luxatio erecta is an inferior glenohumeral dislocation. It is an uncommon pathology with a prevalence of 0.5% of all shoulder dislocations. An open luxatio erecta presentation is rarer. After an extensive literature search, we only could find three complete case reports. From these cases, 2 out of 3 developed complications such as infections and severely limited range of motion, especially in flexion and abduction. We report the case of a 39-year-old man with an open inferior glenohumeral joint dislocation with complete rotator cuff tear and fracture of the greater tuberosity secondary to a motor vehicle accident. He was treated with open reduction, glenohumeral capsulorrhaphy, and transosseous rotator cuff repair with good clinical outcome. In conclusion, an open inferior shoulder dislocation is rare, less than 0.1% of all dislocations, with a high incidence of nerve injury. We suggest prompt surgical treatment with immediate administration of antibiotic therapy, wound debridement, irrigation, open reduction, and repair of the rotator cuff as an adequate protocol and focused rehabilitation with early mobilization of the glenohumeral joint.
肩关节直举脱位是一种盂肱关节下脱位。它是一种罕见的病理情况，在所有肩关节脱位中占比0.5%。开放性肩关节直举脱位的病例更为罕见。经过广泛的文献检索，我们仅找到三篇完整的病例报告。在这些病例中，三分之二出现了诸如感染和活动范围严重受限等并发症，尤其是在屈曲和外展方面。我们报告一例39岁男性患者，因机动车事故导致开放性盂肱关节下脱位，伴有肩袖完全撕裂和大结节骨折。他接受了切开复位、盂肱关节囊缝合术以及经骨肩袖修复术，临床效果良好。总之，开放性肩关节下脱位很罕见，在所有脱位中占比不到0.1%，神经损伤发生率高。我们建议采用及时的手术治疗，立即给予抗生素治疗、伤口清创、冲洗、切开复位以及肩袖修复作为合适的方案，并进行针对性康复，早期活动盂肱关节。
