Vidal Panduro Daniel A, Zegarra Buitron Elizabeth, Huerta Robles Alfredo B
Internal Medicine, School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, PER.
Orthopaedics and Traumatology, Division of Trauma and Orthopaedic Surgery, SANNA - San Borja Clinic, Lima, PER.
Cureus. 2022 Dec 26;14(12):e32976. doi: 10.7759/cureus.32976. eCollection 2022 Dec.
Luxatio erecta (inferior shoulder dislocation) is a rare entity, infrequent, but with a good prognosis. There are two mechanisms for this injury to occur, by an indirect force, which is the most frequent, and by a direct force. Both involve hyperabduction of the arm. The clinical presentation is characteristic and unmistakable. Diagnosis is clinical, but imaging tests are useful to rule out associated injuries and complications. The treatment of choice is closed reduction and, in most cases with favorable results. We present the case of an 83-year-old woman who went to the emergency room with a diagnosis compatible with Luxatio erecta of the glenohumeral joint. Subsequently, a closed reduction was performed with good results. The patient is currently undergoing physical therapy and rehabilitation.
肩关节上脱位（肩关节下脱位）是一种罕见的情况，并不常见，但预后良好。这种损伤的发生有两种机制，一种是间接暴力，这是最常见的，另一种是直接暴力。两种机制都涉及手臂过度外展。临床表现具有特征性且明确无误。诊断依靠临床判断，但影像学检查有助于排除相关损伤和并发症。首选治疗方法是闭合复位，在大多数情况下效果良好。我们报告一例83岁女性患者，因诊断为肩关节盂肱关节上脱位而前往急诊室。随后进行了闭合复位，效果良好。患者目前正在接受物理治疗和康复治疗。
