Emergency Department, University Hospital of Patras, Patras, Greece.
Department of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
Arch Orthop Trauma Surg. 2024 Jan;144(1):205-217. doi: 10.1007/s00402-023-05047-x. Epub 2023 Sep 30.
Even though shoulder dislocation is thought to be the most common dislocation treated in the Emergency Department, inferior ones, known as Luxatio Erecta, comprise only 0.5% of them. Taking into consideration the rareness of unilateral Luxatio Erecta, bilateral cases should be even fewer. The purpose of this paper is to identify the reported number of cases of Traumatic Bilateral Luxatio Erecta in the literature over the last 100 years and to summarize the mechanism of injury, the initial management, and the complications of these patients.
We performed a systematic review of the literature regarding Traumatic Bilateral Luxatio Erecta. All articles published until 31st of December 2022 in PubMed and Google Scholar databases were searched using the terms "luxatio erecta", 'inferior dislocation", and "bilateral".
Eighty-two articles were retrieved from PubMed and Google Scholar search. Forty-four of them were initially included in our review. Six additional articles meeting the inclusion criteria were found from cross-references.
The presence of this injury is extremely rare with only 51 cases in the literature. The incidence of concomitant injuries and complications seems to be extremely high and neurological deficits were detected on 42.8% of patients with Bilateral Luxatio Erecta. To our knowledge, this is the first systematic review of the literature regarding Traumatic Bilateral Luxatio Erecta that includes articles not only in English, a fact that provides more reliability on the estimation of the real number of cases of this rare injury compared to any other review on this subject to date.
尽管肩脱位被认为是急诊室治疗最常见的脱位，但下脱位，即所谓的伸直型脱位，仅占其中的 0.5%。考虑到单侧伸直型脱位的罕见性，双侧病例应该更少。本文的目的是在过去 100 年的文献中确定报告的创伤性双侧伸直型脱位病例数，并总结这些患者的损伤机制、初始治疗和并发症。
我们对有关创伤性双侧伸直型脱位的文献进行了系统回顾。在 PubMed 和 Google Scholar 数据库中，使用“伸直型脱位”、“下脱位”和“双侧”等术语，搜索截至 2022 年 12 月 31 日发表的所有文章。
从 PubMed 和 Google Scholar 搜索中检索到 82 篇文章。其中 44 篇最初被纳入我们的综述。从交叉引用中还发现了另外 6 篇符合纳入标准的文章。
这种损伤极为罕见，文献中仅有 51 例。合并损伤和并发症的发生率似乎极高，42.8%的双侧伸直型脱位患者存在神经功能缺损。据我们所知，这是第一篇关于创伤性双侧伸直型脱位的文献系统综述，其中不仅包括英文文章，而且与迄今为止关于该主题的任何其他综述相比，这为估计这种罕见损伤的实际病例数提供了更高的可信度。
