Frappa Nicholas, Lutnick Ellen, Binkley Matthew
Jacobs School of Medicine and Biomedical Sciences, 955 Main Street, Buffalo, NY 14203, United States.
Department of Orthopaedic Surgery and Sports Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, 955 Main Street, Buffalo, NY 14203, United States.
J Surg Case Rep. 2025 Aug 29;2025(8):rjaf677. doi: 10.1093/jscr/rjaf677. eCollection 2025 Aug.
Luxatio erecta is a rare form of glenohumeral dislocation in which the humeral head is displaced inferior to the glenoid, accounting for fewer than 0.5% of all shoulder dislocations; thus, bilateral involvement is exceedingly rare. We present a rare case of bilateral luxatio erecta in a 59-year-old male complicated by progressive ulnar neuropathy and rotator cuff deficiency, successfully managed with staged surgical intervention in the form of left-sided rotator cuff repair and right-sided reverse total shoulder arthroplasty, demonstrating good functional outcomes at over 2-year follow-up. This case adds to the limited literature related to bilateral luxatio erecta and suggests that early identification and staged management of any associated pathology may help optimize long-term functional recovery.
肩关节垂直脱位是一种罕见的盂肱关节脱位形式，肱骨头移位至肩胛盂下方，占所有肩关节脱位的比例不到0.5%；因此，双侧受累极为罕见。我们报告一例59岁男性双侧肩关节垂直脱位的罕见病例，该病例并发进行性尺神经病变和肩袖缺损，通过分期手术干预成功治疗，即左侧肩袖修复和右侧反式全肩关节置换术，在2年以上的随访中显示出良好的功能结果。该病例补充了与双侧肩关节垂直脱位相关的有限文献，并表明对任何相关病理情况的早期识别和分期管理可能有助于优化长期功能恢复。
