کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3247943 1589140 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Bilateral Luxatio Erecta: A Case Report
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Bilateral Luxatio Erecta: A Case Report
چکیده انگلیسی

BackgroundLuxatio erecta humeri or inferior dislocation of the glenohumeral joint is a rare presentation in the emergency department that is typically caused by a direct loading force on a fully abducted arm. This type of shoulder dislocation represents only 0.5% of all shoulder dislocations, making bilateral cases even more unique.ObjectiveThe authors report a case of bilateral luxatio erecta to highlight some of the key clinical signs and discuss proper methods of care.Case ReportWe report a case of bilateral luxatio erecta after a forward fall on a treadmill in a senior male patient. The patient grabbed onto the side rails of the treadmill such that his abducted arms received the entire force of the fall. These injuries were successfully reduced in the emergency department of our institution using a two-step approach for each: 1) conversion to anterior dislocation and 2) full reduction.ConclusionsAlthough shoulder dislocations remain a commonly seen injury in the emergency department, it is important to consider that not all dislocations are simply anterior. Signature signs of luxatio erecta are fixed abduction at the shoulder with elbow flexion and forearm pronation. The humeral head should be palpable inferior to the glenoid fossa. The most effective treatments for this injury involve sufficient muscle relaxation for reduction, a methodical approach to reduction, and appropriate immobilization.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 46, Issue 2, February 2014, Pages 176–179
نویسندگان
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