An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation
Introduction. Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/6910945 |
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| author | Mehmet Demirel Berkan Anarat Mehmet Ersin Ali Erşen Cengiz Şen |
| author_facet | Mehmet Demirel Berkan Anarat Mehmet Ersin Ali Erşen Cengiz Şen |
| author_sort | Mehmet Demirel |
| collection | DOAJ |
| description | Introduction. Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Presentation of Case. We report a construction worker who was rescued from a collapsed building who presented with both luxatio erecta humeri and complex posterior hip dislocation. An orthopaedic surgeon reducted luxatio erecta humeri with a one-step reduction technique under procedural anaesthesia as soon as the patient’s vital signs were stable. Discussion. Different concomitant injuries and various injury mechanisms have been described in regard to inferior shoulder dislocation in the literature. However, posterior dislocation of the hip as a concomitant distant region injury and trapping as an injury mechanism for luxatio erecta humeri are being described for the first time in this case report. Two reduction manoeuvers, one-step and two-step, have been used for this dislocation. Some authors suggested that a two-step manoeuver can be more easy to apply. In our specific case, luxatio erecta was easily reducted by a single operator in a single attempt. Conclusion. Luxatio erecta humeri may occur from trapping and complex injuries can accompany luxatio erecta humeri in patients with multiple trauma. A one-step closed reduction can be easily applied by a single operator under procedural anaesthesia. |
| format | Article |
| id | doaj-art-4661efd4ecce4d1fbb7b6bbe8a1dbc2e |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-4661efd4ecce4d1fbb7b6bbe8a1dbc2e2025-08-20T02:37:49ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/69109456910945An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip DislocationMehmet Demirel0Berkan Anarat1Mehmet Ersin2Ali Erşen3Cengiz Şen4Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, TurkeyIntroduction. Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Presentation of Case. We report a construction worker who was rescued from a collapsed building who presented with both luxatio erecta humeri and complex posterior hip dislocation. An orthopaedic surgeon reducted luxatio erecta humeri with a one-step reduction technique under procedural anaesthesia as soon as the patient’s vital signs were stable. Discussion. Different concomitant injuries and various injury mechanisms have been described in regard to inferior shoulder dislocation in the literature. However, posterior dislocation of the hip as a concomitant distant region injury and trapping as an injury mechanism for luxatio erecta humeri are being described for the first time in this case report. Two reduction manoeuvers, one-step and two-step, have been used for this dislocation. Some authors suggested that a two-step manoeuver can be more easy to apply. In our specific case, luxatio erecta was easily reducted by a single operator in a single attempt. Conclusion. Luxatio erecta humeri may occur from trapping and complex injuries can accompany luxatio erecta humeri in patients with multiple trauma. A one-step closed reduction can be easily applied by a single operator under procedural anaesthesia.http://dx.doi.org/10.1155/2016/6910945 |
| spellingShingle | Mehmet Demirel Berkan Anarat Mehmet Ersin Ali Erşen Cengiz Şen An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation Case Reports in Orthopedics |
| title | An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation |
| title_full | An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation |
| title_fullStr | An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation |
| title_full_unstemmed | An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation |
| title_short | An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation |
| title_sort | unusual traumatic presentation luxatio erecta humeri and concomitant hip dislocation |
| url | http://dx.doi.org/10.1155/2016/6910945 |
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