J Korean Orthop Assoc.  2009 Aug;44(4):490-494.

Bilateral Inferior Shoulder Dislocation with Greater Tuberosity Fracture: A Case Report

• Seo JB
• Min BK

Abstract

We report here on a case of bilateral inferior shoulder dislocations (bilateral luxatio erecta) with greater tuberosity fracture that was caused by vehicle trauma. We manually reduced the dislocations at the emergency room. After 7 months of conservative treatment with rehabilitation, the range of motion and muscle strength of the shoulders recovered to almost normal.

Keyword

Bilateral luxatio erecta; Greater tuberosity fracture

MeSH Terms

Dislocations
Emergencies
Muscle Strength
Range of Motion, Articular
Shoulder
Shoulder Dislocation

Figure

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  Fig. 1 Radiograph shows inferior dislocations of both shoulders with the humeral head faced downward. The greater tuberosities on both sides were fractured.

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  Fig. 2 After manual reduction, the tuberosities were reduced well in acceptable range of displacement.

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  Fig. 3 At 7 months after injury, the greater tuberosity fractures were healed.

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  Fig. 4 At 7 months after injury, full active elevation was possible for both shoulders.

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  Fig. 5 Photograph shows the range of motion at 7 months after injury.

Reference

1. Mallon WJ, Bassett FH 3rd, Goldner RD. Luxatio erecta: the inferior glenohumeral dislocation. J Orthop Trauma. 1990. 4:19–24.

2. Foad A, LaPrade RF. Bilateral luxatio erecta humeri and bilateral knee dislocations in the same patient. Am J Orthop. 2007. 36:611–613.

3. Karaoglu S, Guney A, Ozturk M, Kekec Z. Bilateral luxatio erecta humeri. Arch Orthop Trauma Surg. 2003. 123:308–310.

4. Musmeci E, Gaspari D, Sandri A, Regis D, Bartolozzi P. Bilateral luxatio erecta humeri associated with a unilateral brachial plexus and bilateral rotator cuff injuries: a case report. J Orthop Trauma. 2003. 22:498–500.

5. Tsuchida T, Yang K, Kimura Y, Taniwaki M, Ishigaki S, Itoi E. Luxatio erecta of bilateral shoulders. J Shoulder Elbow Surg. 2003. 10:595–597.

6. Yanturali S, Aksay E, Holliman CJ, Duman O, Ozen YK. Luxatio erecta: clinical presentation and management in the emergency department. J Emerg Med. 2005. 29:85–89.

7. Garcia R, Ponsky T, Brody F, Long J. Bilateral luxatio erecta complicated by venous thrombosis. J Trauma. 2006. 60:1132–1134.

8. Kumar KS, O'Rourke S, Pillay JG. Hands up: a case of bilateral inferior shoulder dislocation. Emerg Med J. 2001. 18:404–405.

9. Sewecke JJ, Varitimidis SE. Bilateral luxatio erecta: a case report and review of the literature. Am J Orthop. 2001. 35:578–580.

10. Flatow EL, Cuomo F, Maday MG, Miller SR, McIlveen SJ, Bigliani LU. Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg Am. 1991. 73:1213–1218.