Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms
Erecta dislocation/inferior dislocation of the shoulder is considered an uncommon injury and the present knowledge stems from case reports or compilation of cases. We believe that there are reasons to believe that the injury is much more prevalent than previously stated. In this review, we discuss t...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-11-01
|
| Series: | JSES Reviews, Reports, and Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639122000888 |
| _version_ | 1797989707032821760 |
|---|---|
| author | Olof Wolf, MD, PhD Carl Ekholm, MD, PhD |
| author_facet | Olof Wolf, MD, PhD Carl Ekholm, MD, PhD |
| author_sort | Olof Wolf, MD, PhD |
| collection | DOAJ |
| description | Erecta dislocation/inferior dislocation of the shoulder is considered an uncommon injury and the present knowledge stems from case reports or compilation of cases. We believe that there are reasons to believe that the injury is much more prevalent than previously stated. In this review, we discuss the mechanism of injury and based on the number of patients with unusual injury patterns at our hospitals and in the literature, the anatomical features of different variants of inferior dislocation are described. Only a few patients present with their arm still locked in abduction, and most patients with initial inferior dislocation are diagnosed with other types of dislocation or injury. Irreducible dislocation, with tissue blocking the glenoid appears to be a consequence typical of an initial inferior dislocation. Nerve and vascular injuries are overrepresented, as are humeral avulsion glenohumeral ligaments-injuries. The description of shoulder dislocations should ideally include the dislocation path and not only the final position of the humeral head. |
| first_indexed | 2024-04-11T08:23:30Z |
| format | Article |
| id | doaj.art-7923789ec7934d1fa43b21a23a3aae43 |
| institution | Directory Open Access Journal |
| issn | 2666-6391 |
| language | English |
| last_indexed | 2024-04-11T08:23:30Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj.art-7923789ec7934d1fa43b21a23a3aae432022-12-22T04:34:50ZengElsevierJSES Reviews, Reports, and Techniques2666-63912022-11-0124497504Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanismsOlof Wolf, MD, PhD0Carl Ekholm, MD, PhD1Department of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, SwedenInstitute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Corresponding author: Carl Ekholm, MD, PhD, Sahlgrenska University Hospital, Mölndal 43180, Sweden.Erecta dislocation/inferior dislocation of the shoulder is considered an uncommon injury and the present knowledge stems from case reports or compilation of cases. We believe that there are reasons to believe that the injury is much more prevalent than previously stated. In this review, we discuss the mechanism of injury and based on the number of patients with unusual injury patterns at our hospitals and in the literature, the anatomical features of different variants of inferior dislocation are described. Only a few patients present with their arm still locked in abduction, and most patients with initial inferior dislocation are diagnosed with other types of dislocation or injury. Irreducible dislocation, with tissue blocking the glenoid appears to be a consequence typical of an initial inferior dislocation. Nerve and vascular injuries are overrepresented, as are humeral avulsion glenohumeral ligaments-injuries. The description of shoulder dislocations should ideally include the dislocation path and not only the final position of the humeral head.http://www.sciencedirect.com/science/article/pii/S2666639122000888Erecta dislocationInferior shoulder dislocationIrreducible shoulder dislocationShoulder dislocation mechanismRotator cuff interposition |
| spellingShingle | Olof Wolf, MD, PhD Carl Ekholm, MD, PhD Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms JSES Reviews, Reports, and Techniques Erecta dislocation Inferior shoulder dislocation Irreducible shoulder dislocation Shoulder dislocation mechanism Rotator cuff interposition |
| title | Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| title_full | Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| title_fullStr | Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| title_full_unstemmed | Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| title_short | Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| title_sort | luxatio erecta of the humerus the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms |
| topic | Erecta dislocation Inferior shoulder dislocation Irreducible shoulder dislocation Shoulder dislocation mechanism Rotator cuff interposition |
| url | http://www.sciencedirect.com/science/article/pii/S2666639122000888 |
| work_keys_str_mv | AT olofwolfmdphd luxatioerectaofthehumerusthespectrumofinjuryofinferiorshoulderdislocationandanalysisofinjurymechanisms AT carlekholmmdphd luxatioerectaofthehumerusthespectrumofinjuryofinferiorshoulderdislocationandanalysisofinjurymechanisms |