2006, Number 6
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Acta Ortop Mex 2006; 20 (6)
Bilateral Luxatio erecta humeri: Review of the literature and case report
Matehuala GJ, Peñafort GJA
Language: Spanish
References: 21
Page: 284-288
PDF size: 93.05 Kb.
ABSTRACT
Traumatic shoulder pathology is a very frequent condition in our hospital emergency rooms. Glenohumeral dislocations are highly prevalent and are the most common ones. The mechanism of injury as well as the treatment, the reduction techniques, the biomechanics of residual instability and the various surgical approaches are all well known. The problem occurs when we face extremely rare lesions, such as
luxatio erecta humeri, also known as inferior glenohumeral dislocation, about which there is little information. Proper diagnosis and immediate treatment are necessary, as well as the timely detection of the associated injuries that may compromise both the integrity of the limb and the patient’s life. A literature review was performed as well as an epidemiological research by means of a cross-sectional, retrospective study for a two-year period. The cases seen at the emergency service, Balbuena General Hospital, Mexico City Healthcare Services (SSDF) were included and a case treated at this service with a favorable outcome is presented here. The purpose of the study is to broaden the knowledge about this rare condition based on the literature review and determine the actual incidence rate of
luxatio erecta humeri in our setting as compared to what is reported globally, as well as the complications of traumatic
luxatio erecta humeri and find out how our diagnostic and treatment modalities correlate with other reports. A therapeutic algorithm that may be applied to our emergency rooms is planned for a second stage.
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Servicio de Estadística, Hospital General Balbuena, Servicios de Salud del Distrito Federal.