Revista Brasileira de Ortopedia
versión impresa ISSN 0102-3616
ACOSTA, César Augusto Xavier; RESCH, Elemar da Silva y RODRIGUES, Rafael. Bilateral luxatio erecta, a case report. Rev. bras. ortop. [online]. 2012, vol.47, n.1, pp. 130-132. ISSN 0102-3616. http://dx.doi.org/10.1590/S0102-36162012000100019.
Inferior shoulder dislocation (luxactio erecta) is a rare lesion affecting approximately 0.5% of dislocations of this joint. The vast majority of these cases occur unilaterally. In September 2004, a 43 year old man was brought to the emergency room of the University Hospital of Santa Maria (HUSM) complaining of bilateral shoulder pain and inability to lower the arms, as a result of a fall with the arms abducted, while carrying out work activities. After physical examination and radiological exams, it was found that the patient had a bilateral inferior shoulder dislocation. He was referred to the surgical ward and after intravenous sedation, both shoulders were reduced by closed reduction using the traction-countertraction maneuver. The patient was discharged the day after the reduction. Both arms were immobilized with a velpeau sling in total adduction and intrarotation, with instructions to maintain immobilization for three weeks. The patient was also advised to receive physiotherapy.
Palabras llave : Shoulder; radiography; Shoulder Dislocation; Physical Examination.