Orthopedics > OCOSH Classification > Trauma > Dislocations > Shoulder Dislocations > Anterior > Unusual inferior dislocation of shoulder

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Unusual inferior dislocation of shoulder

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Location: http://www.josr-online.com/content/pdf/1749-799x-4-40.pdf

Description: Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation constitutes 0.5% of all shoulder dislocations. It characteristically presents with overhead abduction of the arm, the humerus being parallel to the spine of scapula. We present an unusual case of recurrent luxatio erecta in which the arm transformed later into an adducted position resembling the more common anterior shoulder dislocation. Such a case has not been described before in English literature. Closed reduction by the two-step maneuver was successful with a single attempt. MRI revealed posterior labral tear and a Hill Sachs variant lesion on the superolateral aspect of humeral head. Immobilisation in a chest-arm bandage followed by physiotherapy yielded excellent results. The case is first of its kind; the unusual mechanism, unique radiological findings and alternate method of treatment are discussed.
Unusual inferior dislocation of shoulder: reduction by two-step maneuver: a case report S S, Agarwal DK, Patro DK, Menon J Journal of Orthopaedic Surgery and Research 2009, 4:40

Type: Reference Material
Author/Contact: Agarwal et al
Institution: Journal of Orthopaedic Surgery and Research JOSR
Primary Subject/Category:

Language: English

Submitted by: admin
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Added: Sun Nov 08 2009