title: BILATERAL LUXATIO ERECTA, A CASE REPORT.
abstract: 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.
authors.affiliation: Orthopedic and traumatology physician of the Orthopedics and Traumatology Service of the Hospital Universitário de Santa Maria - RS, Brasil.
authors.forename: César Augusto Xavier
authors.initials: CA
authors.lastname: Acosta
authors.affiliation: Medical student at the Universidade Federal de Santa Maria - RS, Brazil.
authors.forename: Elemar
authors.initials: E
authors.lastname: da Silva Resch
authors.affiliation: Specialist resident physician in orthopedics and traumatology at the Hospital Universitàrio de Santa Maria - RS, Brasil.
authors.forename: Rafael
authors.initials: R
authors.lastname: Rodrigues
keywords: Physical Examination; Shoulder Dislocation; Shoulder/radiography