title: Luxatio erecta humeri with neurovascular compromise: inferior glenohumeral dislocation illustrating associated injuries.
abstract: Luxatio erecta humeri (LEH) is a rare type of shoulder dislocation in which the humeral head becomes trapped beneath the glenoid. Patients present with the arm in a fixed hyperabducted position. LEH is estimated to occur in 0.5% of all shoulder dislocations, most often caused by trauma and has a significant association with local bone, ligament and less frequently neurovascular injury. We present a case with initial neurovascular compromise and sustained neurological impairment at long-term follow-up. Urgent closed reduction is advocated and subsequent treatment is dependent on associated injuries.
authors.affiliation: Latrobe Regional Hospital, Traralgon, Victoria, Australia.|The Royal Hobart Hospital, Hobart, Tasmania, Australia.
authors.forename: David
authors.identifier: http://orcid.org/0000-0001-5219-5282
authors.initials: D
authors.lastname: Owen
authors.affiliation: Department of Orthopaedics, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Mithun
authors.initials: M
authors.lastname: Nambiar
authors.affiliation: Latrobe Regional Hospital, Traralgon, Victoria, Australia.|Northern Heath, Melbourne, Victoria, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Moore
authors.affiliation: Latrobe Regional Hospital, Traralgon, Victoria, Australia.|Gippsland Orthopaedic Group, Traralgon, Victoria, Australia.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Thomas
mesh_terms: D001917:Brachial Plexus / Q000000981:diagnostic imaging / Q000473:pathology; D061165:Glenoid Cavity / Q000473:pathology; D006801:Humans; D058430:Humeral Head / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008475:Median Nerve / Q000293:injuries*; D011859:Radiography; D012782:Shoulder / Q000000981:diagnostic imaging / Q000473:pathology; D012783:Shoulder Dislocation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D014459:Ulnar Nerve / Q000293:injuries*; D014463:Ultrasonography; D055815:Young Adult