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Arthroscopic Treatment of Luxatio Erecta Humeri Associated with Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: A Case Report.
Am J Case Rep. 2020 Jun 18; 21:e923727.AJ

Abstract

BACKGROUND

Luxatio erecta humeri (LEH) is a rare injury present in only 0.5% of shoulder dislocations. Much of the relevant literature is focused on the initial management and proper reduction techniques, although the prevalence of associated injuries can reach 80%. A case of LEH associated with greater tuberosity (GT) fracture and rotator cuff (RC) tear in a young laborer managed with closed reduction and arthroscopic repair of the labrum and rotator cuff is presented. CASE REPORT A 28-year-old man presented to our hospital with severe pain in his right shoulder after a high-impact motor vehicle accident. Standard anteroposterior radiographs revealed an inferior dislocation (LEH) of the right shoulder and a fracture of the GT. The patient was initially managed with closed reduction under mild intravenous sedation, using a 2-step maneuver followed by arthroscopic evaluation of the joint the next day. During arthroscopic evaluation, an anterior-inferior Bankart lesion, impaction of the humeral head with a minimal displaced GT fracture, and a partial RC tear were identified and successfully treated arthroscopically. The patient had immobilization in a simple sling for 6 weeks and he followed a standard 3-month physiotherapy protocol for rotator cuff, finally regaining almost normal range of shoulder motion at 1 year.

CONCLUSIONS

Although very good results of non-operative treatment of LEH have been reported in the literature, the co-existence of intra-articular lesions such as labral and rotator cuff tears makes arthroscopic repair an attractive alternative in individual cases.

Authors+Show Affiliations

Department of Orthopaedics, University Hospital, Patras Medical School, Patras, Greece.Department of Orthopaedics, University Hospital, Patras Medical School, Patras, Greece.Department of Orthopaedics, General Army Hospital of Athens, Athens, Greece.Department of Physiotherapy, Patras University, Patras, Greece.Department of Radiology, Patras University Hospital, Patras, Greece.Department of Orthopaedics, University Hospital, Patras Medical School, Patras, Greece.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32555129

Citation

Kouzelis, Antonis, et al. "Arthroscopic Treatment of Luxatio Erecta Humeri Associated With Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: a Case Report." The American Journal of Case Reports, vol. 21, 2020, pp. e923727.
Kouzelis A, Kokkalis ZT, Lachanas I, et al. Arthroscopic Treatment of Luxatio Erecta Humeri Associated with Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: A Case Report. Am J Case Rep. 2020;21:e923727.
Kouzelis, A., Kokkalis, Z. T., Lachanas, I., Matzaroglou, C., Solomou, A., & Panagopoulos, A. (2020). Arthroscopic Treatment of Luxatio Erecta Humeri Associated with Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: A Case Report. The American Journal of Case Reports, 21, e923727. https://doi.org/10.12659/AJCR.923727
Kouzelis A, et al. Arthroscopic Treatment of Luxatio Erecta Humeri Associated With Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: a Case Report. Am J Case Rep. 2020 Jun 18;21:e923727. PubMed PMID: 32555129.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic Treatment of Luxatio Erecta Humeri Associated with Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: A Case Report. AU - Kouzelis,Antonis, AU - Kokkalis,Zinon T, AU - Lachanas,Ioannis, AU - Matzaroglou,Charalampos, AU - Solomou,Aikaterini, AU - Panagopoulos,Andreas, Y1 - 2020/06/18/ PY - 2020/6/20/entrez PY - 2020/6/20/pubmed PY - 2020/6/20/medline SP - e923727 EP - e923727 JF - The American journal of case reports JO - Am J Case Rep VL - 21 N2 - BACKGROUND Luxatio erecta humeri (LEH) is a rare injury present in only 0.5% of shoulder dislocations. Much of the relevant literature is focused on the initial management and proper reduction techniques, although the prevalence of associated injuries can reach 80%. A case of LEH associated with greater tuberosity (GT) fracture and rotator cuff (RC) tear in a young laborer managed with closed reduction and arthroscopic repair of the labrum and rotator cuff is presented. CASE REPORT A 28-year-old man presented to our hospital with severe pain in his right shoulder after a high-impact motor vehicle accident. Standard anteroposterior radiographs revealed an inferior dislocation (LEH) of the right shoulder and a fracture of the GT. The patient was initially managed with closed reduction under mild intravenous sedation, using a 2-step maneuver followed by arthroscopic evaluation of the joint the next day. During arthroscopic evaluation, an anterior-inferior Bankart lesion, impaction of the humeral head with a minimal displaced GT fracture, and a partial RC tear were identified and successfully treated arthroscopically. The patient had immobilization in a simple sling for 6 weeks and he followed a standard 3-month physiotherapy protocol for rotator cuff, finally regaining almost normal range of shoulder motion at 1 year. CONCLUSIONS Although very good results of non-operative treatment of LEH have been reported in the literature, the co-existence of intra-articular lesions such as labral and rotator cuff tears makes arthroscopic repair an attractive alternative in individual cases. SN - 1941-5923 UR - https://www.unboundmedicine.com/medline/citation/32555129/Arthroscopic_Treatment_of_Luxatio_Erecta_Humeri_Associated_with_Greater_Tuberosity_Fracture,_Bankart_Lesion,_and_Partial_Rotator_Cuff_Tear:_A_Case_Report L2 - https://www.amjcaserep.com/download/index/idArt/923727 DB - PRIME DP - Unbound Medicine ER -
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