ABSTRACT
Luxatio erecta, or inferior shoulder dislocation, is a rare form of shoulder dislocation. The case of a patient presenting with bilateral luxatio erecta, which was initially felt by EMS personnel to be an hysterical reaction, is discussed. An awareness of this rare entity, the potential-associated musculoskeletal and neurovascular injuries, and the proper treatment are essential for emergency physicians.
Subject(s)
Shoulder Dislocation/diagnosis , Aged , Aged, 80 and over , Diagnosis, Differential , Female , Humans , Hysteria/diagnosis , Radiography , Shoulder Dislocation/diagnostic imaging , Shoulder Dislocation/therapyABSTRACT
Failure to develop a proper routine for complete examination and documentation of the injured hand may result in the inability to make the proper diagnosis. Less than optimal treatment may result. Ultimately, the end result is unnecessary functional loss and, frequently, medical-legal difficulties. Initial emergency department management of acute hand is reviewed: recognition of surgical emergencies, proper initial treatment of tendon and nerve injuries, splinting, and record keeping are emphasized.
