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Patient presented to ed with arm in fixed abducted position. Unknown mechanism.
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Luxatio erecta, inferior shoulder dislocation, no obvious fracture. Both projections taken supine.
Luxatio erecta accounts for less than 1% of all glenohumeral dislocations. Clinically an inferior dislocation is unique, patients will present with the affected arm in a fixed abducted position.
Yet radiographically the anterior-posterior protection can easily mimic a subglenoid anterior dislocation- making it imperative to always obtain orthogonal views of the suspected dislocation. The current literature suggest that with formal follow up the long-term results of treatment is positive.
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