{"pk":7200,"title":"A Woman with Right Shoulder Pain","subtitle":null,"abstract":"<p><strong>Case Presentation:</strong> We report a case of an 89-year-old female who presented with pain in her right shoulder following a fall onto her outstretched hand. Upon presentation, her right hand was held behind her head and elbow held above her head in flexion. There was obvious deformity seen and felt in her axilla. Radiograph of the shoulder showed an inferior shoulder dislocation and impacted humeral neck fracture. Given her age and comorbid osteoporosis, a bedside reduction was performed by orthopedics where the humeral head was intentionally dislocated from the humeral shaft. Thirteen days after the initial shoulder dislocation, the patient&rsquo;s shoulder was successfully repaired by open reduction.</p>\n<p><br><strong>Discussion:</strong> Luxatio erecta, which means &ldquo;erect dislocation&rdquo; in Latin, refers to an inferior shoulder dislocation. It accounts for less than 1% of shoulder dislocations. Our case report highlights an inferior shoulder dislocation with a rare, concomitant humeral neck fracture, managed via staged reduction by orthopedics with intentional dislocation of the humeral head given concern over patient&rsquo;s age and osteoporosis. The patient was eventually successfully repaired via arthroplasty within two weeks.</p>\n<p><br><strong>Keywords:</strong> inferior shoulder dislocation; luxatio erecta; shoulder pain.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"shoulder pain"},{"word":"Luxatio erecta"},{"word":"Inferior Shoulder Dislocation"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5x87981z","frozenauthors":[{"first_name":"Kitan","middle_name":"","last_name":"Akinosho","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"William","middle_name":"","last_name":"Weber","name_suffix":"","institution":"Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois","department":""}],"date_submitted":"2024-01-18T20:03:25.774000Z","date_accepted":"2024-03-18T20:44:36.708000Z","date_published":"2024-06-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7200/galley/10894/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7200/galley/10836/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7200/galley/10894/download/"}]}