Rotator cuff tears in luxatio erecta: an arthroscopic perspective of two cases

Vivek Pandey, Sandesh Madi, Sandeep Tapashetti, Kiran Acharya

Research output: Contribution to journalArticle

Abstract

Luxatio erecta accounts for only 0.5% of all shoulder dislocations. More than 150 cases have been described in the literature, focusing mainly on the method of reduction and/or associated complications. Some of the well-described complications include injuries to the humeral head, glenoid, clavicle, rotator cuff, capsules and ligaments, brachial plexus and axillary artery/vein. Among these, rotator cuff injuries are reported to occur in about 80% of cases. However, in the majority of instances, cuff injuries have been managed conservatively and have been reported to apparently provide optimal functional outcomes. We report our experience with two cases of luxatio erecta associated with massive rotator cuff injuries, which were evaluated and further managed by arthroscopic repair. The emphasis in these cases is to define cuff injuries and proceed based on patients' age, demands and characteristics of the cuff tears. Arthroscopic evaluation and cuff repairs should be contemplated in these patients, to improve shoulder functions.

Original languageEnglish
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 01-01-2015

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Joint Dislocations
Wounds and Injuries
Axillary Vein
Axillary Artery
Humeral Head
Shoulder Dislocation
Clavicle
Rotator Cuff
Brachial Artery
Brachial Plexus
Tears
Ligaments
Capsules
Rotator Cuff Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Luxatio erecta accounts for only 0.5{\%} of all shoulder dislocations. More than 150 cases have been described in the literature, focusing mainly on the method of reduction and/or associated complications. Some of the well-described complications include injuries to the humeral head, glenoid, clavicle, rotator cuff, capsules and ligaments, brachial plexus and axillary artery/vein. Among these, rotator cuff injuries are reported to occur in about 80{\%} of cases. However, in the majority of instances, cuff injuries have been managed conservatively and have been reported to apparently provide optimal functional outcomes. We report our experience with two cases of luxatio erecta associated with massive rotator cuff injuries, which were evaluated and further managed by arthroscopic repair. The emphasis in these cases is to define cuff injuries and proceed based on patients' age, demands and characteristics of the cuff tears. Arthroscopic evaluation and cuff repairs should be contemplated in these patients, to improve shoulder functions.",
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Rotator cuff tears in luxatio erecta : an arthroscopic perspective of two cases. / Pandey, Vivek; Madi, Sandesh; Tapashetti, Sandeep; Acharya, Kiran.

In: BMJ Case Reports, Vol. 2015, 01.01.2015.

Research output: Contribution to journalArticle

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AU - Pandey, Vivek

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AU - Tapashetti, Sandeep

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