What is luxatio erecta?
Luxatio erecta, or inferior glenohumeral dislocation, is a rare shoulder dislocation usually caused by a hyperabduction injury to the arm. We have reviewed the literature consisting of 80 cases of luxatio erecta and also discuss six additional cases that we have treated.
What is the Stimson technique?
In the Stimson technique (hanging weights technique), the patient is prone on the stretcher with weights attached to the affected arm, which hangs from the side of the stretcher. Intra-articular anesthetic or other analgesia is required.
How do you reduce anterior shoulder subluxation?
Reduce the shoulder — Hennepin method Instruct the patient to try to relax the arm as you guide it through the maneuver. Slowly and gently, rotate the arm externally, by applying minimal force to the volar surface of the wrist. Work as if you were guiding the arm through passive external rotation.
What is the recommended method for reducing a shoulder dislocation?
Reduction of shoulder dislocation: axial traction and countertraction. Axial traction is applied to arm, and parallel countertraction is applied with sheet wrapped over shoulder. Increasing degree of abduction (if possible) and applying cephalad pressure to displaced humeral head (star) can aid in reduction.
What does a positive Dugas test mean?
Dugas Test. Procedure: Patient seated. Instruct him to touch the opposite shoulder and bring the elbow to the chest wall. Positive Test: Inability to touch the opposite shoulder because of pain indicates anterior dislocation of the humeral head.
What is reduction technique?
Reduction is checked using image intensifier, x-rays, and clinically. Anatomical reduction is a technique in which surgeon puts all the fracture fragments back in their original anatomical positions to reestablish the original shape and form of the fractured bone. Anatomical.
How do you fix anterior subluxation?
Treatment
- Closed reduction. This involves a doctor attempting to gently maneuver the bone back into position.
- Surgery. This may be recommended when dislocations recur.
- Shoulder brace.
- Medication.
- Rehabilitation.
What are reduction techniques?
What is the Hippocratic method?
Hippocratic Method begins with the patient supine, the surgeon grasps the affected side at the hand and forearm. The stockinged heel of the surgeon is placed in the axilla (not pressed hard) this acts as a fulcrum whilst the arm is adducted9. Potential complication can result in damage to the axillary nerve (4).