Case Report Rare Inferior Shoulder Dislocation (Luxatio Erecta) Hakan Cift, 1 Salih Soylemez, 2 Murat Demiroglu, 2 Korhan Ozkan, 2 Vahit Emre Ozden, 3 and Afsar T. Ozkut 2 1 Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey 2 Department of Orthopaedics and Traumatology, SB. Medeniyet University Goztepe Education and Research Hospital, Istanbul, Turkey 3 Acibadem Hospital, Maslak, Istanbul, Turkey Correspondence should be addressed to Hakan Cit; hakanturancit@yahoo.com Received 17 February 2015; Accepted 15 March 2015 Academic Editor: Pedro Carpintero Copyright © 2015 Hakan Citet al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Although shoulder dislocations have been seen very frequently, inferior dislocation of shoulder constitutes only 0.5% of all shoulder dislocations. We share our 4 patients with luxatio erecta and present their last clinical control. 2 male and 2 female Caucasian patients were diagnosed as luxatio erecta. Patients’ ages were 78, 62, 65, and 76. All patients’ reduction was done by traction-abduction and contour traction maneuver in the operating room. he patients had no symptoms and no limitation of range of motion of their shoulder at their last control. Luxatio erecta is seen rarely, and these patients may have neurovascular injury. hese patients should be carefully examined and treated by the orthopaedic and traumatology surgeons. 1. Introduction Although shoulder dislocations have been seen very fre- quently, inferior dislocation of shoulder constitutes only 0.5% of all shoulder dislocations [1]. he most inferior dislocations result from forceful hyperabduction of the shoulder. Forceful, direct axial loading of an abducted shoulder can also result in luxatio erecta. he patients come to the emergency room with the hand up position in the efected arm. In this report, we share our 4 patients with luxatio erecta and present their treatment results. 2. Case Presentations 2.1. Case 1. 76-year-old male Caucasian patient presented to the Emergency Department with pain and inability to move his right shoulder. His right arm was locked in abduction of 135 degrees. Because he had dementia we could not get enough information how the injury occurred other than a fall during walking. Examination revealed loss of contour of shoulder, presence of the head of humerus palpable in the axilla. Humeral head was monitored below the glenoid rim in the X-ray. here were no neurovascular deicits and no fracture in the shoulder radiography and humeral head had been seen under the glenoid. Under sedation, reduction was done by traction-abduction and contour traction maneu- ver. Velpeau bandage was done. Progressive mobilization of shoulder was started ater 3 weeks. he patient had no symptoms and no limitation of range of motion of his shoulder at his last control 12 months ater reduction. 2.2. Case 2. 62-year-old female Caucasian patient presented to the Emergency Department with pain and inability to move right shoulder. She was hanged with outstretched hand while she was falling from the wall. She also had Parkinson’s disease. She could not move her arm which was elevated and abducted from horizontal plane; prominence of acromion and humeral head was palpable in the axilla. X-ray showed humeral head under glenoid (Figure 1). here were no neurovascular deicits. Under sedation, immediately reduction was done by traction-abduction and contour trac- tion maneuver (Figure 2). Velpeau bandage was applied with 3 weeks of immobilization. he patient had no symptoms and no limitation of range of motion of her shoulder at her last control 8 months ater reduction. Hindawi Publishing Corporation Case Reports in Orthopedics Volume 2015, Article ID 624310, 3 pages http://dx.doi.org/10.1155/2015/624310