DOI: 10.36347/sjmcr.2018.v06i03.016

Pages: 172-175

The shoulder dislocation in its erecta form is a rare variety that represents 0.5% of all shoulders dislocations. Few cases have been reported, so the treatment outcome has been poorly defined, and it is more commonly associated with neurovascular damage than other types of shoulder dislocation. We describe a case of a 20 year-old male who presented to our emergency centre with an inferior shoulder dislocation during an amateur karate fight in a local competition. Radiography examination of the right shoulder was performed which revealed the classical appearance. The injury was subsequently relocated by closed reduction technique under general anesthesia. The evolution was favorable especially in the absence of vascular and nervous complications as well as rigorous immobilization and functional reeducation. The usual injury mechanism is the sudden application of pressure from above on a shoulder joint in abduction and external rotation, bent elbow. To carry out the reduction, traction - counter-traction is applied, in alignment with the humerus in abduction, this manipulation being followed by an arm adduction.