DOI: 10.36347/sjams.2018.v06i10.090

Pages: 4120-4122

The dislocation erecta humeri (dislocation of the shoulder), a rare variety of lower dislocation of the shoulder, represents 0.5% of the total dislocations described in 1859 by Middeldorp, especially in young subjects. It is remarkable for its spectacular clinical deformity (arm in the air in forced abduction with impossibility of bringing back the elbow to the body). We report 12 cases of dislocation of the erecta type shoulder collected between 2008 and 2017. There are nine men and three middle-aged women (33 years old), the right shoulder was dislocated in eight cases, and the mechanism was direct in four patients. No vasculonervous disturbance was noted. The radiograph of the shoulder in front of the patient showed a lower dislocation of the humeral head and a diaphyseal axis above the horizontal in all our observations. The treatment consisted of a reduction under general anesthesia followed by a Dujarier type bandage for 3 weeks. Dislocation of the erecta type shoulder is the typical form of the inferior dislocation; its mechanism is a fall on the upper limb in large abduction or antepulsion. Clinical diagnosis is easy confirmed by radiograph of the shoulder of the face. The long-term functional prognosis is good.