DOI: https://doi.org/10.36347/sasjs.2026.v12i05.021

Pages: 446-449

Dislocation Erecta is a rare and uncommon form of glenohumeral dislocation, accounting for less than 1% of all shoulder dislocations. It generally occurs after high-energy trauma and may be associated with neurovascular, osseous, or capsuloligamentous injuries. We report the case of a 30-year-old cyclist who presented to the emergency department following a sports-related accident with intense shoulder pain and complete functional impairment of the right upper limb. Clinical examination revealed the characteristic posture of the arm fixed in hyperabduction. No neurovascular deficit was found. Standard radiographs and computed tomography confirmed the diagnosis of pure inferior shoulder dislocation without associated fracture. Closed reduction was successfully performed under general anesthesia using gentle axial traction, followed by immobilization and functional rehabilitation. The clinical evolution was favorable, with satisfactory functional recovery and no recurrent instability at follow-up. Through this case and a review of the literature, we discuss the mechanisms of injury, associated lesions, diagnostic features, and therapeutic management of dislocation erecta, emphasizing the importance of early recognition and prompt treatment to optimize functional outcomes.