DOI: https://doi.org/10.36347/sasjs.2026.v12i08.007

Pages: 674-678

Background: Luxatio erecta, or inferior glenohumeral dislocation, is a rare injury with a usually characteristic clinical presentation. Its main severity arises from the frequency of associated osseous, neurological, vascular, and soft-tissue injuries. Case presentations: We report two cases. The first was a 75-year-old patient with type 2 diabetes who sustained an isolated right luxatio erecta after a motorcycle fall. Urgent closed traction-countertraction reduction, brief immobilization, and rehabilitation resulted at six months in 150° of forward flexion, 130° of abduction, and 70° of internal rotation, without recurrence. The second patient was 29 years old and had been struck by a car. A left luxatio erecta was associated with a displaced greater tuberosity fracture. After urgent reduction, the fracture was fixed the following day with two cancellous screws through a mini-anterolateral approach. Complete union was obtained at three months, with 160° of abduction and 70° of internal rotation. Residual weakness and subjective instability prompted additional muscle strengthening. At eight months, the functional outcome was highly satisfactory. Conclusion: Management of luxatio erecta should combine prompt reduction, repeated neurovascular assessment, and systematic evaluation for associated injuries. When luxatio erecta is associated with a greater tuberosity fracture, treatment should be individualized according to fracture displacement and post-reduction stability.