"Hands Up" and Social Distancing: A Rare Case of Bilateral Luxatio Erecta During the Second Wave of the COVID-19 Pandemic Lockdown Period

In this paper, we present an interesting and very rare case of bilateral luxatio erecta as a result of unattended at-home sports activities during the lockdown period due to the second COVID-19 pandemic wave. A 31-year-old man presented to the emergency department (ED) with the characteristic "...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-11, Vol.14 (11), p.e31675
Main Authors: Ntourantonis, Dimitrios, Lianou, Ioanna, Ampariotou, Anastasia, Daskalopoulos, Vasileios
Format: Article
Language:English
Subjects:
Case reports
COVID-19
Elbow
Emergency medical care
Emergency Medicine
Injuries
Orthopedics
Pandemics
Patients
Physicians
Rotator cuff
Shoulder
Social distancing
Social interaction
Trauma
Weightlifting
X-rays
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Summary:In this paper, we present an interesting and very rare case of bilateral luxatio erecta as a result of unattended at-home sports activities during the lockdown period due to the second COVID-19 pandemic wave. A 31-year-old man presented to the emergency department (ED) with the characteristic "hands up" position after an injury on both shoulders while he was performing unsupervised weightlifting training at home during the lockdown. After the successful reductions, the neurovascular status for both upper extremities was evaluated and confirmed without impairment. The patient has fully recovered and has gained full range of motion on both shoulders without any signs of instability. Luxatio erecta is a low-incidence injury, while the presence of this injury in both upper extremities is thought to be extremely rare, with only a few cases published in the literature to date. Bilateral cases are associated with a high rate of complications. ED physicians should maintain an increased awareness for prompt recognition, particularly in polytrauma patients, as the presence of this injury increases the complexity of managing this type of patient in the ED due to the abducted arms.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.31675