Obturator hip dislocation associated with contralateral luxatio erecta humeri: An unusual traumatic association (case report)

• Published in: International journal of surgery case reports Vol. 117; p. 109510
• Main Authors: Safouen, Ben Brahim, Khalil, Habboubi, Ahmed, Mzid, Mehdi, Meddeb, Hassen, Makhlouf, Mondher, Mestiri
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.04.2024; Elsevier
• Subjects: Case Report; Functional treatment; Obturator dislocation; Shoulder dislocation; Shoulder dislocation; Case report; Functional treatment; Obturator dislocation
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.109510

Obturator hip dislocation and luxatio erecta humeri are two extremely rare injuries. We are reporting a very rare case that involves the association of these two injuries. We reported the case of a 34-year-old male who was a victim of a high-energy road accident. Initial examinations showed a right obturator dislocation associated with a left luxatio erecta humeri without vascular-nervous complication. Further examinations have ruled out life-threatening injuries. A closed reduction for both joints has been performed under general anesthesia less than 6 h following the trauma. Postoperative examination showed two congruent joints. Functional treatment has been implemented. Weight-bearing was permitted after 6 weeks, and physical rehabilitation of the shoulder was initiated 3 weeks after the trauma. Last examination (20 months after trauma) showed a painless two-joint with a full range of motion. There was no sign of shoulder instability, and radiographs showed no signs of avascular necrosis of the femoral head. Both injuries are two rare orthopedic emergencies that require prompt diagnosis and immediate reductions. A good outcome can be expected if functional treatment is applied after prompt closed reduction. Hence, regular monitoring is required to detect complications such as avascular necrosis of the femoral head for the hip and signs of instability for the shoulder. •Obturator hip dislocation is a rare injury resulting from high-energy trauma.•Luxatio erecta humeri is also a rare shoulder injury resulting from an indirect mechanism.•The association between these two injuries has never been reported in the literature.•A favorable outcome can be expected from functional treatment of these rare injuries if early reductions are performed.