{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:03:12Z","timestamp":1761645792621,"version":"build-2065373602"},"reference-count":7,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,11]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Inferior type of shoulder dislocation or luxatio erecta is highly uncommon and accounts for less than 1% of all shoulder dislocations. The patient generally presents with the shoulder in hyperabduction, classically called as the salute position. Here, we present a rare case of a 3\u2009days old inferiorly dislocated right shoulder joint that presented without the arm in hyperabduction and clinically mimicking anterior shoulder dislocation. Further clinical and radiographic evaluation revealed it to be a subglenoid inferior shoulder dislocation. Reduction of the joint was achieved by simultaneously applying longitudinal traction along the arm and lateral traction along the proximal humerus. Absence of the classic hyperabducted position in this case not only posed a diagnostic challenge, but also a therapeutic challenge since it warranted an unconventional manoeuvre to reduce this dislocated joint.<\/jats:p>","DOI":"10.1136\/bcr-2025-268787","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T09:55:21Z","timestamp":1761645321000},"page":"e268787","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Atypical presentation of inferior shoulder dislocation"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9435-5553","authenticated-orcid":false,"given":"Naman","family":"Mittal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, KMC Mangalore, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adithya H","family":"Namboothiri","sequence":"additional","affiliation":[{"name":"KMC Mangalore, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohini","family":"Verma","sequence":"additional","affiliation":[{"name":"KMC Mangalore, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3176-9176","authenticated-orcid":false,"given":"Rakshith","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, KMC Mangalore, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"2025102802551680000_18.10.e268787.1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s00068-004-1365-1","article-title":"Atypical Subglenoid Inferior Glenohumeral Dislocation Clinically Mimicking Anterior Dislocation","volume":"30","author":"Sharma","year":"2004","journal-title":"Eur J Trauma"},{"key":"2025102802551680000_18.10.e268787.2","first-page":"171","article-title":"A case of Inferior Dislocation of Right Shoulder","volume":"4","author":"Nair","year":"2022","journal-title":"DJCM"},{"key":"2025102802551680000_18.10.e268787.3","doi-asserted-by":"crossref","first-page":"40","DOI":"10.13107\/jocr.2023.v13.i12.4070","article-title":"Luxatio Erecta Humeri: A Case Report","volume":"13","author":"Minicelli","year":"2023","journal-title":"J Orthop Case Rep"},{"key":"2025102802551680000_18.10.e268787.4","doi-asserted-by":"crossref","DOI":"10.1186\/1749-799X-4-40","article-title":"Unusual inferior dislocation of shoulder: reduction by two-step maneuver: a case report","volume":"4","author":"Saseendar","year":"2009","journal-title":"J Orthop Surg Res"},{"key":"2025102802551680000_18.10.e268787.5","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/S0020-1383(02)00151-1","article-title":"A true traumatic inferior dislocation of shoulder","volume":"33","author":"Sonanis","year":"2002","journal-title":"Injury"},{"key":"2025102802551680000_18.10.e268787.6","article-title":"Inferior Shoulder Dislocation: A Report of Three Cases Reduced Using the \u2018Two-Step Manoeuvre\u2019","volume":"16","author":"Sam","year":"2024","journal-title":"Cureus"},{"key":"2025102802551680000_18.10.e268787.7","doi-asserted-by":"crossref","DOI":"10.1016\/j.tcr.2021.100529","article-title":"Atypical presentation of an inferior shoulder dislocation with an engaging Hill-Sachs lesion: A case report","volume":"35","author":"Panico","year":"2021","journal-title":"Trauma Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T09:55:23Z","timestamp":1761645323000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":7,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,28]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-268787"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268787","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}