Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Become a Gold Supporter and see no ads. Log in Sign up. Articles Cases Courses Quiz. About Recent Edits Go ad-free. Edit article. View revision history Report problem with Article. Citation, DOI and article data. Stanislavsky, A. Anterior shoulder dislocation. Reference article, Radiopaedia.
Musculoskeletal , Trauma. Anterior dislocation of the shoulder Anterior shoulder dislocations Anterior dislocations of the shoulder Anterior dislocation of shoulder. URL of Article. On this page:. Restore the arm to the pre-reduction position adducted, non-rotated. If reduction has failed to occur thus far, sometimes it will occur as the arm is rotated back internally.
Successful reduction is preliminarily confirmed by restoration of a normal round shoulder contour, by decreased pain, and by the patient's renewed ability to reach across the chest and place the palm of the hand upon the opposite shoulder. Because the joint can spontaneously dislocate after successful reduction, do not delay immobilizing the joint. Do a post-procedure neurovascular examination. A neurovascular deficit warrants immediate orthopedic evaluation. Allow sufficient time for muscle spasms to resolve before proceeding through the procedure; too-rapid reduction is a common cause of failure with this technique.
Apparent shoulder dislocation in a child is often a fracture involving the growth plate, which tends to fracture before the joint is disrupted. In patients who return with increased pain within 48 hours after a reduction, hemarthrosis is possible unless the shoulder has again dislocated.
If there has been no other trauma, the shoulder is not dislocated and pain is increasing, aspirate the blood from the joint space see How to Do Arthrocentesis of the Shoulder Arthrocentesis of the Shoulder An evaluation of the shoulder includes a physical examination and sometimes arthrocentesis. Physical examination of the shoulder involves If available, use ultrasound guidance. Arch Emerg Med 9 1 , From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Videos Figures Images Quizzes Symptoms. Additional Considerations. Relevant Anatomy. Step-by-Step Description of Procedure.
Warnings and Common Errors. Tips and Tricks. How To Reduce Dislocations and Subluxations. Test your knowledge. A year-old boy is brought to the emergency department via ambulance after he was involved in a motor vehicle collision. The patient is unconscious on arrival. MRI shows small microhemorrhages in the brain stem. The patient remains unconscious for the next 7 hours. Based on these findings, which of the following is the most likely diagnosis?
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