Shoulder dislocation: Difference between revisions

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**[[Posterior shoulder dislocation]]
**[[Posterior shoulder dislocation]]
**[[Inferior shoulder dislocation]]
**[[Inferior shoulder dislocation]]
==Inferior Dislocation==
===Background===
*Assoc w/ significant soft tissue trauma or fracture
*Via hyperabduction force which levers the humeral neck against the acromion
===Clinical Features===
*Pt p/w humerus fully abducted with hand on or behind the head
*Humeral head can be palpated on lateral chest wall
===Management===
*Reduce
**Traction in upward and outward direction
*Sling, ortho f/u (rotator cuff tear is the norm)


==Further Reading==
==Further Reading==

Revision as of 04:39, 18 February 2015

Background

  • Cochrane review notes lower complications, equal pain control, and shorter ED stay with intra-articular lidocaine vs. procedural sedation
    • 20mL of 1% lidocaine intra-articular injection

Types

Further Reading

Good all-round shoulder reduction technique lecture

Keeping Up in EM Shoulder Reduction Video

References

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