Shoulder dislocation: Difference between revisions
(Moved "chronic anterior dislocation" section to anterior dislocation article.) |
No edit summary |
||
| Line 16: | Line 16: | ||
==Management== | ==Management== | ||
*Reduction | *Reduction | ||
**See individual types for specific | **See individual types for specific techniques. | ||
*Cochrane review notes lower complications, equal pain control, and shorter ED stay with intra-articular lidocaine vs. procedural sedation | *Cochrane review notes lower complications, equal pain control, and shorter ED stay with intra-articular lidocaine vs. procedural sedation | ||
| Line 23: | Line 23: | ||
==Disposition== | ==Disposition== | ||
*Uncomplicated dislocation can be discharged after reduction. | *Uncomplicated dislocation can be discharged after reduction. | ||
*See individual types for specific management. | |||
==See Also== | ==See Also== | ||
Revision as of 08:40, 4 July 2015
Background
- Humerus separates from the scapula at the glenohumeral joint.
- Partial dislocation of the shoulder is referred to as subluxation.
Types
Diagnosis
- Plain film X-ray
Differential Diagnosis
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Management
- Reduction
- See individual types for specific techniques.
- Cochrane review notes lower complications, equal pain control, and shorter ED stay with intra-articular lidocaine vs. procedural sedation
- 20 mL of 1% lidocaine intra-articular injection[1]
Disposition
- Uncomplicated dislocation can be discharged after reduction.
- See individual types for specific management.