Shoulder dislocation: Difference between revisions
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*[http://www.youtube.com/watch?v=d9HjtQr0c64 Good all-round shoulder reduction technique lecture] | *[http://www.youtube.com/watch?v=d9HjtQr0c64 Good all-round shoulder reduction technique lecture] | ||
*[http://thecentralline.org/?p=1769 Keeping Up in EM Shoulder Reduction Video] | *[http://thecentralline.org/?p=1769 Keeping Up in EM Shoulder Reduction Video] | ||
==Video== | |||
{{#widget:YouTube|id=WPAEBZUOW6c}} | |||
==References== | ==References== | ||
Revision as of 17:23, 31 October 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.
See Also
External Links
Video
{{#widget:YouTube|id=WPAEBZUOW6c}}