Shoulder dislocation

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

• Shoulder dislocation
  • Anterior shoulder dislocation
  • Posterior shoulder dislocation
  • Inferior shoulder dislocation

Further Reading

Good all-round shoulder reduction technique lecture

Keeping Up in EM Shoulder Reduction Video

References

• Tintinalli
• Roberts:Clinical Procedures in EM. 5th ed
• https://www2.aofoundation.org/wps/portal/!ut/p/c0/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwN3QwMDA08zTzdvvxBjIwN_I_2CbEdFADiM_QM!/?redfix_url=&implantstype=&segment=Proximal&bone=Humerus&classification=11-A1.3&showPage=redfix&treatment=Operative&method=Closed%20reduction%3B%20screw%20fixation