Shoulder dislocations are a common presentation to the emergency department. Although many cases may be diagnosed by history and clinical examination alone, imaging may help diagnose more challenging cases. Three-view radiographs are important for identifying subtle posterior dislocations, and ultrasonography has been gaining evidence as an alternate diagnostic modality. Intra-articular lidocaine and nerve blocks may improve pain control and reduce the need for procedural sedation. Multiple, evidence-based reduction techniques are described including tips for improving success. Immobilization strategies and follow-up are also discussed.
Assistant Professor and Director of Ultrasound, Department of Emergency Medicine, Rush University Medical Center, Chicago, IL.
The author, faculty, and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interest in, any commercial organizations pertaining to this educational activity.
Reprints: Michael Gottlieb, MD, RDMS, Suite 108 Kellogg, 1750 W Harrison St, Chicago, IL 60612 (e-mail: MichaelGottliebMD@Gmail.com).