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Current Approach to the Diagnosis and Management of Shoulder Dislocation in Children

Gottlieb, Michael, MD, RDMS

doi: 10.1097/PEC.0000000000001474
CME Review Article

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:

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