Shoulder Dislocations

Shoulder dislocations are fairly common orthopedic emergencies presenting to the emergency department. And anterior to the glenoid fossa and labrum is far and away the most common final resting location of the humeral head. Consequently, most emergency physicians develop their own favorite technique for reducing anterior dislocations.   Factors such as the dislocation duration, patient comorbidities, prior dislocation events, and associated fractures or bony lesions will determine the specific technique used and whether procedural sedation is utilized. Posterior and inferior shoulder dislocations, however, are relatively rare. Moreover, the associated injuries differ (e.g., reverse Hill-Sachs lesion with posterior dislocations and neurologic dysfunction with inferior dislocations), and the technique for reduction changes. These three videos demonstrate the three different types of shoulder dislocations, their associated reduction techniques, and their unique injuries.     Click here to watch reduction of an inferior shoulder dislocation.     Click here to watch the reduction of a posterior shoulder dislocation.     Click here to watch the external rotation technique for a dislocated shoulder.   Tags: emergency medicine, emergency department, orthopedics, shoulder dislocations, posterior shoulder dislocations, inferior shoulder dislocationsPublished: 1/30/2015 4:11:00 PM
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs