Managing Anterior Shoulder Dislocation - 19/12/15

Doi : 10.1016/j.annemergmed.2015.07.496

Gregory W. Hendey, MD ^⁎
UCSF Fresno Medical Education Program, Fresno, CA

^∗Corresponding Author.

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Introduction

Radiographs

Analgesia and Anesthesia

Minimal or No Medication

Intra-articular Injection

Procedural Sedation

Reduction

External Rotation Plus Milch^{Leidelmeyer R. Reduced! a shoulder, subtly and painlessly Emerg Med 1977 ; 9 : 233-234

, Milch H. Treatment of dislocation of the shoulder Surg Gynecol Obstet 1938 ; 3 : 732-740

, Mirick M.J., Clinton J.E., Ruiz E. External rotation method of shoulder dislocation reduction JACEP 1979 ; 8 : 528-531}

Stimson Plus Scapular Manipulation^{Anderson D., Zvirbulis R., Ciullo J. Scapular manipulation for reduction of anterior shoulder dislocations Clin Orthop Relat Res 1982 ; 164 : 181-183

, McNamara R.M. Reduction of anterior shoulder dislocations by scapular manipulation Ann Emerg Med 1993 ; 22 : 1140-1144

, Stimson L. An easy method of reducing dislocations of the shoulder and hip Med Record 1900 ; 57 : 356-357}

Cunningham^{Cunningham N. A new drug free technique for reducing anterior shoulder dislocations Emerg Med 2003 ; 15 : 521-524}

Traction-Countertraction

Immobilization

Disposition

	Editor’s Note: The Expert Clinical Management series consists of shorter, practical review articles focused on the optimal approach to a specific sign, symptom, disease, procedure, technology, or other emergency department challenge. These articles—typically solicited from recognized experts in the subject area—will summarize the best available evidence relating to the topic while including practical recommendations where the evidence is incomplete or conflicting.
	Supervising editor: Steven M. Green, MD
	Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org/). The author has stated that no such relationships exist.
	A podcast for this article is available at www.annemergmed.com.
	Continuing Medical Education exam for this article is available at ACEPeCME/.

Esportazione

Vol 67 - N° 1

P. 76-80 - gennaio 2016 Ritorno al numero

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