Courtesy of Shoulderdoc. co. uk |
Figure 2. Schematic illustration of an anterior shoulder dislocation. |
Courtesy of Shoulderdoc. co. uk |
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determine if there are any |
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fractures. The authors recommend a |
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true AP and a lateral view for acute |
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dislocations. The coracoid process |
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is a helpful landmark that is present at the front of the shoulder, and this helps to determine the direction of dislocation. If the shoulder is not too uncomfortable a West |
Acromion |
Clavicle |
Lateral view |
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Point view is very helpful to evaluate for a bony Bankart lesion. Ultrasound or MRI is important if there is a concern regarding the rotator cuff. Table 1 lists the injuries that may be associated with a shoulder dislocation. |
Tear |
Glenoid labrum
Glenoid cavity
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MANAGEMENT
THE initial management of shoulder
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instability focuses on reduction, |
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with any dislocated joint reduced as soon as possible. Imaging can |
Normal labrum |
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always follow. |
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Reduction
It is important to immediately assess
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SLAP tear |
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and treat a shoulder dislocation | ||||
because once muscle spasm occurs it | ||||
is very difficult to reduce the shoulder | ||||
joint without anaesthesia. The |
authors also recommend a quick assessment of the axillary nerve by |
Tear |
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testing sensation over the deltoid. |
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The traction / countertraction |
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technique is a commonly used |
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method for reduction and is the most practical to perform on the sidelines immediately after an injury. This technique is performed |
Anterior view |
Bankart lesion |
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by placing longitudinal traction on the injured arm and slowly abducting and externally rotating PAGE 40 |
Figure 5. Superior labrum from anterior to posterior( SLAP) tear. |
Labrum tears |
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