![]() ![]() Shoulder dislocation is one of the most common injuries sustained during overhead sports.Shoulder dislocation is most commonly seen in adults and adolescents, and is very seldom seen in the younger child.This rare subgroup may have superimposed psychosocial factors contributing to the need to wilfully dislocate shoulder and seek medical attention and / or chronic pain syndromes.Sub-subgroup voluntary, wilful dislocators.May not be symptomatic, but can pop shoulder in and out as a “party trick”.Atraumatic, voluntary dislocators (beyond the scope of this guideline).Atraumatic, multidirectional (beyond the scope of this guideline).Repeat dislocators - can be related to MDI or structural issues.First time dislocators - can cause damage to underlying structures - may require surgery.Children with recurrent unidirectional dislocations may benefit from MRI and surgical repair.Ģ. How are shoulder dislocations classified?.ALL first-episode shoulder dislocations should have follow-up arranged with either Sports Medicine, Physiotherapy or Orthopaedics, for evaluation of risk factors for recurrent dislocation.The post-reduction radiographs should be checked very carefully for a glenoid rim fracture (Bankart lesion), with early CT and orthopaedic follow up arranged when these are present.Acute shoulder dislocations should be reduced in the Emergency Department, placed into a sling and have radiographs to confirm reduction.Multidirectional recurrent shoulder instability or suspected wilful dislocation are less common entities - both are beyond the scope of this guideline.Acromioclavicular joint dislocation is a separate entity which is not covered in this guideline.This guideline refers to acute traumatic dislocation of the glenohumeral joint.What are the potential complications associated with this injury?.What is the usual ED management for this fracture?.Do I need to refer to orthopaedics now?.When is reduction (non-operative and operative) required?. ![]() What radiological investigations should be ordered?.How common are they and how do they occur?. ![]()
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