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

Michael Gottlieb
2018 Pediatric emergency care  
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,
more » ... dencebased reduction techniques are described including tips for improving success. Immobilization strategies and follow-up are also discussed. TARGET AUDIENCE This CME activity is intended for practitioners who care for pediatric patients presenting with possible shoulder dislocation, which may include general pediatricians, pediatric emergency physicians, general emergency physicians, orthopedic surgeons, and sports medicine specialists.
doi:10.1097/pec.0000000000001474 pmid:29715217 fatcat:jh3obtpxmbhitg4ic3f7cfyasq