Adult Ortho Cases 004
Shoulder Dislocations
A review of Xray and ultrasound (POCUS) evaluation, dislocation types and reduction techniques
Carrie Bissell MD, Aaron Fox MD, Kendrick Lim DO, Courtney Owens MD, and Angela Pikus MD curate and presents a series of Adult Orthopedic X-Ray Cases each month. First published on EMGuideWire.com and peer reviewed by Professor Michael Gibbs and Laurence Kempton, MD
References
- Silfverskiold JP, Straehley DJ, Jones WW. Roentgenographic evaluation of suspected shoulder dislocation: a prospective study comparing the axillary view and the scapular ‘Y’ view. Orthopedics. 1990 Jan;13(1):63-9.
- Boswell B, Farrow R, Rosselli M, Farcy DA, Santana L, Santos CD, Cubeddu LX. Emergency Medicine Resident-Driven Point of Care Ultrasound for Suspected Shoulder Dislocation. South Med J. 2019 Dec;112(12):605-609.
- Attard Biancardi MA, Jarman RD, Cardona T. Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). Emerg Med J. 2022 Sep;39(9):655-661.
- Gottlieb M, Patel D, Marks A, Peksa GD. Ultrasound for the diagnosis of shoulder dislocation and reduction: A systematic review and meta-analysis. Acad Emerg Med. 2022 Aug;29(8):999-1007.
- Perron AD, Ingerski MS, Brady WJ, Erling BF, Ullman EA. Acute complications associated with shoulder dislocation at an academic Emergency Department. J Emerg Med. 2003 Feb;24(2):141-5.
- Orloski J, Eskin B, Allegra PC, Allegra JR. Do all patients with shoulder dislocations need prereduction x-rays? Am J Emerg Med. 2011 Jul;29(6):609-12.
- Emond M, Le Sage N, Lavoie A, Rochette L. Clinical factors predicting fractures associated with an anterior shoulder dislocation. Acad Emerg Med. 2004 Aug;11(8):853-8.
- Delattre Sousa S, Houze-Cerfon CH, Le Gourrierec T, Charpentier S, Dubucs X, Balen F. Risk factors for the presence of important fractures in ED patients with shoulder dislocation: a retrospective cohort study. Emerg Med J. 2022 Sep;39(9):662-665.
- Émond M, Gariepy C, Boucher V, Hendey GW. Selective Prereduction Radiography in Anterior Shoulder Dislocation: The Fresno-Quebec Rule. J Emerg Med. 2018 Aug;55(2):218-225.
- Benhamed A, Bonnet M, Miossec A, Mercier E, Hernu R, Douplat M, Gorincour G, L’Huillier R, Abensur Vuillaume L, Tazarourte K. Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur J Emerg Med. 2023 Dec 1;30(6):438-444.
- Gottlieb M. Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction Techniques. J Emerg Med. 2020 Apr;58(4):647-666.
This ongoing radiology interpretation series is proudly sponsored by the Emergency Medicine Residency Program at Carolinas Medical Center. The goal is to promote widespread mastery of CXR interpretation. There is no personal health information [PHI] within, and ages have been changed to protect patient confidentiality.
Adult Orthopaedic Cases
Michael A. Gibbs, MD, FACEP, FAAEM. Professor and Chair, Department of Emergency Medicine at Carolinas Medical Center & Levine Children’s Hospital | EMGuidewire |