Reduction of Anterior Shoulder Dislocation

Orthopedics · Emergency/Orthopedics · 10–20 min

Closed reduction of anterior glenohumeral dislocation.

Indications

  • Confirmed anterior shoulder dislocation

Contraindications

  • Associated fracture (needs ortho)
  • Neurovascular deficit progressing

Equipment

  • Analgesia ± procedural sedation
  • Assistant

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/5)

Tap to complete

1. Neurovascular assessment pre & post

Axillary nerve — deltoid patch.

2. Analgesia

3. Reduction — Stimson

4. Alternative — Kocher / scapular manipulation / external rotation.

5. Post-reduction

Immediate complications

  • Neurovascular injury
  • Fracture
  • Failure

Delayed complications

  • Recurrent dislocation

Recognition

  • Deltoid weakness

Initial management

  • Immobilize; ortho referral

Prevention

  • Gentle technique

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

WardRound

WardRound

Clinical Decisions in Seconds