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

Axillary nerve — deltoid patch.

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