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.
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.
