• Pediatric emergency care · May 2018

    Review

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

    • Michael Gottlieb.
    • Assistant Professor and Director of Ultrasound, Department of Emergency Medicine, Rush University Medical Center, Chicago, IL.
    • Pediatr Emerg Care. 2018 May 1; 34 (5): 357-362.

    AbstractShoulder 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, evidence-based reduction techniques are described including tips for improving success. Immobilization strategies and follow-up are also discussed.

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