Case Resolution
The patient suffered direct trauma to the shoulder during a soccer game, which increased the probability of having a fracture dislocation of the shoulder. An X-ray is obtained and demonstrates an anterior dislocation. The Cunningham technique is used successfully, and the patient is discharged home with appropriate advice and follow-up.
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ACEP Now: Vol 39 – No 05 – May 2020Thank you to Dr. Tony Zitek, research director for the emergency medicine residency program at Kendall Regional Medical Center in Miami, for his help with this review.
Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine.
References
- Émond M, Gariepy C, Boucher V, et al. Selective prereduction radiography in anterior shoulder dislocation: the Fresno-Quebec rule. J Emerg Med. 2018;55(2):218-225.
- Harvey RA, Trabulsy ME, Roe L. Are postreduction anteroposterior and scapular Y views useful in anterior shoulder dislocations? Am J Emerg Med. 1992;10(2):149-151.
- Gottlieb M, Holladay D, Peksa GD. Point-of-care ultrasound for the diagnosis of shoulder dislocation: a systematic review and meta-analysis. Am J Emerg Med. 2019;37(4):757-761.
- Abbasi S, Molaie H, Hafezimoghadam P, et al. Diagnostic accuracy of ultrasonographic examination in the management of shoulder dislocation in the emergency department. Ann Emerg Med. 2013;62(2):170-175.
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