Musculoskeletal (MSK)EmergencyGuidelineTrainee

Multidisciplinary Guideline for Primary Traumatic Anterior Shoulder Dislocation Management

Acta orthopaedica4d ago

Multidisciplinary guideline recommends pre- and post-reduction imaging, biomechanical reduction first, 1-week immobilization, and surgery for age <40, contact sports, or bone loss (low GRADE evidence).

  • Acute management: prompt reduction after imaging, biomechanical technique first, procedural sedation if failed, repeat imaging to confirm reduction.
  • Risk factors for recurrence: young age and male sex; surgery may be considered for age <40, contact athletes, or significant bone loss.
  • Recommendations based mostly on low GRADE evidence and expert opinion.

Evidence grade: low

Automated summary

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