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
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