In brief
The clinical diagnosis of anterior shoulder dislocations can be made by evaluating the mechanism of injury and noting limited arm adduction and shoulder rotation. In addition, the shoulder loses its normal rounded contour, and the acromion is unusually prominent. Prereduction x-rays are not always necessary but will confirm the clinical diagnosis. Reduction of the dislocation should be performed as quickly, gently, and safely as possible. Linear force via a self-reduction technique or a simple, passive traction technique will lead to a successful reduction in the vast majority of patients.
Additional information
Notes on contributors
John Gary Aronen
Dr Aronen is the director of the Sports Medicine Clinic at the Marine Corps Recruit Depot in San Diego. He is a member of the American Orthopaedic Society for Sports Medicine, a fellow of the American College of Sports Medicine, and a member of the editorial board of THE PHYSICIAN AND SPORTSMEDICINE.
Raymond D. Chronister
Mr Chronister is the head trainer at the United States Naval Academy in Annapolis, Maryland, and a member of the National Athletic Trainers' Association.