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Anterior shoulder dislocation — ABEM Board MCQ

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EasyMusculoskeletal/Orthopedic emergenciesAnterior shoulder dislocationABEM Board

A 26-year-old man arrives after his arm was forced into abduction and external rotation. Triage acuity is ESI 3; BP 126/74 mm Hg, HR 88/min. The shoulder has a squared-off appearance and the humeral head is palpable anteriorly. Axillary sensation is intact. Which of the following is the most appropriate initial action?

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Correct answer: A — Provide analgesia or sedation and perform closed reduction

Anterior shoulder dislocation is treated with analgesia or sedation and closed reduction after neurovascular assessment.

Reference: Emergency orthopedic reduction guidance