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Anterior shoulder dislocation — RCPSC EM MCQ

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ModerateMusculoskeletalAnterior shoulder dislocationRCPSC EM

A 35-year-old man has an anterior shoulder dislocation after a fall. Sensation over the lateral deltoid is reduced, radial pulse is present, and radiograph confirms no fracture. What is the most appropriate initial management?

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Correct answer: C — Analgesia/sedation, prompt reduction, and repeat neurovascular exam

Anterior shoulder dislocation should be reduced promptly after analgesia/sedation and fracture assessment. Axillary nerve function should be documented before and after reduction.

Reference: Canadian emergency orthopaedic practice