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Anterior shoulder dislocation — RCPSC EM MCQ

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ModerateTraumaAnterior shoulder dislocationRCPSC EM

A 31-year-old climber falls onto an abducted arm and presents with shoulder deformity. The arm is held abducted and externally rotated, there is fullness below the coracoid, and axillary nerve sensation is reduced. What is the most appropriate investigation?

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Correct answer: A — Shoulder radiographs with AP and scapular Y or axillary views

Traumatic shoulder dislocation should be imaged with adequate views before reduction when the patient is stable, especially with neurological deficit and potential fracture.

Reference: Royal College Emergency Medicine exam format and training experiences