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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 presents as triage level 3 after a fall with shoulder pain. His arm is abducted and externally rotated, and x-ray shows an anterior shoulder dislocation without fracture. Neurovascular exam is intact. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Procedural analgesia and closed reduction

Anterior shoulder dislocation without fracture or vascular compromise is treated with analgesia/sedation and closed reduction followed by reassessment.

Reference: ACEP procedural sedation policy; ABEM EM Model