| On-field management of the acute anterior glenohumeral dislocation. | |
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MedLine Citation:
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PMID: 22030951 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Glenohumeral dislocations are prevalent injuries in an athletic population, and proper, acute on-field management remains a topic of debate among health care professionals.Objective: Firstly, to provide a systematic approach to the on-field management of acute anterior glenohumeral dislocations for on-field health care professionals. Secondly, to present current methods of reduction, including a description of the safest and most efficacious methods. Methods: Based on the current literature, an overview of the relevant anatomy, mechanisms of injury, and associated injuries is provided. In addition, systematic guidelines for on-field management of acute glenohumeral dislocations are provided. Results: The glenohumeral joint remains the most commonly dislocated joint in the body. Anterior dislocations comprise 90% to 98% of all glenohumeral dislocations. Despite a variety of described methods of reduction, there remains a lack of high-level evidence reporting the efficacy of each. To date, there is no position statement or consensus regarding the acute management of glenohumeral dislocations, creating discontinuity among health care professionals. Conclusion: A systematic approach in management of the acute anterior glenohumeral dislocation is paramount. Method of reduction and position of immobilization should be dependent on physician and patient comfort, respectively. Reduction is safest in patients aged < 40 years with no neurovascular compromise, and when minimal attempts are performed. |
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Authors:
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Grant E Norte; Angela West; Michael Gnacinski; Olivier A van der Meijden; Peter J Millett |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Physician and sportsmedicine Volume: 39 ISSN: 0091-3847 ISO Abbreviation: Phys Sportsmed Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0427461 Medline TA: Phys Sportsmed Country: United States |
Other Details:
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Languages: eng Pagination: 151-62 Citation Subset: IM |
Affiliation:
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Department of Athletics, Wellness and Recreation, State University of New York at New Paltz, New Paltz, NY. |
Export Citation:
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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