Date of Presentation

5-5-2022 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Shoulder dislocations are very a common presentation in the emergency department. This represents about 50% of all joint dislocations presenting to the ER. Over 95% of the dislocations are anterior. Approximately 70% of shoulder dislocations occur in men and in both genders, the prevalence of shoulder dislocations occurs in a bimodal distribution in age in those younger than 20 and over 60 years old. Shoulder dislocation can occur anteriorly, posteriorly, and inferiorly. In an anterior dislocation, excessive force from external rotation and abduction causes a tear in the anterior ligamentous capsule3, causing the humeral head to dislocate from the glenoid fossa. Approximately 95% of these cases are due to trauma. Of those who have dislocated their shoulders, 70% will experience a reoccurrence. Diagnosis of shoulder dislocation involves clinical exam through assessment of the acromion asymmetry and location of the humeral head. Additionally, anteroposterior and scapular “Y” radiography should be obtained to help distinguish anterior vs posterior dislocations.

In this case, we present a unique solution for reducing shoulder dislocation without pain medication or formal imaging.

Keywords

Shoulder Dislocation, Shoulder Injuries, Ultrasonography, Osteopathic Manipulation, Soft Tissue Therapy

Disciplines

Alternative and Complementary Medicine | Medicine and Health Sciences | Musculoskeletal System | Orthopedics | Osteopathic Medicine and Osteopathy | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment

Document Type

Poster

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May 5th, 12:00 AM

Use of POCUS and OMT for Anterior Shoulder Reduction

Shoulder dislocations are very a common presentation in the emergency department. This represents about 50% of all joint dislocations presenting to the ER. Over 95% of the dislocations are anterior. Approximately 70% of shoulder dislocations occur in men and in both genders, the prevalence of shoulder dislocations occurs in a bimodal distribution in age in those younger than 20 and over 60 years old. Shoulder dislocation can occur anteriorly, posteriorly, and inferiorly. In an anterior dislocation, excessive force from external rotation and abduction causes a tear in the anterior ligamentous capsule3, causing the humeral head to dislocate from the glenoid fossa. Approximately 95% of these cases are due to trauma. Of those who have dislocated their shoulders, 70% will experience a reoccurrence. Diagnosis of shoulder dislocation involves clinical exam through assessment of the acromion asymmetry and location of the humeral head. Additionally, anteroposterior and scapular “Y” radiography should be obtained to help distinguish anterior vs posterior dislocations.

In this case, we present a unique solution for reducing shoulder dislocation without pain medication or formal imaging.

 

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