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
Included in
Alternative and Complementary Medicine Commons, Musculoskeletal System Commons, Orthopedics Commons, Osteopathic Medicine and Osteopathy Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons
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.