Related Experiment Video
Updated: Aug 13, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Best evidence topic report. How to immobilise after shoulder dislocation?
1Department of Emergency Medicine, Manchester Royal Infirmary, Manchester M13 9WL, UK.
Emergency Medicine Journal : EMJ
|October 26, 2005
Summary
For first-time shoulder dislocations, immobilizing the shoulder in external rotation after reduction may offer more benefits than internal rotation. This review identifies the best evidence for shoulder dislocation management.
Area of Science:
- Orthopedics
- Sports Medicine
- Traumatology
Background:
- Shoulder dislocation is a common injury.
- Optimal immobilization post-reduction is debated.
- Evidence-based guidelines are needed for patient care.
Purpose of the Study:
- To determine the most effective immobilization method after shoulder dislocation reduction.
- To synthesize current evidence on shoulder immobilization techniques.
Main Methods:
- A concise literature review was performed.
- Searched for studies on shoulder dislocation immobilization.
- Four high-quality studies were selected for analysis.
Main Results:
- External rotation immobilization may be superior to internal rotation for first-time anterior shoulder dislocations.
- Analysis included patient groups, study types, outcomes, and results.
- Study weaknesses were also evaluated.
Conclusions:
- Immobilization in external rotation is potentially more beneficial for initial anterior shoulder dislocations.
- Further research may refine optimal post-reduction care protocols.
- This review provides evidence to guide clinical decision-making.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:23Muscles of the Shoulder
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: