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In-game Management of Common Joint Dislocations
Nathan W Skelley1, Jeremy J McCormick1, Matthew V Smith1
1Washington University in Saint Louis, Saint Louis, Missouri.
On-field reduction of sports-related joint dislocations is feasible with proper evaluation. Clinicians should assess risks and benefits for successful sideline management of shoulder, elbow, knee, and ankle injuries.
Area of Science:
- Orthopedic Sports Medicine
- Emergency Medicine
- Sports Injury Management
Background:
- Sports-related joint dislocations present management challenges for sideline medical professionals.
- Prompt on-field evaluation, diagnosis, and reduction are often necessary before formal medical assessment.
Purpose of the Study:
- To review the mechanism, evaluation, reduction, and postreduction management of common sports-related joint dislocations.
- To provide guidance for sideline management of these injuries.
Main Methods:
- A comprehensive literature review was conducted using the PubMed database.
- Included articles published between 1980 and 2013, focusing on joint dislocations.
Main Results:
- On-field reduction of sports-related dislocations can be beneficial.
- Clinicians must carefully weigh the benefits against the risks of on-field reduction, considering injury specifics and associated trauma.
Conclusions:
- Most sports-related joint dislocations can be successfully reduced and managed initially on the field.
- Proper evaluation and diagnosis are critical for effective sideline management.
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