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National Athletic Trainers' Association Position Statement: Immediate Management of Appendicular Joint Dislocations
Susan L Rozzi1, Jeffrey M Anderson2, Scott T Doberstein3
1* Department of Health and Human Performance, College of Charleston, SC.
Journal of Athletic Training
|January 5, 2019
Summary
Certified athletic trainers (ATs) can use these guidelines for immediate joint dislocation management. The recommendations help ATs decide whether to reduce dislocations onsite or transport patients for medical facility reduction.
Area of Science:
- Sports Medicine
- Orthopedic Injury Management
Background:
- Athletic trainers (ATs) are responsible for immediate injury care in active populations.
- Onsite management of joint dislocations presents unique evaluation and treatment challenges for ATs.
- Key decisions involve onsite reduction versus splinting and transport for medical facility reduction.
Purpose of the Study:
- To provide certified athletic trainers (ATs) with guidelines for the immediate management of joint dislocations.
- To assist ATs in decision-making regarding onsite reduction versus hospital transport for joint dislocations.
Main Methods:
- Guidelines developed based on current practices and considerations for joint dislocation management.
- Factors influencing AT decision-making for onsite management were reviewed.
Main Results:
- Decision-making for onsite reduction depends on protocols, regulations, AT qualifications, joint type, dislocation history, patient factors, and associated injuries.
- Specific considerations for initial care of various joint dislocations are outlined.
Conclusions:
- These guidelines offer considerations for initial care of specific joint dislocations.
- The guidelines are intended for informational purposes and do not establish a standard of care.