Major joint dislocations include the hip, shoulder, and knee. Dislocations involve bones being pushed out of their normal position in the joint. The general approach involves assessing pain, deformity, range of motion, history of injury, and getting x-rays to confirm and check for fractures. Reduction methods are used to put the bones back in place, followed by immobilization and rehabilitation exercises. Shoulder dislocations are most common and can be anterior, posterior, or inferior types. Assessment includes specific tests and x-rays views to identify type and check for other injuries before selecting a reduction technique.
3. Dislocation
• An injury where bones forming a joint are pushed out of normal
position
• Post traumatic / congenital
• Recurrent dislocations
4. General approach to dislocation
• Pain / deformity / restriction of movement
• History ( mechanism of injury , previous dislocations, comorbidities )
• ABC
• Deformity/ skin / tenderness / restriction of movement / neurovascular
injuries
• Plain Xray of affected joint ( confirm diagnosis / direction of dislocation /
associated fractures / quality of bone )
5. • Temporary immobilization of limb for pain relief
• Plan for closed reduction and splinting
• Post reduction x ray documentation
- concentrically reduced joint
- iatrogenic fractures
- medicolegal purpose
• Duration of immobilization
• Rehabilitation plan
