Summary: <br> What is your plan for Dislocation Management?<br> <br> <br> <br> Ray Olivo sits down with Dr. Mundluru after his Dislocation Management presentation at the Memorial Hermann Sports Medicine Update.<br> <br> <br> <br> <br> <br> <br> <br> Anterior Shoulder Disloaction<br> <br> <br> <br> ALWAYS do a neurovascular assessment. Every single dislocation should experience this before reduction.<br> <br> <br> <br> With the Shoulder there is a risk of axillary nerve entrapment<br> <br> <br> <br> Typically if the nerves are intact distally then they are intact all the way up the nerve, therefore do your nerve tests at the distal end of the limb.<br> <br> <br> <br> A dysvascular limb becomes a medical emergency so do a pulse check on both sides. double and triple check if there is no pulse as some are harder to palpate<br> <br> <br> <br> Dr. Mundluru also recommends having the functional tests distal to check nerve and muscle function<br> <br> <br> <br> * OK sign* Thumbs up* Cross fingers* Scratch test<br> <br> <br> <br> Repeat the scratch test at the deltoid and check bilaterally having the patient note any difference in sensation<br> <br> <br> <br> A good motor assesment for dislocation management is having the patient press backwards at the elbow into the examiners hand. most other ROM tests will be limited or elicit pain.<br> <br> <br> <br> They also discuss:<br> <br> <br> <br> * Brachial Plexus Crush* Transient symptoms after dislocation* Self-Reduction* Sports Specific RTP* When does it become surgical?* Elbow Dislocations* Hip Dislocations* Patella and Knee<br> <br> <br> <br> Whenever possible treat young patients non-operatively.<br> <br> <br> <br> Have stories of Dislocation Management gone well or poorly?<br> <br> <br> <br> Send us your stories:<br> <br> <br> <br> <a href="Surya.N.Mundluru@uth.tmc.edu">Dr. Mundluru</a><br> <br> <br> <br> <br> <br> <br> <br> <br> <br> use "THESMB" to get your discount<br>
