How Do Doctors Reduce a Dislocated Shoulder?
How Do Doctors Reduce a Dislocated Shoulder?
The Challenge
Reducing a dislocated shoulder means putting the upper arm bone back into the shoulder socket. It's a delicate procedure that requires skill and care to avoid further injury.
Contents
Preparation is Key
Before attempting reduction, doctors assess the injury through physical exam and often X-rays. They'll check for related injuries like fractures or nerve damage. Pain control is crucial, so medication may be given.
Reduction Techniques
There are several methods to reduce a shoulder, including scapular manipulation, external rotation, and traction-countertraction. The choice depends on the type of dislocation and doctor preference. Most techniques use gentle, steady movements to guide the bone back into place.
What to Expect
You'll likely be seated or lying down during the procedure. The doctor will carefully manipulate your arm, which may cause some discomfort. A successful reduction often produces a noticeable 'clunk' as the joint realigns. The whole process usually takes just a few minutes.
After Reduction
Once reduced, your shoulder will be immobilized in a sling. You'll need follow-up care, including physical therapy, to regain strength and prevent future dislocations. Your doctor will provide specific instructions for your recovery.
FAQs
Is shoulder reduction painful?
It can be uncomfortable, but medication helps manage pain.
How long does the procedure take?
Most reductions are completed within 5-10 minutes.
Will I need surgery?
Most dislocations don't require surgery, but some cases might.
Can complications occur during reduction?
Rarely, but risks include fracture or nerve injury.
How soon can I use my arm after reduction?
Limited use starts immediately, full recovery takes weeks.
A Skilled Procedure
While shoulder reduction may seem simple, it requires medical expertise to perform safely and effectively.
Additional References
- Alkaduhimi H, van der Linde JA, Willigenburg NW, et al. A systematic comparison of the closed shoulder reduction techniques. Arch Orthop Trauma Surg 2017; 137:589.
- Gottlieb M. Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction Techniques. J Emerg Med 2020; 58:647.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.