First-time traumatic anterior shoulder dislocation: Approach for the primary health care physician
South African Family Practice
| Field | Value | |
| Title | First-time traumatic anterior shoulder dislocation: Approach for the primary health care physician | |
| Creator | Kauta, Ntambue Porter, James Jusabani, Mubashir A. Swanepoel, Stefan | |
| Description | Traumatic anterior shoulder dislocation is a very common injury encountered in emergency rooms as well as in the primary health care physician’s office. This injury occurs either in the setting of competitive or recreational sports injuries or as a high-energy injury during a fall or a road traffic accident. Common complications such as a recurrent dislocation can be predicted, monitored and prevented. Early appropriate treatment of associated cuff tears or fractures is associated with improved outcomes. There is a plethora of literature on the assessment and management of the primary anterior shoulder dislocation in specialised fields such as sports medicine, orthopaedic surgery and shoulder surgery. These studies are often highly technical, addressed to a particular subset of readers and often deal with one aspect of the management of the injury. This narrative aims to provide the reader with a simplified, evidence-based assessment and management approach for the first-time acute anterior shoulder dislocation. Emphasis is on closed reduction techniques, position and duration of immobilisation, and return to activities of life or sports. Risk factors for recurrence and other indications for primary referral to the orthopaedic surgeon are discussed. Other forms of shoulder instability such as posterior shoulder dislocation, inferior dislocation and multidirectional instability will not be the focus of this narrative. | |
| Publisher | AOSIS | |
| Date | 2023-06-26 | |
| Identifier | 10.4102/safp.v65i1.5744 | |
| Source | South African Family Practice; Vol 65, No 1 (2023): Part 4; 7 pages 2078-6204 2078-6190 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://safpj.co.za/index.php/safpj/article/view/5744/8121
https://safpj.co.za/index.php/safpj/article/view/5744/8122
https://safpj.co.za/index.php/safpj/article/view/5744/8123
https://safpj.co.za/index.php/safpj/article/view/5744/8124
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