Common Dislocations

Question 1

What nerve can be damaged in a shoulder dislocation?

Answer 1

axillary

Question 2

What is the immediate management for a shoulder dislocation?

Answer 2

anterior - neuromuscular assessment and open reduction

posterior - reduction under sedation

Question 3

what does a lightbulb sign on an x-ray indicate?

Answer 3

posterior shoulder dislocation

Question 4

how is an elbow dislocation managed?

Answer 4

closed reduction under sedation. 2 weeks in sling and rehab

Question 5

how are dislocations of the interphalangeal joints managed?

Answer 5

closed reduction under digital or metacarpal block. 2 weeks in neighbour strapping. volar slab in edinburgh position is unstable

Question 6

what is torn along with a dislocation of the patella

Answer 6

medial patella femoral ligament

Question 7

how is a patella dislocation managed?

Answer 7

reduce with the knee in extension. brace. physio

Question 8

what stuff can potentially be damaged in a knee dislocation

Answer 8

popliteal artery/vein

peroneal nerve

Question 9

how is a knee dislocation managed

Answer 9

reduction under sedation
stabilise in splint or external fixation
knee surgery - vascular repair (6 hours window), nerve repair

Question 10

what nerve can be damaged in a hip dislocation

Answer 10

sciatic

Question 11

what is the management for a hip dislocation

Answer 11

urgent reduction

stabilise in traction if required