Mini Symposium - dislocations

Question 1

Define dislocation vs subluxation?

Answer 1

Dislocation - Complete joint dislocation

Subluxation - Partial dislocation

Question 2

How do we manage a dislocation?

Answer 2

• Emergency - Reduce and treat associated injuries
• Surgery
• Followed by physiotherapy for recurrent instability/stiffness

Question 3

What are the most common shoulder dislocations?

Answer 3

• Anterior mostly

- Posterior is rarer but associated with fits and electric shocks

Question 4

What are the most common elbow dislocations?

Answer 4

Posterior, look for a very prominent olecranon

Question 5

Whats the most common hip dislocations?

Answer 5

Posterior

Leg short, flexed, internally rotated and adducted

Question 6

Whats the most common knee dislocation?

Answer 6

Anterior then posterior

look for extended knee and loss of normal contour

Question 7

Whats the most common ankle dislocation?

Answer 7

Lateral

Look for externally rotated ankle and prominent medial malleolus

Question 8

Whats the most common way for the subtalar joint to dislocate?

Answer 8

Laterally, look for the laterally displaced calcaneus

Question 9

Types of shoulder dislocation presentations

Answer 9

anterior: squared off shoulder

Posterior: Locked in internal rotation