Shoulder Dislocation

Question 1

What to do during 1st time shoulder dislocation management?

Answer 1

Conservative vs surgical management.

Majority are ANT dislocations. Attempt to relocate arm, if successful take x-ray to reveal any other damages. If unsuccessful, require surgery to reinforce both articulating surfaces.

Question 2

When to go for the surgical option in shoulder dislocations?

Answer 2

If chance/risk of re-dislocation is high e.g. contact sports.

All depends on what the athlete is doing!

Ultimate goal of treatment = enforcing the “forgotten injury” where athlete does not remember injurying it.

Question 3

How to treat post-traumatic shoulder instability?

Answer 3

immobilisation using arm sling to prevent further damage during movement.

Question 4

What is the +ve Thompson test?

Answer 4

Assesses whether the achilles tendon is intact.

Squeeze calf muscle for foot to plantarflex reflex

Question 5

When to use surgery or conservative method in achilles tendon ruptures?

Answer 5

conservative if rupture gap = <0.5cm
surgery recommended for >0.5cm based on research stating re-rupture and tendon strength deterioriates if conservative management is utilised.