Traumatic dislocations

Question 1

What is a dislocation?

What is a subluxation?

Answer 1

Complete disruption of the joint

Partial dislocation- not fully out of joint

Question 2

How do you diagnose dislocations

What else should be screened for when assessing a joint dislocation

Answer 2

Clinically and radiologically

associated injuries, soft tissue damage, MSK ,multi-system disease, neurovascular damage, pre/post treatment

Question 3

How is a disclocation treated

What may occur after treatment

Answer 3

Emergency treatment
Surgery
Sequelae

Recurrent instaility, stiffness

Question 4

What common dislocations occur at the shoulder?

What common dislocations occur at the elbow?

Answer 4

Anterior-Squared off (most common)
Posterior- locked in internal rotation

posterior- olecranon process posterior

Question 5

Describe dislocation of the hip

Describe dislocation of the knee

Answer 5

Posterior- leg short, flexed, internal rotation, adduction

Anteroposterior-loss of normal contour, extended

Question 6

Describe dislocation of the ankle

Describe dislocation at the subtalar joint

Answer 6

Lateral more common- externally rotated, prominent medial malleolus

Lateral more common- laterally displaced os.calcis