Shoulder Case 12 Management
Reduction should be performed promptly via traction/counter traction unless there is significant associated humeral fracture. Consult orthopedics urgently if there is fracture-dislocation. Avoid other traditional reduction techniques that may involve leverage (i.e. external rotation). Repeat and document the neurovascular exam after reduction attempts.
The patient should be kept in shoulder immobilization for 2-3 weeks and should follow up with orthopedics.
Avascular necrosis is rare in this population and outcomes after inferior shoulder dislocations are generally good.