Dislocations

Shoulder Dislocations Ben Savage  

This image shows a dislocated shoulder with a fracture through the surgical neck of humerus. The patient is at high risk of axillary nerve injury. The axillary nerve supplies deltoids but this is difficult to test in these conditions - luckily it also supplies an area of skin over the shoulder known as the regimental badge - this must be tested before and after any procedure involving the shoulder.  

Teaches you how to recognise radial head dislocation on elbow radiographs by assessing the radiocapitellar line. Includes four case examples and anatomical illustrations.  

A short animation representing a major cause for TMJ deviation. This animation is created by me using 3DS Max, and Maya.  

Fracture of the clavicle: Can occur after a fall on an outstretched arm (more likely to cause a Colles’ fracture in the old). Collar and cuff sling for 3 weeks, internal fixation only if there is non-union. Beware neurovascular injury and pneumothorax.    

 Developmental dysplasia of the hip (DDH, formerly known as congenital dislocation of the hip) describes any abnormality found in the neonatal hip joint. The degree of abnormality varies considerably. The problem may arise from structural defects in the head of the femur, the acetabulum or surrounding structures. Approximately 1 in 1000 births are affected and it is more common in the left hip.    

Stream Patellar dislocation in football, with Professor Philippe Neyret, France by BMJ talk medicine from desktop or your mobile device  

A 59 year old woman presents to the emergency department with an isolated anterior dislocation of her left shoulder after a fall. Other than controlled asthma, she is healthy. Her last meal was four hours before the injury. After adequate analgesia using intravenous fentanyl, and despite an initial attempt to reduce her dislocation using relaxation techniques, it becomes evident that she needs sedation to complete the procedure successfully.  

A 59 year old woman presents to the emergency department with an isolated anterior dislocation of her left shoulder after a fall. Other than controlled asthma, she is healthy. Her last meal was four hours before the injury. After adequate analgesia using intravenous fentanyl, and despite an initial attempt to reduce her dislocation using relaxation techniques, it becomes evident that she needs sedation to complete the procedure successfully.  

A 59 year old woman presents to the emergency department with an isolated anterior dislocation of her left shoulder after a fall. Other than controlled asthma, she is healthy. Her last meal was four hours before the injury. After adequate analgesia using intravenous fentanyl, and despite an initial attempt to reduce her dislocation using relaxation techniques, it becomes evident that she needs sedation to complete the procedure successfully.  

A 59 year old woman presents to the emergency department with an isolated anterior dislocation of her left shoulder after a fall. Other than controlled asthma, she is healthy. Her last meal was four hours before the injury. After adequate analgesia using intravenous fentanyl, and despite an initial attempt to reduce her dislocation using relaxation techniques, it becomes evident that she needs sedation to complete the procedure successfully.  

Stream Patellar dislocation in football, with Professor Philippe Neyret, France by BMJ talk medicine from desktop or your mobile device  

Educational video describing PIP dorsal fracture dislocation. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://t...  

Educational video describing PIP dorsal fracture dislocation. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://t...  

Stream Shoulder dislocation: to operate or rehabilitate? Prof Bob McCormack (Olympic physician) by BMJ talk medicine from desktop or your mobile device  

Dr Neil Cunningham gives a talk at the International Conference on Emergency Medicine - Dublin, Ireland 2012  

This video shows a shoulder reduction being attempted, using non-sedating methods. However, it is unsuccessful, and eventually a touch of sedation is used to...  

This is an animation of the biomechanics involved in relocating a dislocated shoulder. Website www.shoulderdislocation.net  

emDocs post containing very useful emergency medicine information  

This is a post detailing the subtle radiographic evidence for posterior shoulder dislocation.