The Role of Post-Reduction Radiographs After Shoulder Dislocation

Kahn, Julia; Mehta, Supriya D.

doi:10.1016/j.jemermed.2007.01.003

Cited by 34 publications

(20 citation statements)

References 22 publications

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“…bony Bankart lesion, Hill‐Sachs lesion, glenohumeral ligament injury and capsular injury). Evidence in this review highlighted the importance of maintaining a clinical suspicion for other associated injuries not demonstrated on plain radiographs, such as rotator cuff tears, axillary nerve injury and occult fractures . Neurological deficit following anterior glenohumeral joint dislocations has been reported to be as high as 13.5% following reduction, and 33.4% of dislocations have either a rotator cuff tear or a greater tuberosity fracture.…”

Section: Discussionmentioning

confidence: 95%

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2018

Emerg Medicine Australasia

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Shoulder injuries are a commonly presenting complaint to the ED. In the absence of an obvious deformity, they can be difficult to assess and definitively diagnose because of the multiple structures that cause shoulder pain, the acuity and severity of pain and the lack of range of motion in the ED setting. The quality of ED care provided to patients with musculoskeletal shoulder pain is crucial to ensure the best possible outcomes for the patient. This rapid review investigated best practice for the assessment and management of common shoulder injuries and conditions in the ED. Databases were searched in 2017, including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites. Primary studies, systematic reviews and guidelines published in English-language in the past 12 years that addressed the acute assessment, management, follow-up plan or prognosis were considered for inclusion. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence. The search revealed 1902 articles, of which 73 were included in the review (n = 12 primary articles, n = 49 systematic reviews and n = 12 guidelines). This rapid review provides clinicians who manage shoulder dislocations, fractures and soft tissue injuries in the ED a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. There is strong evidence to support taking a thorough history and physical examination, with cautious use of special tests because of their poor diagnostic accuracy. Key points regarding the diagnosis and management of these injuries are provided.

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Section: Discussionmentioning

confidence: 95%

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2018

Emerg Medicine Australasia

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show abstract

“…73,74 Hendey and colleagues looked at 175 anterior shoulder dislocations and found 17 fractures (14 Hill-Sachs deformities, 2 Bankart fractures, and 1 greater tuberosity fracture) that were seen only on the postreduction views. In another study, Kahn and colleagues looked at 57 patients with anterior dislocations, and found that the although the majority of fractures associated with dislocation could be identified on prereduction views, more than one-third of fractures (37.5%) were seen only after postreduction imaging.…”

Section: Satisfaction Of Search Fractures Associated With Glenohumeramentioning

confidence: 99%

Easily Missed Fractures of the Upper Extremity

Tyson¹,

Hatem²

2015

Radiologic Clinics of North America

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“…3 and 4) were requested in this case due to the absence of a validated clinical decision rule. A prospective observational study by Kahn and Mehta (2007) examined whether post-reduction radiographs add clinically important information to what is seen on pre-reduction radiographs in patients with anterior shoulder dislocations who are seen in the ED. The authors found that, even though the majority (62.5%) of fractures were seen on pre-reduction radiographs, more than one third (37.5%) were only visible on post-reduction films.…”

Section: Post-reduction Case Progressionmentioning

confidence: 99%

Shoulder instability: A myriad of decisions for optimal emergency department care

Duignan

2015

International Emergency Nursing

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The Role of Post-Reduction Radiographs After Shoulder Dislocation

Cited by 34 publications

References 22 publications

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

Review article: Best practice management of common shoulder injuries and conditions in the emergency department (part 4 of the musculoskeletal injuries rapid review series)

Easily Missed Fractures of the Upper Extremity

Shoulder instability: A myriad of decisions for optimal emergency department care

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