In-game Management of Common Joint Dislocations. (May 2014)

• Record Type: Journal Article
• Authors: Skelley, Nathan W.; McCormick, Jeremy J.; Smith, Matthew V.
• Is Part Of: Sports health. Volume 6:Number 3(2014:May/Jun.)
• Page Start: 246
• Page End: 255
• Publication Date: 2014-05
• Subjects: sport -- dislocation -- joint -- reduction -- sideline -- review; Sports medicine -- Periodicals; Athletic Injuries -- Periodicals; Physical Education and Training -- Periodicals; Musculoskeletal Physiological Phenomena -- Periodicals; Médecine du sport -- Périodiques; 617.1027
• DOI: 10.1177/1941738113499721
• Languages: English
• ISSNs: 1941-7381

Abstract

Context: Sideline management of sports-related joint dislocations often places the treating medical professional in a challenging position. These injuries frequently require prompt evaluation, diagnosis, reduction, and postreduction management before they can be evaluated at a medical facility. Our objective is to review the mechanism, evaluation, reduction, and postreduction management of sports-related dislocations to the shoulder, elbow, finger, knee, patella, and ankle joints. Evidence Acquisition: A literature review was performed using the PubMed database to evaluate previous and current publications focused on joint dislocations. This review focused on articles published between 1980 and 2013. Study Design: Clinical review. Level of Evidence: Level 4. Results: The clinician should weigh the benefits and risks of on-field reduction based on their knowledge of the injury and the presence of associated injuries. Conclusion: When properly evaluated and diagnosed, most sports-related dislocations can be reduced and initially managed at the game.