A) It is the most common type of large joint dislocation in children
It is the second most common dislocation in adults. It is most commonly posterolateral, and associated fractures are common (up to 50%). After reduction, patients should be discharged in a long-arm posterior splint, but they should have close f/u and early mobilization to avoid frozen joint. The most common mechanism is FOOSH (fall on an outstretched hand). EM physicians must assess for neurovascular compromise, the “terrible triad” (dislocation with radial head and coronoid process fractures), and other associated fractures, and consult orthopedics if any of these are present.
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March 18, 2020 at 5:32 pm
A) It is the most common type of large joint dislocation in children
It is the second most common dislocation in adults. It is most commonly posterolateral, and associated fractures are common (up to 50%). After reduction, patients should be discharged in a long-arm posterior splint, but they should have close f/u and early mobilization to avoid frozen joint. The most common mechanism is FOOSH (fall on an outstretched hand). EM physicians must assess for neurovascular compromise, the “terrible triad” (dislocation with radial head and coronoid process fractures), and other associated fractures, and consult orthopedics if any of these are present.