A 20-year-old male presented with right shoulder pain after being involved in a wrestling move on a trampoline that involved having his arm held out and then being jumped on at the top of the shoulder. On examination, he was holding his right arm abducted and elevated above his head due to pain and inability to move the shoulder. He was diagnosed with an anterior shoulder dislocation based on the mechanism of injury and physical exam findings.

2.  20 YOM presents with
right shoulder pain. Pt was
wrestling on a trampoline
with friends. He reports
that his friends were trying
a move they had seen on
WWE wrestling where the
arm is held out and then
someone jumps and hits
the top of your shoulder.
 T 98.7 P 102 BP 126/84 O2




99%
Gen: WDWN, obvious
pain, right arm held
abducted and elevated
above head
CV: Tachycardic, RR, no
m/r/g
Pulm: Lungs CTA bilat
Musc: R arm held abducted
and elevated with hand
above head; fullness in his
R axilla; inability to ROM R
shoulder 2/2 pain

5.  Pain Control
 Reduction/Stabilization
 Traction/Countertraction is applied
 Arm sling applied post reduction
 ED orthopedic consulation for irreducible dislocation
or neurovascular compromise
 Orthopedic surgery follow up for possible rotator cuff
injuries

6.  Often associated with significant soft tissue injuries or
proximal humeral fractures
 2 Mechanisms: 1) Forceful, direct axial loading of an
ABducted arm 2) Hyperabduction
 Nerve injuries are usually found and include damage
to the brachial plexus/axillary nerve (usually reversed
with reduction)

8.  https://umem.org/pearl_view.php?p=1735&src=
 http://uconnemig.files.wordpress.com/2011/11/emimag
es-8c.jpg
 http://img.medscape.com/pi/features/slideshowslide/sdrt/fig1.jpg
 http://www.mypacs.net/repos/mpv3_repo/viz/full/765
63/3828172.jpg
 Tintanelli’s Emergency Medicine: A Comprehensive
Study Guide. Chapter 268 Shoulder and Humerus
Injuries.