Musculoskeletal - In-Vivo Shoulder Reduction
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Caption
This is a posterior approach looking at the left shoulder showing an anterior dislocation. The dislocation was found before X-ray was shot. While the resident was performing the Cunningham technique to reduce the shoulder, the attending was able to, in real time, watch it go back in place. In between the humeral head and the glenoid rim is a large hematoma where I would aim my needle if I were to do an intra-articular block. It is a helpful technique in those recurrent dislocators. Saves the initial X-ray, but probably should get the post-reduction film at this point. Matt Rutz, MD - Indiana University Department of Emergency Medicine, Ultrasound Division