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Closed reduction of glenohumeral dislocations with associated tuberosity fracture in the emergency department is safe

Injury Oct 27, 2020

Mackenzie SP, Hackney RJ, Crosbie G, et al. - This study was intended to develop the safety of the reduction of glenohumeral dislocations with tuberosity fractures in the emergency department (ED). Researchers examined 188 consecutive glenohumeral dislocations with associated tuberosity fractures distinguished from a prospective orthopedic trauma database. They recorded patient demographics, injury details, emergency department management, and complications. They documented the method of reduction, sedation, the grade of the clinician, and the outcome. The data exhibited that in the ED, closed reduction of glenohumeral dislocations with correlated tuberosity fractures is safe, with a rate of iatrogenic fracture of 1%. The data considered that these injuries should be managed by those with appropriate experience only after two adequate radiographic views. The reduction should be delayed until multiplanar CT imaging has been obtained, in cases where there is ambiguity over the integrity of the humeral neck.

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