History & exam
Key factors
- presence of risk factors
- characteristic posturing of joint
- pain
- inability to move joint
- tenderness
- swelling
- normal neurological function of shoulder and elbow
- cruciate ligament injury with patellar dislocation
- meniscal tears with patellar dislocation
- ligamentous injuries of the knee with patellar dislocation
- patellar or quadriceps tendon rupture with patellar dislocation
Other diagnostic factors
- ecchymosis with finger dislocation
- haemarthrosis with patellar dislocation
History & exam details
Diagnostic tests
1st tests to order
- plain x-rays of the shoulder
- plain x-rays of the finger
- plain x-rays of the knee
- plain x-rays of the elbow
Tests to consider
- MRI scan of the knee
- MRI scan of the shoulder
- CT scan of the elbow
- arteriogram of the knee or shoulder
Diagnostic tests details
Treatment details
Acute
shoulder dislocation
- reduction and immobilisation ± surgical referral
- rehabilitation
finger dislocation
-
dorsal PIP and DIP dislocations
- reduction and immobilisation
- rehabilitation
-
volar DIP and PIP dislocations
- reduction and immobilisation
- rehabilitation
-
MCP dislocation
- reduction and immobilisation
- rehabilitation
patellar dislocation
- reduction and immobilisation
- rehabilitation
elbow dislocation
- reduction and immobilisation
- rehabilitation
Treatment details
Τελευταία ενημέρωση: Ιαν 02, 2013
