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what deformities are seen in shoulder dislocation
anterior - squared off
locked in internal rotation - posterior
diagnosis of dislocation
X-ray
clinical examination
dislocation
complete joint disruption
subluxation
partial dislocation
not fully out of joint
diagnosis of dislocation
clinical and radiological diagnosis
associated injuries with dislocation
soft tissue, multisystem, neurovascular damage, recurrent instability
deformity of elbow common dislocation
posterior direction
olecranon prominent post
hip deformity common dislocation
posterior direction
leg short, flexed, internal rotation adduction
knee deformity commonest dislocation
anteroposterior direction
loss of normal contour, extended
ankle deformity commonest dislocation
lateral
externally rotated, prominent medial malleolus
subtalar joint deformity commonest dislocation
lateral displaced os calcis
ankle dislocation if dislocated for a length of time as skin will necrose → large defect over medial malleolus
what might happen?
secondary infection
very stiff → secondary osteoarthritis
when is neurovascular assessment performed and why
pre and post reduction to ensure no nerves or vessels were compromised during the injury of fix