Shoulder dystocia: prediction and management.

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Abstract

[Indexed for MEDLINE] 8. J Emerg Med. 2024 Sep;67(3):e305-e309. doi: 10.1016/j.jemermed.2024.03.039. Epub 2024 Mar 29. Ipsilateral Shoulder and Elbow Dislocation. Dabkowski TR(1), Parikh A(2), Olivas Michels CS(2). Author information: (1)Department of Emergency and Hospital Medicine, Lehigh Valley Health Network / USF Morsani College of Medicine, Lehigh Valley Campus, Allentown, Pennsylvania. Electronic address: Toriana.Dabkowski@lvhn.org. (2)Department of Emergency and Hospital Medicine, Lehigh Valley Health Network / USF Morsani College of Medicine, Lehigh Valley Campus, Allentown, Pennsylvania. BACKGROUND: Shoulder dislocations and elbow dislocations are common presentations to the emergency department (ED). Simultaneous ipsilateral elbow and shoulder dislocations are rarely reported and typically occur secondary to trauma. CASE REPORT: A 45-year-old female presented to the ED after a fall from standing and complained of upper right extremity pain. Radiographs revealed posterior dislocation of the right elbow and anterior dislocation of the right shoulder without fractures. Successful reduction of the elbow and shoulder were both achieved, and the patient was placed in a long-arm splint and sling. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case describes the unique mechanism of injury of a simultaneous ipsilateral shoulder and elbow dislocation without trauma. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.jemermed.2024.03.039