Page 55 - Athletic Health Handbook
P. 55
TEAM PHYSICIAN’S CORNER

ON-FIELD MANAGEMENT OF THE
DISLOCATED JOINT

JOHN BERGFELD, MD ON-SITE REDUCTION OF THE DISLOCATED
JOINT has been a matter of debate for some time. Recently, a survey

of 30 orthopaedic surgeon team physicians was conducted and they all
agreed that reduction of selected dislocations can be done on the field by
a properly trained, knowledgeable, and experienced health care worker.

A majority of respondents agreed on the following course of action:
An attempt at reduction should be made after proper
physical examination
The reduction should occur easily
Repeated attempts at reduction are not recommended
The reduced joint must be evaluated by physical examination,
X-ray, and other indicated diagnostic studies.
The benefits of immediate reduction include that it will be less difficult
to execute, relieve pain, maintain skin viability, and make it easier to
splint the joint and transport the player to the hospital. The disadvantages
of on the field reduction include the potential of doing further harm to

ON-FIELD MANAGEMENT OF THE DISLOCATED JOINT 55
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