Page 56 - Athletic Health Handbook
P. 56
the joint, misdiagnosing the injury, injury must be evaluated thoroughly, surgeons, primary care physicians
and inadequate help. Dislocations and proper follow-up is necessary. with or without a CSS in sports
with an obvious fracture (crepitus, medicine or certified athletic trainers.
gross motion of the involved bone, The respondents also agreed that Under no circumstances should
etc.) should be splinted, and not while the majority of joints can and anyone who does not meet that
reduced, and the player should be should be reduced on-site, some, criteria attempt to perform a reduc-
taken to the hospital. including the hip, knee and wrist tion. The person performing the
required special consideration. reduction should also have appropri-
When reduction is done on the Attempts at on-site reduction should ate knowledge of anatomy and the
field or preferably in the training be done carefully, if at all. mechanism of injury and have had
room, the player must be evaluated prior experience with reduction of
at a hospital as soon as possible to Only health care workers who have joint dislocations.
avoid possible complications. The formal training in reductions should
perform them, i.e., orthopaedic

© AMERICAN ORTHOPAEDIC SOCIETY FOR SPORTS MEDICINE, 2008, ALL RIGHTS RESERVED

ON-FIELD MANAGEMENT OF THE DISLOCATED JOINT 56
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