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How To Reduce Anterior Shoulder Dislocations Using Scapular Manipulation
Tips and Tricks for Scapular Manipulation
The lateral border of the scapula is located more laterally than one might expect. The scapular manipulation technique may be more difficult in larger patients having obscure anatomic landmarks. Operators not familiar with this technique may prefer the prone patient position because of the ease of identifying the scapular landmarks. In patients who return with increased pain within 48 hours after a reduction, hemarthrosis is likely (unless the shoulder has again dislocated). Aspirate the blood from the joint space (see How To Do Shoulder Arthrocentesis ). 