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Shoulder Dislocations


CLEtoMEM
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The real important conversation about the AA state finals has not been brought up, so I'll do it here.

TL;DR Do not mess with a dislocated shoulder.

What to do with a dislocated shoulder, for the lay man:

From the Mayo Clinic - Get medical help immediately. Don't try to move a dislocated joint or force it back into place.

From the Cleveland Clinic - Keep your arm still and close to your side and go to the emergency room right away if you think your shoulder is dislocated.

National Athletic Trainers' Association Position Statement: Immediate Management of Appendicular Joint Dislocations

Athletic Trainers are only supposed to reduce a dislocated shoulder with doctors approval: (3) "In cases where pertinent statutes, rules and regulations, and employer policies do not restrict ATs from attempting to reduce dislocated joints, written standing orders should be provided by the supervising physician specifically indicating the circumstances under which the AT should attempt to reduce a dislocated joint."

(4) Patient consent, or parental consent and patient assent in the case of minors, should be obtained before any attempted reduction of a dislocated joint. All ATs should secure this written consent and minor assent before the school year or sport season.

(7) Physicians should limit their delegation of reduction of dislocated joints to those ATs with verifiable education, training, experience, and competency in such procedures.
 
(15) Under the direction of a physician, an AT can perform an onsite reduction of a first-time or recurrent anterior shoulder dislocation as long as the diagnosis is readily apparent. However, if a fracture or a posterior dislocation is suspected, immobilization in a position of comfort and referral for radiographic evaluation should replace onsite reduction. If reduction of an anterior dislocation is not possible, the shoulder should be immobilized in a position of comfort and the patient referred for appropriate treatment. Multiple attempts at reduction are not recommended.
 
Disclaimer.
I'm not a medical expert, and I do not know Stacey or his coach, nor do I want to vilify his coach. He made a bad decision in a highly emotional state. We all have.
 
I hope Stacey makes a full recovery and is able to enjoy his career at Little Rock. I hope we can all learn from this and remember that even if a state title is on the line the health and safety of these young athletes must always come first. Champion is the dream, but there is no shame in Runner-up.  McTorry is a great wrestler too, and it was clear he was not happy with the ending either. I wish him all the best as well.

 

 

 

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4 hours ago, CLEtoMEM said:

The real important conversation about the AA state finals has not been brought up, so I'll do it here.

TL;DR Do not mess with a dislocated shoulder.

What to do with a dislocated shoulder, for the lay man:

From the Mayo Clinic - Get medical help immediately. Don't try to move a dislocated joint or force it back into place.

From the Cleveland Clinic - Keep your arm still and close to your side and go to the emergency room right away if you think your shoulder is dislocated.

National Athletic Trainers' Association Position Statement: Immediate Management of Appendicular Joint Dislocations

Athletic Trainers are only supposed to reduce a dislocated shoulder with doctors approval: (3) "In cases where pertinent statutes, rules and regulations, and employer policies do not restrict ATs from attempting to reduce dislocated joints, written standing orders should be provided by the supervising physician specifically indicating the circumstances under which the AT should attempt to reduce a dislocated joint."

(4) Patient consent, or parental consent and patient assent in the case of minors, should be obtained before any attempted reduction of a dislocated joint. All ATs should secure this written consent and minor assent before the school year or sport season.

(7) Physicians should limit their delegation of reduction of dislocated joints to those ATs with verifiable education, training, experience, and competency in such procedures.
 
(15) Under the direction of a physician, an AT can perform an onsite reduction of a first-time or recurrent anterior shoulder dislocation as long as the diagnosis is readily apparent. However, if a fracture or a posterior dislocation is suspected, immobilization in a position of comfort and referral for radiographic evaluation should replace onsite reduction. If reduction of an anterior dislocation is not possible, the shoulder should be immobilized in a position of comfort and the patient referred for appropriate treatment. Multiple attempts at reduction are not recommended.
 
Disclaimer.
I'm not a medical expert, and I do not know Stacey or his coach, nor do I want to vilify his coach. He made a bad decision in a highly emotional state. We all have.
 
I hope Stacey makes a full recovery and is able to enjoy his career at Little Rock. I hope we can all learn from this and remember that even if a state title is on the line the health and safety of these young athletes must always come first. Champion is the dream, but there is no shame in Runner-up.  McTorry is a great wrestler too, and it was clear he was not happy with the ending either. I wish him all the best as well.

 

 

 

That is what the physicians in the United States do for dislocations. I have witnessed the former USSR physicians spraying some type of ice cold numbing spray on the injury and popping the joint back in place.  That happened at a morning practice and the athlete was drilling by themselves at the afternoon practice.  I was told that they would go about 2 weeks before being allowed to practice with contact again but that they never placed the athlete in a brace or sling.

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10 hours ago, CLEtoMEM said:

The real important conversation about the AA state finals has not been brought up, so I'll do it here.

TL;DR Do not mess with a dislocated shoulder.

What to do with a dislocated shoulder, for the lay man:

From the Mayo Clinic - Get medical help immediately. Don't try to move a dislocated joint or force it back into place.

From the Cleveland Clinic - Keep your arm still and close to your side and go to the emergency room right away if you think your shoulder is dislocated.

National Athletic Trainers' Association Position Statement: Immediate Management of Appendicular Joint Dislocations

Athletic Trainers are only supposed to reduce a dislocated shoulder with doctors approval: (3) "In cases where pertinent statutes, rules and regulations, and employer policies do not restrict ATs from attempting to reduce dislocated joints, written standing orders should be provided by the supervising physician specifically indicating the circumstances under which the AT should attempt to reduce a dislocated joint."

(4) Patient consent, or parental consent and patient assent in the case of minors, should be obtained before any attempted reduction of a dislocated joint. All ATs should secure this written consent and minor assent before the school year or sport season.

(7) Physicians should limit their delegation of reduction of dislocated joints to those ATs with verifiable education, training, experience, and competency in such procedures.
 
(15) Under the direction of a physician, an AT can perform an onsite reduction of a first-time or recurrent anterior shoulder dislocation as long as the diagnosis is readily apparent. However, if a fracture or a posterior dislocation is suspected, immobilization in a position of comfort and referral for radiographic evaluation should replace onsite reduction. If reduction of an anterior dislocation is not possible, the shoulder should be immobilized in a position of comfort and the patient referred for appropriate treatment. Multiple attempts at reduction are not recommended.
 
Disclaimer.
I'm not a medical expert, and I do not know Stacey or his coach, nor do I want to vilify his coach. He made a bad decision in a highly emotional state. We all have.
 
I hope Stacey makes a full recovery and is able to enjoy his career at Little Rock. I hope we can all learn from this and remember that even if a state title is on the line the health and safety of these young athletes must always come first. Champion is the dream, but there is no shame in Runner-up.  McTorry is a great wrestler too, and it was clear he was not happy with the ending either. I wish him all the best as well.

 

 

 

I believe the trainer and his coach both attempted to put his shoulder back in place during the finals match.  When they could not put it back in he went to the ER and got it put back in.  I know the trainer put it back in place during his semi finals match so I’m sure he was ok with them attempting to put it back in place during his finals match.  He majored mctorry at the beginning of the year so he really had nothing to prove.  Hoping his recovery goes well.

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