Fresno-Quebec Shoulder Dislocation Rule of Emond et al

Description

The Fresno-Quebec dislocation rule is a modification of the Quebec rule for anterior shoulder dislocation. Its use can reduce the number of pre-reduction radiographs significantly. The authors are from Universite Laval Quebec, University of California San Francisco-Fresno and UCLA.

Patient selection: probable anterior shoulder dislocation in the Emergency Department

Parameters:

(1) atraumatic, recurrent shoulder dislocation

(2) age of the patient in years

(3) high-risk mechanism of trauma

High-risk mechanism of injury:

(1) motor vehicle accident

(2) assault

(3) sports-related

(4) fall > 10 feet

Atraumatic and Recurrent	Age in Years	High-Risk Mechanism	Pre-Reduction X-rays
yes	NA	NA	no
no	> 35 years	NA	yes
no	<= 35 years	yes	yes
no	<= 35 years	no	no

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Fresno-Quebec Shoulder Dislocation Rule of Emond et al

Description

Specialty