What are the contraindications for standard closed reduction of an inferior glenohumeral dislocation?

Updated: Aug 17, 2018
  • Author: Anantha K Mallia, DO, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

Standard closed reduction of an inferior glenohumeral dislocation is contraindicated in the setting of humeral neck or shaft fractures or in the setting of suspected major vascular injury. The presence of these associated injuries necessitates surgical intervention/open reduction.

Though not a contraindication per se, a “buttonhole deformity” (in which the humeral head becomes trapped in a tear of the inferior capsule) often precludes successful closed reduction, necessitating open reduction.


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