Examine the Injury
The clinician checks the skin, deformity, tenderness, pulse, color, sensation and motor function before deciding where and how the injury should be treated.
A dislocated shoulder, kneecap, finger or other joint needs prompt evaluation. Atlanta Bone & Joint Specialists offers urgent and same-day orthopedic appointments when available, digital X-rays and office-based reduction for selected dislocations when it can be performed safely.
Do not attempt to force a dislocated joint back into place yourself. Call first. Some dislocations require emergency sedation, advanced imaging or surgery and should be treated in an emergency department.
A joint dislocation occurs when the bones forming a joint are forced out of their normal alignment. Reduction is the medical procedure used to guide the joint back into position. The treatment setting depends on the joint, associated fracture risk, pain level, circulation, nerve function and whether sedation is required.
The clinician checks the skin, deformity, tenderness, pulse, color, sensation and motor function before deciding where and how the injury should be treated.
X-rays may identify a fracture that changes the reduction plan. Repeat imaging may be used afterward to document alignment and evaluate for associated bone injury.
A sling, brace, splint or other support may be applied. Follow-up treatment addresses the ligament, labrum, tendon, cartilage or fracture damage that allowed the joint to dislocate.
Not every dislocation is appropriate for office reduction. Calling before arrival allows our team to help determine whether you should come to an orthopedic office or go directly to an emergency department.
Sometimes. Selected closed dislocations can be evaluated with X-rays and reduced in an orthopedic office. Other injuries need stronger pain control, procedural sedation, emergency resources or immediate surgery. A quick phone discussion can help direct you to the safest setting and may prevent an unnecessary ER visit.
Tell us which joint is out, when it happened, whether the skin is open and whether the hand or foot is numb, pale, blue or unusually cold.
Call 404-298-3730Call 911 or seek emergency care for a pale, blue or cold extremity; absent pulse; severe or progressive numbness; open wound; exposed bone; uncontrolled bleeding; suspected hip dislocation; head, neck or chest injury; or another true emergency. Do not eat or drink if emergency sedation or surgery may be needed.
Reduction restores alignment, but it does not repair the tissue damage that occurred during the dislocation. Follow-up is important to protect healing, restore motion and determine the risk of recurrent instability.
A sling, patellar-stabilizing brace, finger splint or other support may be used to protect the injured joint during the early healing period.
Circulation, nerve function and joint stability are reassessed. Follow-up X-rays may identify a fracture or confirm that alignment remains acceptable.
MRI may be used to evaluate a labral tear, rotator cuff tear, ligament injury, cartilage injury or other soft-tissue damage. Therapy helps restore motion, strength and control.
Younger patients may have a higher risk of recurrent instability and labral injury. In older patients, weakness after a dislocation may raise concern for a rotator cuff tear. The appropriate imaging and treatment plan depend on age, activity level, examination findings and associated injuries.
Digital X-rays are available during orthopedic appointments at our Decatur, Snellville and Loganville offices. When medically appropriate, MRI at our Snellville location may sometimes be available the same day or within one to two business days after required insurance authorization, subject to scanner availability, the study requested and patient eligibility.
Call our central scheduling number and state clearly that the joint appears dislocated.
Call promptly for guidance. We will help determine whether the injury may be treated in an orthopedic office or requires immediate emergency-department care.