CAMRT Radiography Practice Exam

Which positions should be avoided if a shoulder dislocation is suspected?

1. Neutral position

2. Flexion and extension

3. Internal and external rotation

4. Abduction and adduction

The correct answer is: Internal and external rotation

In the context of a suspected shoulder dislocation, it's essential to avoid positions that could exacerbate the injury or lead to further damage. Internal and external rotation of the shoulder joint should be avoided because these movements can increase the risk of re-injuring the shoulder or causing additional trauma to the surrounding ligaments, muscles, and nerves. When a shoulder dislocation occurs, the joint is typically out of its normal alignment, and rotating the shoulder can complicate the situation by creating additional stress on the joint capsule and potentially increasing the dislocation's severity or causing fracturing of the surrounding bones. Positions involving internal rotation can particularly place the shoulder in a vulnerable position where the dislocated head of the humerus may impinge on other structures within the joint, causing pain and further complications. External rotation could also lead to similar risks. Therefore, it is crucial to keep the shoulder in a more neutral position to avoid aggravating the injury. In contrast, neutral position, flexion and extension, and abduction and adduction might put the shoulder in less compromising positions, making them somewhat more acceptable under careful handling, provided they do not contribute to further dislocation or discomfort.