In brief The clinical diagnosis of anterior shoulder dislocations can be made by evaluating the mechanism of injury and noting limited arm adduction and shoulder rotation. In addition, the shoulder loses its normal rounded contour, and the acromion is unusually prominent. Prereduction x-rays are not always necessary but will confirm the clinical diagnosis. Reduction of the dislocation should be performed as quickly, gently, and safely as possible. Linear force via a self-reduction technique or a simple, passive traction technique will lead to a successful reduction in the vast majority of patients.
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