title: [Pre-hospital treatment of an anterior shoulder dislocation: medico-legal concerns].
abstract: A man of 23 years, diabetic of type 1, shows a functional handicap of the right upper limb following a convulsion in the context of hypoglycemia. On arrival of the "S.A.M.U.", the physician diagnoses an anterior shoulder dislocation that he decides to reduce on the spot after analgesic treatment. The X-ray examination at the emergency shows a reduction of the dislocation as well as a fracture of the greater tuberosity. Has the fracture followed the convulsion or the reduction movement ? The absence of an X-ray examination before the reduction movement presents a forensic medical problem. Certain criteria mentioned in several studies would allow the reduction without X-ray before. However, these studies remain controversial.
authors.forename: A
authors.initials: A
authors.lastname: Möhler
authors.forename: H
authors.initials: H
authors.lastname: Arikan
authors.forename: M
authors.initials: M
authors.lastname: Gris
mesh_terms: D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008318:Malpractice; D008349:Manipulation, Orthopedic / Q000009:adverse effects; D011859:Radiography; D012640:Seizures / Q000150:complications; D012783:Shoulder Dislocation / Q000628:therapy*; D012784:Shoulder Fractures / Q000000981:diagnostic imaging*; D055815:Young Adult