Initial Approach for Shoulder Relocation Maneuvers

Pre-reduction Assessment

The American College of Radiology recommends obtaining standard shoulder radiographs, including anteroposterior (AP) views in internal and external rotation and an axillary or scapula-Y view, to confirm dislocation and identify any associated fractures 1, 2
Axillary or scapula-Y views are vital as acromioclavicular and glenohumeral dislocations can be misclassified on AP views alone, with the American College of Radiology suggesting the use of these views to improve diagnostic accuracy 2, 3
The American College of Radiology advises that radiography should be performed upright because malalignment of the shoulder can be underrepresented on supine radiography 2

The American College of Radiology recommends obtaining post-reduction radiographs to confirm successful reduction and rule out iatrogenic fractures, including the same views as pre-reduction imaging to ensure proper alignment 1, 2
The American College of Radiology suggests that post-reduction radiographs should include the same views as pre-reduction imaging to ensure proper alignment, with a focus on confirming successful reduction and ruling out complications 3