What should the athletic trainer do when there is a shoulder dislocation?

• A. Immediately immobilize in a comfortable position
• B. Move the shoulder to reduce pain
• C. Apply heat and massage the area
• D. Take a timeout and re-evaluate later

Answer: (A)

When a shoulder dislocation occurs, the priority is to protect the joint and tissues by immobilizing the arm in a position of comfort and getting the athlete professional evaluation promptly. Stabilizing the arm with a sling or rigid support helps prevent further displacement, nerve or blood vessel injury, and adds pain control while you arrange transport. Check distal circulation and sensation before and after immobilizing, and apply ice to reduce swelling.

Moving the shoulder trying to “set” it on the spot can cause additional damage, such as fracturing bones or injuring nerves, and should only be done by someone trained in proper reduction techniques with the right equipment. Heat and massage are not appropriate for an acute dislocation and won’t resolve the injury. Delaying care or re-evaluating later misses the window to prevent complications.