What is the recommended approach for a suspected shoulder dislocation on-field?

• A. Immobilize with a sling and swath, keep the arm in a neutral position against the chest, avoid attempting reduction, and transport.
• B. Attempt to reduce on-field.
• C. Rotate the arm rapidly to reposition.
• D. Disregard the injury and continue play.

Answer: (A)

The approach hinges on stabilizing the joint and avoiding further harm while getting the athlete to definitive care. Immobilize the shoulder with a sling and swath, and keep the arm in a neutral position tucked against the chest. This limits movement, reduces pain, and helps prevent additional injury to the shoulder structures and nearby nerves and vessels. On-field attempts to reduce the dislocation are not recommended because a safe reduction typically requires proper analgesia, muscle relaxation, and imaging to confirm position—manipulating the joint without this setup can cause nerve or blood vessel injury, fracture, or worsening of the condition. After immobilizing, check distal sensation and pulse, ensure comfort, and transport promptly for professional assessment and reduction if appropriate.