In the management of a dislocated shoulder, what is a typical next step after reduction?

After successfully reducing a dislocated shoulder, the standard next step in management is the application of a shoulder sling. This is crucial for several reasons.

First, using a sling helps immobilize the shoulder joint, which supports the surrounding muscles and tissues as they begin to heal. Immobilization reduces the risk of re-dislocation by limiting movement, particularly in the early stages following the reduction.

Second, the shoulder sling provides comfort to the patient. Following a dislocation, the area can be sore and painful, and a sling helps to reduce strain on the shoulder, allowing for better pain management during the recovery phase.

Lastly, while physical therapy is beneficial for rehabilitation, it is typically initiated after a period of immobilization, rather than immediately post-reduction. Referral to a rheumatologist or considering elective surgery for stabilization are not immediate post-reduction considerations and would only be pursued in specific cases where there are underlying conditions affecting the joint or when recurrent instability is a concern. Thus, the application of a shoulder sling is the most appropriate and immediate next step after a reduction.