Athletic Training Practice Exam

If a player presents with a suspected shoulder dislocation, what should you check first?

1. Evaluate the injury then reduce the dislocation

2. Evaluate the shoulder motion and send to the hospital

3. Check the neuromuscular status of the upper extremity

4. Immediately immobilize the joint

The correct answer is: Check the neuromuscular status of the upper extremity

When a player presents with a suspected shoulder dislocation, the first action should be to check the neuromuscular status of the upper extremity. This involves assessing both the circulation (blood flow) and the neurological function (sensation and movement) of the arm, as dislocations can potentially damage surrounding nerves and blood vessels. Understanding the neuromuscular status is crucial because if there is a significant injury to these structures, further manipulation of the shoulder could cause more damage. Evaluating the feeling and movement in the arm allows the athletic trainer to make informed decisions regarding the treatment and urgency of care. For instance, signs of compromised blood flow or nerve function would necessitate immediate medical intervention, highlighting the importance of this initial assessment. Additionally, while other options involve appropriate responses, they follow after ensuring the neuromuscular integrity is intact. For example, immobilization of the joint is vital, but it should not precede confirming that the limb has proper blood flow and nerve function.