College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is an appropriate first step when a patient experiences a GH dislocation?

1. Start physical therapy immediately

2. Apply heat to the joint

3. Assess the range of motion

4. Stabilize the joint and seek medical attention

The correct answer is: Stabilize the joint and seek medical attention

Stabilizing the joint and seeking medical attention is a critical first step in managing a glenohumeral (GH) dislocation. This approach is essential because a GH dislocation can result in various complications, such as damage to surrounding structures (nerves, blood vessels, ligaments), which can worsen if the joint is not properly stabilized. Stabilizing the joint involves immobilizing it to prevent further injury and alleviate pain. This can be achieved by using a sling or any support that keeps the arm close to the body. It is important to avoid attempting to relocate the dislocated shoulder without appropriate medical training, as improper handling could exacerbate the injury. Seeking medical attention is imperative because healthcare professionals can provide the necessary interventions, which may include imaging studies to assess the extent of the injury and a safe reduction of the dislocation if deemed appropriate. Further assessment and intervention will help ensure proper healing and rehabilitation following the injury. Immediate physical therapy or applying heat may not be suitable actions in the acute phase of a dislocation, as these approaches do not address the underlying issue of joint instability and potential damage. Assessing the range of motion before stabilizing the joint can also cause more harm than good by moving the joint when it requires immobilization.