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

What position should a patient maintain their arm in following an anterior shoulder dislocation while seeking medical attention?

1. Abducted position

2. External rotation

3. Internal rotation

4. Overhead position

The correct answer is: Internal rotation

When a patient experiences an anterior shoulder dislocation, the arm should be maintained in an internal rotation position as it often helps to relieve tension on the shoulder joint and reduce pain. This positioning minimizes movement and helps to prevent further displacement of the humeral head from its proper alignment, which is crucial during the period before the patient receives medical attention. Maintaining the arm in internal rotation helps stabilize the shoulder in a way that is generally more comfortable for the patient. It allows the humeral head to sit more securely within the glenoid cavity, potentially reducing the risk of converting a simple dislocation into a more complex injury. In contrast, other positions like abducted or externally rotated may place excessive stress on the shoulder joint and can lead to further injury or discomfort. An overhead position may also exacerbate the injury and is not recommended for someone with a recent dislocation. Proper positioning is essential to promote comfort and prevent additional trauma until professional help is available.