After closed reduction of a glenohumeral dislocation, which steps are typically performed?

• A. Neurovascular check only
• B. Post-reduction imaging only
• C. Brief immobilization with rehab
• D. Neurovascular check and post-reduction imaging with brief immobilization and rehab

Answer: (D)

After reducing a glenohumeral dislocation, the immediate priorities are to assess the safety and function of the limb, confirm that the joint is truly reduced and to plan protection and rehabilitation. A neurovascular check evaluates motor function and sensation, particularly around the shoulder and the axillary nerve distribution, and checks distal pulses and perfusion to make sure there’s no vascular compromise or nerve injury resulting from the injury or reduction. Post-reduction imaging is essential to verify that the humeral head is seated in the glenoid and to identify any associated injuries, such as a fracture of the greater tuberosity or a Hill-Sachs lesion, which may alter management. Brief immobilization in a sling provides gentle protection of the joint while the soft tissues heal, but early rehabilitation is important to prevent stiffness and to restore range of motion and strength in a controlled, progressive manner. This combination—neurovascular assessment, imaging to confirm reduction and detect associated injuries, and a short period of immobilization followed by rehab—best reflects standard post-reduction care.