Joint Dislocations in the Pediatric Emergency Department

Joint dislocations occur in the pediatric population and frequently present to the emergency department. Varying degrees of skeletal maturity and the differences of each individual joint mean that management of dislocations requires a unique set of skills. A thorough understanding of classification systems and anatomy is necessary for effective communication with orthopedic consultants as well as in avoiding pitfalls. Knowledge of the likely mechanisms of injury involved can aid in a targeted evaluation and correct diagnosis. Emergency department management, follow-up, and potential complications are all important for the emergency care provider to effectively treat these injuries. Dislocations of the shoulder, elbow, hip, knee, and patella are among the most commonly encountered injuries in children and are reviewed here.