What is the priority when managing dislocations?

The priority when managing dislocations is to attempt reduction by the clinician. This involves realigning the dislocated joint to its normal anatomical position, which is crucial for restoring function and preventing further injury to surrounding structures such as ligaments, tendons, and nerves. Successful reduction can alleviate pain and reduce the risk of complications associated with prolonged dislocation, such as avascular necrosis due to compromised blood flow.

While surgical intervention may be necessary for certain complicated dislocations, the immediate step following a dislocation is often to attempt a closed reduction. Immediate pain management is important but typically follows the reduction attempt or is addressed concurrently if appropriate. Applying a splint is also a part of aftercare but does not take precedence over achieving proper alignment of the joint at the outset. The overall goal is to minimize further injury and restore joint function, making reduction the first critical step in the management of dislocations.