Shoulder / arm VFC

Clavicle fracture

A&E management

Check skin integrity. Broad arm sling

Follow-up

On-line referral to VFC. Refer to Ortho on-call if skin compromised

Acromioclavicular joint injuries

A&E management

Broad arm sling

Follow-up

On-line referral to VFC if grade 3+

Shoulder dislocation

A&E management

For simple dislocations - Reduce. Broad arm sling, repeat XR + request MRI in patients >40 years.
For dislocations with fracture - CT shoulder and keep patient fasted

Follow-up

For simple dislocations - On-line referral to VFC + request MRI in patients >40 years.
For complex dislocations - refer to ortho on-call

Rotator cuff tears

A&E management

Broad arm sling

Follow-up

On-line referral to VFC (MTW minor injuries unit can refer to MSK review clinic)

Proximal humerus fracture

A&E management

Collar and cuff

Follow-up

On-line referral to VFC

Humeral shaft fracture

A&E management

Humeral brace (from Plaster room). Check neurological status before and after application of brace.

Follow-up

On-line referral to VFC