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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.
For dislocations with fracture - CT shoulder and keep patient fasted

Follow-up

For simple dislocations - On-line referral to VFC.
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

Contact Us

Trauma Coordinator: ext 35831 

Oncall Registrar: bleep 5599

Oncall SHO: bleep 5500

Plaster Room: ext 35443

Ward 30: ext 35412, 35868

Ward 31: ext 35626, 35355

Ward 30 doctor - bleep 5501 (8am-5pm)

Ward 31 doctor - bleep 5502 (8am-5pm)

T&O outlier doctor - bleep 5503 (8am-5pm)

Post-take doctor - bleep 5503 (8am-5pm)

Twilight doctor - bleep 5503 (2.45-10:45pm)

Orthogeriatric team - bleep 1458 (not for referrals)

Oncall email: mtw-tr.ortho-oncall@nhs.net

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