EP.FRI.34 Audit of management of shoulder dislocations against BOA Traumatic anterior shoulder instability Guidelines

Abstract Background Traumatic anterior shoulder dislocation is associated with a high risk of instability, reduced functional outcome, and recurrence. We conducted an audit to assess the direct management, review in fracture clinic, definitive imaging patients instability Southport Formby Hospital. Aim To identify compliance 2015 BOA guidelines. Method Identified all from 01/01/2019 31/12/2019 who had coded for their diagnosis. used imaging, scanned notes, clinic letters where available clinical information. excluded false diagnosis code, those non-local post codes analysis. Results identified 67 dislocation. 88% x-rays both AP Lateral. that 8.9% pre-reduction only, 11.9% no x-rays, 1.5 % reduction imaging. 79% were seen within 6 weeks but only 40.3% by specialist 43.3% appropriate 16.4% not given follow up. Conclusion Although most managed acutely according guidelines, up subsequent investigations these can be improved. One method we suggest renaming days consultant names sub-specialty names. In addition, dedicated session guideline senior orthopedic surgeons cold improve as well.