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After lurking for a very long time... Do you X-Ray all dislocations before manipulation? I personally tend to x-Ray only the first-time dislocations or those that follow a trauma. I do not x-ray the "spontaneous" recurrent dislocations (where there is no risk of associated fracture). Apologies if this has been already said (I must have missed it). Best regards, Marcello della Corte Staff Grade ED