Faculty, Staff and Student Publications

Language

English

Publication Date

2-4-2026

Journal

Wilderness & Environmental Medicine

DOI

10.1177/10806032261417172

PMID

41637275

Abstract

Shoulder dislocations are prevalent on Earth and pose unique challenges in spaceflight and spaceflight training, particularly during extravehicular activities (EVAs). This case report describes a 50-year-old male who experienced an anterior shoulder dislocation while performing an emergency egress exercise in a SpaceX EVA suit. The report describes the medical thought process, the operational constraints, and the reduction techniques employed to achieve a successful shoulder reduction without fully removing or damaging the suit. NASA estimates a high likelihood of shoulder injuries during long-duration lunar missions, emphasizing the importance of suit designs and rescue protocols. Quick and effective medical intervention is crucial, as delays can lead to complications. This Earth-based case report provides some insight into reduction technique considerations for suited spaceflight operations in varying gravitational environments.

Keywords

EVA suit design, emergency medical care in space, extravehicular activity (EVA), human spaceflight medicine, shoulder dislocation, shoulder reduction techniques

Published Open-Access

yes

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