Anterior shoulder dislocation is the most common large joint dislocation and is primarily due to trauma from motor vehicle collisions, falls, and contact sports. Physical examination reveals decreased range of motion with loss of traditional contour of the deltoid muscle. Axillary nerve function should be assessed, along with a typical neurovascular exam of the upper extremity. Plain radiographs reveal the humeral head inferior and medial to the glenoid fossa. Treatment includes relocation of the humeral head through various bedside manipulation techniques; procedural sedation may be required. After relocation, the arm is placed in a sling, neurovascular status is reconfirmed, and orthopedic follow-up should be arranged.