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Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
Traumatic joint dislocation
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Traumatic joint dislocation

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  • 1. Traumatic Joint Dislocation Kinna P. Siarro, RN
  • 2. OVERVIEW
  • 3. • Dislocation of a joint occurs when the surfaces of the bones forming the joint are no longer in anatomic contact• This is a medical emergency because of associated disruption of surrounding blood and nerve supplies
  • 4. • Most commonly dislocated joints:  Shoulder, fingers, elbow• Mechanism of injury:  Anterior, posterior (most common), lateral, or medial force
  • 5. CLINICALMANIFESTATIONS
  • 6. • Pain.• Deformity.• Change in the length of the extremity.• Loss of normal movement.• X-ray confirmation of dislocation without associated fracture.
  • 7. MANAGEMENT
  • 8. • Secure reduction of dislocation (bring displaced parts into normal position) as soon as possible to prevent circulatory or nerve impairments; usually performed under anesthesia.
  • 9. • Immobilize part while patient is transported to emergency department, X-ray department, or clinical unit.
  • 10. • Stabilize reduction until joint structures are healed to prevent permanently unstable joint or aseptic necrosis of bone.
  • 11. NURSINGINTERVENTIONS ANDPATIENT EDUCATION
  • 12. • Assess neurovascular status of extremity before and after reduction of dislocation.• Administer or teach self- administration of pain medications such as NSAIDs.
  • 13. • Ensure proper use of immobilization device after reduction.• Review instructions for activity restrictions and need for PT and follow-up.

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