• 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
• Most commonly dislocated joints: Shoulder, fingers, elbow• Mechanism of injury: Anterior, posterior (most common), lateral, or medial force
• Pain.• Deformity.• Change in the length of the extremity.• Loss of normal movement.• X-ray confirmation of dislocation without associated fracture.
• Secure reduction of dislocation (bring displaced parts into normal position) as soon as possible to prevent circulatory or nerve impairments; usually performed under anesthesia.
• Immobilize part while patient is transported to emergency department, X-ray department, or clinical unit.
• Stabilize reduction until joint structures are healed to prevent permanently unstable joint or aseptic necrosis of bone.
NURSINGINTERVENTIONS ANDPATIENT EDUCATION
• Assess neurovascular status of extremity before and after reduction of dislocation.• Administer or teach self- administration of pain medications such as NSAIDs.
• Ensure proper use of immobilization device after reduction.• Review instructions for activity restrictions and need for PT and follow-up.