Traumatic joint dislocation

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Traumatic joint dislocation

  1. 1. Traumatic Joint Dislocation Kinna P. Siarro, RN
  2. 2. OVERVIEW
  3. 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. 4. • Most commonly dislocated joints:  Shoulder, fingers, elbow• Mechanism of injury:  Anterior, posterior (most common), lateral, or medial force
  5. 5. CLINICALMANIFESTATIONS
  6. 6. • Pain.• Deformity.• Change in the length of the extremity.• Loss of normal movement.• X-ray confirmation of dislocation without associated fracture.
  7. 7. MANAGEMENT
  8. 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. 9. • Immobilize part while patient is transported to emergency department, X-ray department, or clinical unit.
  10. 10. • Stabilize reduction until joint structures are healed to prevent permanently unstable joint or aseptic necrosis of bone.
  11. 11. NURSINGINTERVENTIONS ANDPATIENT EDUCATION
  12. 12. • Assess neurovascular status of extremity before and after reduction of dislocation.• Administer or teach self- administration of pain medications such as NSAIDs.
  13. 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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