JOINT DISLOCATION.pptx

1. JOINT DISLOCATION
MRS,RAMYA.V,
TUTOR.

2. JOINT DISLOCATION

3. SHOULDER DISLOCATION

4. HIP DISLOCATION

5. ELBOW DISLOCATION

6. THUMB DISLOCATION

7. JOINT DISLOCATION
Dislocation is a
separation of both
articulating surfaces of
joint.

8. JOINT DISLOCATION
 Subluxation is a partial or incomplete
displacement of the joint surface.
 Dislocation may be congenital, traumatic or
pathologic.
 Congenital dislocations are present at birth and
mainly seen in hip and knee joints.
 Traumatic dislocations result from falls, blows or
rotational injuries.

9. JOINT DISLOCATION
 Pathologic dislocations result from disease of the joint including
infection, rheumatoid arthritis, paralysis and neuromuscular
diseases.
 Thumb, elbow and shoulder, hip & patella joints are mostly got
dislocated.
 Dislocations and subluxations disrupt a joint by tearing the
capsule and ligaments. A displaced bone may impede blood
supply, rupture blood vessels, damage nerves and rupture muscle
attachments.

10. Clinical Manifestations
Dislocation alter the length of affected
extremity.
 Acute pain, swelling, change in
contour of joint, loss of normal
mobility and change in the axis of
dislocated bones occur.

11. complications
Major complications of dislocated
joints are open joint injuries, intra
articular fractures, fracture
dislocation and avascular necrosis
and damage to adjacent
neurovascular tissue

12. Diagnostic test
 X-ray studies performed to
rule out the extent of
displacement of involved
structures.

13. Medical Management
 Immobilize the affected joint while transportation of the
patient to the hospital.
 Reduce the dislocation i.e. displaced parts are brought
into normal position to preserve joint function by means
of manual traction .
 Analgesics, muscle relaxants and possibly anesthesia
required for closed reduction (non invasive or non
surgical reduction).

14. Medical Management
 Neurovascular status is monitored.
 Bandages, splints, casts or traction is used to
maintain the joint in stable position after
reduction.
 After reduction and immobilization - Gentle
passive ROM may to started to restore strength
so that patient should be gradually return to
normal activities.

15. Nursing management
 Nursing management of subluxation or
dislocation is directed towards relief of pain,
provide comfort and protection of the injured
joint.
 Nurse should evaluate the neurovascular status
of patient by assessing the 5 "Ps : Pain, pulses,
pallor, paralysis and paraesthesia.

16. Nursing management
Nurse should teach the patient regarding
management of immobilizing devices,
protection of joints from reinjury and use
of assistive or adaptive devices.
 Nurse should refer the patient to physical
and occupational therapy.

17. BIBLIOGRAPHY
 Brunner and Suddarth’s Textbook of Medical- Surgical Nursing ,South Asian
 Edition , Volume II , Published by Wolters Kluwer . Page reffered to 1530-
1531
 Ansari and kaur “ A text Book of Medical Surgical Nursing – I , Part –B
Published by
 Pee Vee ( Regd.) Page reffered to 1403-1404.
 https://www.slideshare.net/mamunk56/dislocation
 https://www.slideshare.net/BRARHARMEET/joint-dislocation-236748345
 https://www.slideshare.net/jameswheeler001/joint-dislocations