1.
Musculoskeletal Injuries
Presented By
Sriloy Mohanty
B.N.Y.S.

2.
Musculoskeletal injuries includes strains ,
sprains, fractures & dislocations.
sriloy21@gmail.com

3.
sriloy21@gmail.com

4.
Definition
A strain is an injury to a muscle or tendon in
which the muscle fibers tear as a result
of overstretching
A sprain is an injury in a joint, caused by
the ligament being stretched beyond its own
capacity
sriloy21@gmail.com

5.
sriloy21@gmail.com

6.
Signs and symptoms
strain
• localized stiffness,
• discoloration
• bruisingaround the strained
muscle
sprain
• Pain
• Swelling
• Bruising
• Decreased ability to move
the limb
• If the ligament is ruptured,
one may hear a popping
sound
• Difficulty using the
affected extremity
sriloy21@gmail.com

7.
Treatment
• Rest: The sprain should be rested
– No additional force should be applied on site of the sprain.
• Ice: Ice should be applied immediately to the sprain to reduce
swelling and pain
– It can be applied for 10–15 minutes at a time (longer application of ice
may cause damage instead of healing)
– 3-4 times a day.
– Ice can be combined with a wrapping to minimize swelling and
provide support.
sriloy21@gmail.com

8.
sriloy21@gmail.com

9.
Cont…
• Compression: Dressings, bandages, or ace-wraps should be
used to immobilize the sprain and provide support
– When wrapping the injury, more pressure should be applied at the far
end of the injury and decrease in the direction of the heart
– Compression should not cut off the circulation of the limb.[8]
• Elevation: Keeping the sprained joint elevated (in relation to
the rest of the body) will also help minimize swelling
sriloy21@gmail.com

10.
sriloy21@gmail.com

11.
FRACTURE

12.
Fracture is a partial or complete breakage or
crack in a bone.
Both direct & indirect force can cause fracture.
fracture can be with / without displacement of
bone fragments.
sriloy21@gmail.com

13.
Types:
Stable fracture- broken bone ends do not move,
either because they are incompletely broken
or jammed together.
Unstable fracture- broken bone ends can easily
move out of position that increases the risk of
damage to blood vessels, nerves & organs.
sriloy21@gmail.com

14.
• Open fracture: Skin breaks causing open
wound.
sriloy21@gmail.com

15.
Closed fracture: Skin above the
fracture is intact.
sriloy21@gmail.com

16.
Complete fracture
sriloy21@gmail.com

17.
Greenstick fracture: is an incomplete
break in a bone, tend to occur in
children, whose bones are more
flexible
sriloy21@gmail.com

18.
• A hairline fracture is the result of insufficient
trauma (e.g. force or impact) to cause much
movement between the fragments of bone.
sriloy21@gmail.com

19.
Compression fracture
sriloy21@gmail.com

20.
Fragmentary fracture
sriloy21@gmail.com

21.
sriloy21@gmail.com

22.
Assessment:
• Quickly assess five P’s in musculoskeletal
injuries :
Pain- location, severity & quality of pain.
Paresthesia- abnormal sensation or loss of
sensation indicates neuromuscular involvement.
paralysis- nerve damage.
pallor – neurovascular compromise.
Pulse- decreased or absent pulse indicates
reduced blood supply to the area.
sriloy21@gmail.com

23.
Symptoms
• Severe pain
• Difficulty in movement
• Swelling/ bruising / bleeding
• Deformity / abnormal twist of limb
• Tenderness on applying pressure
• Crepitus me be heard
• Signs of shock
sriloy21@gmail.com

24.
First-aid
Depends on type & location of fracture
sriloy21@gmail.com

25.
For open fractures:
• Control bleeding
• Dress the wound
• Immobilize.
For closed fractures:
• Calm the person
• Bandage the injured part to an unaffected part of
the body
• Immobilize
• Shift to hospital
sriloy21@gmail.com

26.
DO NOT
• Massage the affected area
• Straighten the broken bone
• Move without support to broken bone
• Move joints above / below the fracture
• Give oral liquids / food
sriloy21@gmail.com

27.
Prevention
• Wear protective pads / helmets when driving
• Teach children / practice, safe habits
sriloy21@gmail.com

28.
First aid
Based on location of fracture:
Facial fracture:
• If unconscious but breathing normally, place the
patient on their side in a supported position &
Call for an ambulance.
• If conscious, allow the patient to rest in the
position of greatest comfort, generally half-sitting
or lying down with the head tilted to the injured
side. Provide a clean pad or some tissues for the
patient to mop up any blood, saliva or mucus.
sriloy21@gmail.com

29.
• If the jaw appears broken or dislocated, allow
the patient to support the injured part with
soft pad.
• Gently apply a cold compress to reduce pain &
swelling.
Note: ask the casualty to split out any blood,
broken teeth or dentures from his mouth.
sriloy21@gmail.com

30.
Fracture of the collarbone:
Carefully immobilize the arm with padding
under the armpit and apply either an
elevation sling or an arm sling depending on
the patient’s preferred position of greatest
comfort.
sriloy21@gmail.com

31.
• Gently place soft padding between arm &
body to make more comfortable.
• Send the casualty to hospital in sitting
position.
sriloy21@gmail.com

32.
Shoulder injury:
To treat shoulder injury follow RICE procedure:
Rest
ice pack
Compression
Elevation
sriloy21@gmail.com

33.
Upper arm, elbow & lower arm injury:
position of greatest comfort- generally sitting in
a chair or half sitting with support.
Allow the patient to support the arm on the
injured side on a pillow or folded clothing.
Place a triangular bandage between the chest &
the injured arm.
sriloy21@gmail.com

34.
sriloy21@gmail.com

35.
sriloy21@gmail.com

36.
sriloy21@gmail.com

37.
sriloy21@gmail.com

38.
sriloy21@gmail.com

39.
Spine fracture
• Severe pain in the back
• Loss of control over limbs
• Loss of sensation of the limb below the injury
sriloy21@gmail.com

40.
sriloy21@gmail.com

41.
Treatment
• Do not move
• Put a rolled cloth along the side of the trunk
to support the person
• Wait for ambulance
• Place pads between leg and tie a bandage in 8
shape
• Always remember to take the patient in
supine position
sriloy21@gmail.com

42.
Neck fracture
• Use a cervical collar or make 1 with paper and
triangular bandage
• Maintain airway
sriloy21@gmail.com

43.
Facture of the lower limb
• Pain with movement
• Swelling
• Tenderness
• Not able to bend the leg
• Signs of shock
sriloy21@gmail.com

44.
First aid
• Use pads, sticks, bandages to immobilize
• Elevate
• Restrict movement
• Supine position
sriloy21@gmail.com

45.
Dislocation
• Dislocation occurs in a joint when it is pushed
beyond its normal range of motion.
• A dislocation is where a bone has been
displaced from its normal position at a joint.
sriloy21@gmail.com

46.
Signs and symptoms
• Strong pain in the articulation at the time of
the accident.
• A limb is deformed in case of sprains.
• Swelling which manifest itself quickly.
• Pain increase while moving the articulation
sriloy21@gmail.com

47.
thanQ...
sriloy21@gmail.com