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Traumatic Joint
  Dislocation
    Kinna P. Siarro, RN
OVERVIEW
• 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
CLINICAL
MANIFESTATIONS
• Pain.

• Deformity.

• Change in the length of the
  extremity.

• Loss of normal movement.

• X-ray confirmation of dislocation
  without associated fracture.
MANAGEMENT
• 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.
NURSING
INTERVENTIONS AND
PATIENT 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.
Traumatic joint dislocation

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Traumatic joint dislocation

  • 1. Traumatic Joint Dislocation Kinna P. Siarro, RN
  • 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
  • 6. • Pain. • Deformity. • Change in the length of the extremity. • Loss of normal movement. • X-ray confirmation of dislocation without associated fracture.
  • 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.
  • 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.