Dislocation
Dislocation
Dislocation
Mr Yogendra Mehta
Lecturer, HOD(AHN)
BRNC
Learning Objectives
At the end of the teaching students should able to :
• Define dislocation & subluxation.
• List the causes & risk factors of dislocation.
• Explain the pathology of dislocation.
• State the clinical features of dislocation.
• Enumerate the diagnostic approach for dislocation.
• Explain the treatment approach for dislocation.
• Explain the preventive measures for dislocation.
• Explain the nursing management of patient with
dislocation.
Subluxation
• Minor or incomplete
dislocation in which the joint
surfaces still touch but are not
in normal relation to each
other.
• leads to numbness, tingling,
pain, and burning in that area
of the body.
Dislocation
• An injury in which the ends of your bones are forced from their
normal positions.
• Cause is usually trauma resulting from a fall, an auto accident,
or a collision during contact or high-speed sports.
• Dislocation usually involves the body's larger joints.
• Treat it as an emergency and seek medical attention as soon as
possible.
• An untreated dislocation could cause damage ligaments,
nerves, or blood vessels.
Dislocation
Causes
• Elderly People
• Children
• Previous h/o dislocation
• Sportsman
• Hard blow to joint
• joint infection
Pathology
Clinical Features
Clinical Features Contd….
Diagnosis
• History Taking
• Physical Examination
• Radiological diagnosis
- X-Ray
- MRI
Physical Examination
X-Ray of Dislocation
X-Ray of Dislocation
Treatment
• Choice of treatment will depend on which joint is
dislocated.
• Depend on the severity of your dislocation.
• According to Johns Hopkins University initial treatment for
any dislocation:
- R= Rest
- I= Ice application
- C= compression
- E= Elevation
Treatment Contd….
If the joint doesn’t return to normal naturally, doctor may
use one of the following treatments:
• Manipulation or repositioning
• Immobilization
• Medication
• Surgery
• Rehabilitation
Treatment Contd….
Manipulation or repositioning
- Given a sedative or anesthetic to remain comfortable and also to
allow the muscles near your joint to relax, which eases the
procedure.
Immobilization
- Wear a sling, splint, or cast for several weeks.
- Prevent the joint from moving and allow the area to fully heal.
- Length of time your joint needs to be immobile will vary, depending
on the joint and severity of the injury.
Treatment Contd….
Medication
- Given a Muscle rexant