Dislocation

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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

• unexpected or unbalanced impact. 


• Fall
• Sliding
• Accident
• Pathological conditions i.e; TB , Inflammatory disorder
Risk Factors

• 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

Surgery: Joint Replacement & Reconstruction


- Need surgery only if the dislocation damaged your nerves or blood
vessels.
- Unable to return bones to their normal position.
- Often dislocate the same joints, such as their shoulders.
- To prevent redislocation.
- Reconstruct the joint and repair any damaged structures. 
Treatment Contd….
Rehabilitation
- Goal of rehabilitation is to gradually increase the joint’s strength and
restore its range of motion.
- It’s important to go slowly so you don’t reinjure yourself before the
recovery is complete.
Prevention
• Use handrails when going up and down staircases.
• Keep a first aid kit in the area.
• Use nonskid mats in wet areas, such as bathrooms.
• Move electrical cords off the floor.
• Avoid use of throw rugs.
• Wear protective gear or clothing when doing physical activities, such
as sports.
• Avoid standing on unstable items, such as chairs.
Nursing Management
• Nursing Assessment
- History taking
Physical examination
- Pain assessment
- Injury assessment
- Comfort assessment
Nursing Management
• Nursing Diagnosis
Nursing Management
• Nursing Intervention
THANK YOU

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