Musculoskeletal TRAUMA Flashcards Preview

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Flashcards in Musculoskeletal TRAUMA Deck (98)
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1

Strain

stretching or tearing of a muscle or tendon
(muscle to bone)

2

Sprain

stretching or tearing of a ligament
(bone to bone)

3

Contusion

injury to soft tissue that results in a hematoma

4

1st Degree Strain

-mild edema, pain, and muscle spasms
-ROM NOT affected
-may last 3-5 days

5

2nd Degree Strain

-Moderate
-Edema/bruising
-Pain/muscle spasms
-Loss of strength
-2-3 weeks

6

3rd Degree Strain

-Complete Tearing
-Internal bleeding w/ bruising
-Severe pain, edema, muscle spasms
-Complete loss of function
-May need surgery

7

1st Degree Sprain

-stretching or minimal tearing
-edema/mild discomfort
-function unaffected

8

2nd Degree Sprain

-Moderate incomplete tearing
-Edema, redness, pain w/ moving
-Discomfort evident w/ weight bearing

9

3rd Degree Sprain

-Complete tearing
-Ambulation not possible
-Severe pain, redness, edema

10

Diagnostic Tests for Strains/Sprains

-X-rays
-CT Scans
-MRI
-Ultrasounds

11

Treatment for 1st-2nd Degree

R- rest
I- ice (30 mins 5x a day)
C- compression
E- elevate
NSAID's
Splinting

12

3rd Degree Treatment

Surgery
-Arthroscopic
-Reconstructive
-Recovery is 4-6 weeks of immobilization and therapy
-Percocet/Norco

13

Complications of Sprains and Strains

-Joint instability
-Higher Risk for repeated injury
-Bursitis/ Tendonitis
-Limited Mobility
-Compartment Syndrome

14

Joint Dislocation

Articular surfaces of bone are no longer aligned

15

5 Types of Dislocation

-Total or Partial
-Congenital
-Spontaneous
-Traumatic

16

S/S of Dislocation

-Abnormal appearance of joint
-Shortening of affected limb
-Loss of normal mobility
-Confirmed w/ x-ray

17

Treatment for Dislocation

-Immediate immobilization
-Reduction ASAP
-Re-immobilize
-Neurovascular checks q 1-2 hours

18

When can the patient begin to move their extremity again after dislocation?

-Begin slowly progressing movement IF joint is stable

19

When may surgery be necessary?

If no stability can be attained

20

When is treatment considered emergent for a dislocation?

When it is traumatic and is to prevent Avascular Necrosis

21

Fractures

A disruption or break in the continuity of a bone

22

What might cause an elderly person's bones to fracture?

-Weakened bones secondary to osteoporosis
-Loss of bone density due to aging
-Falls

23

What are the most common causes of fractures for teens-young adults?

-Motor vehicle accidents
-Sports injuries

24

Where do fractures in young children often occur?

Growth plates

25

Complete Fracture

Bones break into 2 or more parts and may involve displacement

26

Incomplete Fracture

Break does not go all the way through the bone

27

Oblique Fracture

Break runs across the bone diagonally

28

Comminuted Fracture

Produces bone fragments
-may have missing pieces
-hardest to heal

29

Impacted Fractures

Ends of the bones are driven into each other
-often w/ falls

30

Closed (Simple) Fracture

Does NOT break the skin