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Management of Patients With Musculoskeletal Trauma:

Management of Patients With Musculoskeletal Trauma

Injuries of the Musculoskeletal System:

Injuries of the Musculoskeletal System Contusion: soft tissue injury produced by blunt force Pain, swelling, and discoloration: ecchymosis Strain: Pulled muscle injury to the musculotendinous unit Pain, edema, muscle spasm, ecchymosis, and loss of function are on a continuum graded first, second, and third degree Sprain: injury to ligaments and supporting muscle fiber around a joint Joint is tender, and movement is painful, edema; disability and pain increases during the first 2 to 3 hours Dislocation: articular surfaces of the joint are not in contact A traumatic dislocation is an emergency with pain change in contour, axis, and length of the limb and loss of mobility


Question What is a contusion? A musculotendinous injury Blunt force injury to soft tissue A break in the continuity of a bone An injury to ligaments and other soft tissues at a joint


Answer Blunt force injury to soft tissue Strain is a musculotendinous injury. Contusion is blunt force injury to soft tissue. Fracture is a break in the continuity of a bone. Sprain is an injury to ligaments and other soft tissues at a joint.


RICE Rest Ice Compression Elevation Immobilize Anti-inflammatory medications

Types of Fractures:

Types of Fractures Complete Incomplete Closed or simple Open or compound/complex Grade I Grade II Grade III

Types of Fractures:

Types of Fractures

Other Fracture Types:

Other Fracture Types Femoral shaft fracture Tibia and fibula Ribs Thoracolumbar spine

Manifestations of Fracture:

Manifestations of Fracture Pain Loss of function Deformity Shortening of the extremity Crepitus Local swelling and discoloration Diagnosis by symptoms and radiography Patient usually reports an injury to the area

Emergency Management:

Emergency Management Immobilize the body part Splinting: joints distal and proximal to the suspected fracture site must be supported and immobilized Assess neurovascular status before and after splinting Open fracture: cover with sterile dressing to prevent contamination Do not attempt to reduce the fracture

Medical Management :

Medical Management Reduction Closed Open Immobilization: internal or external fixation Open fractures require treatment to prevent infection Tetanus prophylaxis, antibiotics, and cleaning and debridement of wound Closure of the primary wound may be delayed to permit edema, wound drainage, further assessment, and debridement if needed

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End of Part 1

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