NSG 3107 Lecture Notes - Lecture 11: Tourniquet, Soft Tissue, Muscle Hypertrophy
26 Apr 2018
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Include contusions, dislocations, sprains & strains to muscles, ligaments, tendons: rest the injured part, ice immediately (maximum 30 minutes at a time and protect the. In young children most often due to play. Ice ~ 4 hourly for 3 days: compression with wet elastic bandage, + analgesics. Ongoing management: return to normal activity asap, surgery if required to repair tears. Shoulder and elbow common dislocations in children. Force of stress on ligament is sufficient to displace normal position of opposing bone ends or bone ends to socket. Pain increases with active or passive movement of the affected extremity. Most common - elbow: radial head subluxation (rhs) - or pulled elbow. History of trauma: ~50% related to pulls, falls, twists. Physical exam: not using arm, no swelling, deformity, or bruising of the elbow or wrist, elbow is in extension or slight flexion, forearm is pronated, no obvious tenderness on palpation, pain only on movement of elbow.
