ABSTRACT
An increasing number of children younger than 16 are being killed or severely injured from riding adult-sized all-terrain vehicles. Parents and communities need the education regarding the danger of these vehicles, which are not toys! NAON has been consistent with attempting to get the word out and prevent these injuries and deaths so we can improve the safety of our children.
Subject(s)
Off-Road Motor Vehicles , Safety , Wounds and Injuries , Adolescent , Child , Humans , United States/epidemiology , Wounds and Injuries/mortalityABSTRACT
Many people "slip and fall", especially in the icy areas of the winter season. To prevent an injury to the head, most people put their hand out to hit the ground first, so the wrist usually gets injured. The most frequent injury from this type of "intervention" is a fracture to the distal radius and/or ulna, which is frequently called a "Colles' fracture."
Subject(s)
Colles' Fracture , Accidental Falls , Biomechanical Phenomena , Casts, Surgical , Colles' Fracture/classification , Colles' Fracture/diagnosis , Colles' Fracture/etiology , Colles' Fracture/therapy , Fracture Fixation/methods , Humans , Incidence , Nursing Assessment , Orthopedic Nursing , Patient Education as Topic , Risk Factors , Trauma Severity Indices , Wrist Injuries/complicationsABSTRACT
Boxer's fracture is a common name for a fracture of the distal fifth metacarpal and received its name from one of its most common causes, punching an object with a closed fist. It can occur from a fistfight or from punching a hard object. The injury of a "Boxer's Fracture" earned the name from the way in which the injury occurred, punching an immovable object with a closed fist and no boxing mitt (Figure 1). Naturally, a "Boxer" usually punches his fist into his opponent's face or body. An angry person may perform the same action into a person, or into the wall. The third person may be performing a task and strike something with his fist with forceful action accidentally. In any event, if the closed fist "punches" into an immovable or firm object with force, the most frequent injury sustained would be a fracture of the fifth metacarpal neck. Some caregivers would also call a fourth metacarpal neck fracture a boxer's fracture.
Subject(s)
Boxing/injuries , Fractures, Bone , Metacarpal Bones/injuries , Fracture Fixation/methods , Fractures, Bone/diagnosis , Fractures, Bone/etiology , Fractures, Bone/therapy , Humans , Medical History Taking , Physical Examination , SplintsSubject(s)
Hip Fractures , Femoral Neck Fractures/diagnostic imaging , Femoral Neck Fractures/pathology , Femoral Neck Fractures/surgery , Fracture Fixation, Internal , Hip Fractures/diagnostic imaging , Hip Fractures/pathology , Hip Fractures/surgery , Humans , Postoperative Complications , RadiographySubject(s)
Casts, Surgical , Fractures, Bone/therapy , Fractures, Bone/nursing , Humans , Orthopedic NursingABSTRACT
Compartment syndrome is a possible complication for every patient with a fracture, sprain, or orthopaedic surgery. Complete evaluation of the patient is necessary on a continual basis to determine any deviation from the normal range of the neurovascular parameters. Early identification of the symptoms will prompt immediate treatment and prevent the loss of a limb.
Subject(s)
Compartment Syndromes , Acute Disease , Bandages/adverse effects , Casts, Surgical/adverse effects , Chronic Disease , Compartment Syndromes/diagnosis , Compartment Syndromes/etiology , Compartment Syndromes/therapy , Crush Syndrome/diagnosis , Crush Syndrome/etiology , Crush Syndrome/therapy , Fractures, Bone/complications , Humans , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Monitoring, Physiologic/nursing , Nurse's Role , Nursing Assessment/methods , Orthopedic Procedures/adverse effects , Physical Examination/methods , Physical Examination/nursing , Pressure/adverse effects , Risk Factors , Sprains and Strains/complicationsABSTRACT
Fractures of the forearm in an adult may involve the ulna, the radius, or both, or one may be fractured and the other dislocated. Because the ulna and the radius are joined by the interosseous membrane, injury to one often also affects the other. In the same way, the humerus can be effected from injuries of pressure at the site of the elbow. It is always wise to x-ray the entire upper extremity in most upper-limb injuries. Whatever the injury is, the patient will be incapacitated for several months by loosing the use of his or her upper extremity.
Subject(s)
Forearm Injuries/classification , Forearm Injuries/therapy , Humeral Fractures/classification , Humeral Fractures/therapy , Biomechanical Phenomena , Casts, Surgical , Exercise Therapy , Forearm Injuries/diagnostic imaging , Fracture Fixation/methods , Fracture Healing , Humans , Humeral Fractures/diagnostic imaging , Injury Severity Score , Pronation , Radiography , Range of Motion, Articular , Splints , Supination , Treatment OutcomeABSTRACT
The upper extremities provide support, protection, and pleasure in the everyday activities of work, fun, sports, driving, and writing. When an upper extremity sustains an injury, it has a dramatic effect on quality-of-life issues. As professional caregivers, it is important to have a comprehensive understanding of the the effects of upper extremity fractures. The assessment of the patient with an upper extremity should consist of the general health of the patient after a traumatic event, determination of the mechanism of injury, assessment of the fracture site, confirmation of the exact injury, identification of potential complications, and assessment of the patient's social and professional statuses to identify potential problems that might affect treatment and rehabilitation
Subject(s)
Fractures, Bone/therapy , Hand Injuries/therapy , Wrist Injuries/therapy , Accidental Falls , Activities of Daily Living , Athletic Injuries , Fracture Fixation/methods , Fracture Fixation/nursing , Fracture Healing , Fractures, Bone/diagnosis , Fractures, Bone/psychology , Hand Injuries/diagnosis , Hand Injuries/psychology , Humans , Nurse's Role , Nursing Assessment/methods , Orthopedic Nursing/methods , Quality of Life , Range of Motion, Articular , Wrist Injuries/diagnosis , Wrist Injuries/psychologyABSTRACT
The upper extremities provide support, protection, and pleasure in the everyday activities of work, fun, sports, driving, and writing. When an upper extremity sustains an injury, it has a dramatic effect on quality-of-life issues. As professional caregivers, it is important to have a comprehensive understanding of the effects of upper extremity fractures. The assessment of the patient with an upper extremity should consist of the general health of the patient after a traumatic event, determination of the mechanism of injury, assessment of the fracture site, confirmation of the exact injury, identification of potential complications, and assessment of the patient's social and professional statuses to identify potential problems that might affect treatment and rehabilitation.
Subject(s)
Fractures, Bone/therapy , Hand Injuries/therapy , Wrist Injuries/therapy , Accidental Falls , Activities of Daily Living , Athletic Injuries , Fracture Fixation/methods , Fracture Fixation/nursing , Fracture Healing , Fractures, Bone/diagnosis , Fractures, Bone/psychology , Hand Injuries/diagnosis , Hand Injuries/psychology , Humans , Nurse's Role , Nursing Assessment/methods , Orthopedic Nursing/methods , Quality of Life , Range of Motion, Articular , Wrist Injuries/diagnosis , Wrist Injuries/psychologySubject(s)
Athletic Injuries/diagnosis , Athletic Injuries/therapy , Sprains and Strains/diagnosis , Sprains and Strains/therapy , Ankle Injuries/diagnosis , Ankle Injuries/therapy , Athletic Injuries/etiology , Cryotherapy , First Aid/methods , Hot Temperature/therapeutic use , Humans , Injury Severity Score , Knee Injuries/diagnosis , Knee Injuries/therapy , Magnetic Resonance Imaging , Physical Examination , Rest , Rotator Cuff Injuries , Shoulder Injuries , Sprains and Strains/etiology , Whiplash Injuries/diagnosis , Whiplash Injuries/therapyABSTRACT
The outcome of an injured extremity is affected primarily by initial assessment and immediate treatment of the extremity. Delaying the recognition of neurovascular compromise can cause the amputation of an extremity, or even the death of the patient. However, having the foundation of knowledge regarding total neurovascular function can equip the nurse with accurate assessment skills and the knowledge of the need for immediate action. This essential orthopaedic knowledge is used daily by the orthopaedic nurse to provide the best patient care possible with the best possible outcome.
