Radial head injury
Radial head injury
Dislocation of the hip
Dislocation of the hip

Dislocation

Definition:
Dislocation is the displacement of any body part (usually a joint) from its normal position.

Alternative Names:
Joint dislocation

Considerations:

Joints are areas where two or more bones come together. If a joint is overstressed, the bones that meet at that joint may become disconnected, or dislocated. Usually the joint capsule and ligaments tear when a joint becomes dislocated, and often the nerves are injured as well.

It is sometimes hard to tell a dislocated bone from a broken bone. Both are emergency situations and require the same first-aid treatment.

Injuries to the surrounding ligaments generally take 3 to 6 weeks to heal..

Causes:

Most dislocations are caused by a blow, fall, or other trauma. Seizures can also lead to dislocations.

Symptoms:
  • A visibly out-of-place, discolored, or misshapen joint
  • Limitation of movement
  • Swelling and intense pain
  • Bruising
  • Pain on weight bearing or use
First Aid:

1. Call the local emergency number (such as 911) before you begin treating someone who may have a life-threatening injury.

2. Check the victim's airway, breathing, and circulation. If necessary, begin rescue breathing, CPR, or bleeding control.

3. Do not move the victim if a head, back, or leg injury is suspected. Keep the victim still and provide reassurance.

4. If the skin is broken, take steps to prevent infection. Do not blow on the wound. Rinse the area gently to remove obvious dirt, but do not scrub or probe. Cover the area with sterile dressings before immobilizing the injury.

5. Splint or sling the injury in the position in which you found it. Be sure to immobilize the area above and below the injured joint and to check the circulation of the affected area after immobilizing.

6. After splinting, check circulation periodically either by checking the radial pulse in the wrist or pressing firmly on the skin in the affected area -- it should blanch, then regain color in two seconds.

7. Ice packs may be applied to ease pain and swelling.

8. Take steps to prevent shock. Unless there is a head, leg, or back injury, lay the victim flat, elevate the feet about 12 inches, and cover the victim with a coat or blanket.

9. Get medical help.

Do Not:
  • DO NOT move the victim unless the injured area has been completely immobilized.
  • DO NOT move a victim with an injured hip, pelvis, or upper leg unless it is absolutely necessary. If you are the only rescuer and the victim must be moved, drag the person by his or her clothing.
  • DO NOT attempt to straighten a misshapen bone or joint or to change its position.
  • DO NOT test a misshapen bone or joint for loss of function.
  • DO NOT give the victim anything by mouth.
Call immediately for emergency medical assistance if:
  • Call for immediate medical attention if the victim has a dislocation, a broken bone, or severe bleeding.
  • Remember that you cannot completely immobilize the injury at the scene by yourself.
Prevention:
  • Teach safety. Help children learn how to look out for themselves.
  • Create a safe environment around your home.
  • Keep a first-aid kit handy.
  • Supervise children carefully. There is no substitute for adequate supervision, no matter how safe the environment or situation appears to be.

Review Date: 10/30/2002
Reviewed By: A.D.A.M. editorial. Previous review: Kevin B. Freedman, M.D., Department of Orthopaedic Surgery, Rush-Presbyterian Medical Center, Chicago, IL. Reviewed by VeriMed Health Network. (5/25/2001).
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