TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 1     (Sayfalar: 001-010)

General approach to acute dislocations

Nurzat Elmalı 1, Vahdet Uçan 1, Mehmet Kapıcıoğlu 1

1 Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul

DOI: 10.14292/totbid.dergisi.2019.01
Görüntüleme: 322
İndirme : 741

Traumatic dislocations are most commonly seen in road traffic accidents, falls from height, industrial accidents, and sports such as football and wrestling. The most common acute dislocations are seen in the shoulder, elbow, finger, patella, and hip. Serious complications of dislocations are unusual but may threaten life or limb viability, or cause permanent limb dysfunction. When evaluating any injured joint and possible dislocation, neurovascular status is the initial and most important step. Dislocations should be reduced as soon as possible after the affected extremity is assessed quickly and carefully for distal sensation, motor function, capillary pulse refilling, and pulses. Closed reduction with intravenous analgesia and sedation, or general anesthesia should be attempted first mostly for uncomplicated dislocations. Neurovascular condition of the extremity should always be assessed and noted before and after each reduction maneuver. Post-traumatic arthritis, avascular necrosis, and heterotopic ossifications may develop because of damage to the articular cartilage, joint capsule, ligaments, and vascularity of the bone due to high energy trauma even if reduction is made.

Anahtar Kelimeler : dislocation; joint dislocation; trauma; reduction