10.2. Fractures - Dislocations

Question 1

What is the definition of Dislocation?

Answer 1

Complete Joint Disruption

Question 2

What is the definition of Subluxation?

Answer 2

Partial Dislocation - Not fully out of the Joint

Question 3

How is a Diagnosis or Dislocation / Subluxation made?

Answer 3

1. Clinical / Radiological Diagnosis
2. Associated Injuries:
3. a) Soft Tissue / Musculoskeletal / Multi-System
4. b) Neurovascular Damage

Question 4

What is the treatment of Dislocations?

Answer 4

1. Emergency treatment
   - Relocation
2. Surgery

Question 5

What are the most common Dislocations?

Answer 5

1. Shoulder
2. Elbow
3. Hip
4. Knee
5. Ankle
6. Subtalar Joint

Question 6

What are the most common direction of a Shoulder Dislocation? And how do they present?

Answer 6

1. Anterior - Squared Off

2. Posterior - Locked in Internal Rotation

Question 7

What is the direction of a Elbow Dislocation? And how does it present?

Answer 7

Posterior - Olecranon Prominent Posteriorly

Question 8

What is the direction of a Hip Dislocation? And how does it present?

Answer 8

Posterior:

1. Leg Shorter than the other
2. Flexed
3. Internally Rotated
4. Adducted

Question 9

What is the direction of a Knee Dislocation? And how does it present?

Answer 9

Anteroposteriorly:

1. Loss of Normal Contour
2. Extended

Question 10

What is the direction of a Ankle Dislocation? And how does it present?

Answer 10

Laterally:

1. Externally Rotated
2. Prominent Medial Malleolus

Question 11

What is the direction of a Subtalar Joint Dislocation? And how does it present?

Answer 11

Laterally: Lateral Displacement of the Os Calcis (Heel Bone)

Question 12

What prodecures are used to diagnose a Dislocation . Subluxation?

Answer 12

1. Clinical Examination

2. X-Ray