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"Musculoskeletal System - injuries"
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Orthopaedic and trauma nursing
Orthopaedic and Trauma Nursing provides practitioners working in orthopaedic and musculoskeletal trauma settings with the essential evidence, guidance and knowledge required to underpin effective practice. This comprehensive and contemporary textbook explores the variety of adult and paediatric clinical settings where orthopaedic and trauma practitioners work, including acute wards, clinics, community hospitals, nursing homes and patients' homes. Divided into 5 sections, this book looks at: key issues in orthopaedic and musculoskeletal trauma care; specialist practice issues; common orthopaedic conditions and their care and management; musculoskeletal trauma care; and care of children and young people. Suitable for students at degree level as well as those clinicians practicing in more advanced orthopaedic and trauma care roles, Orthopaedic and Trauma Nursing is a foremost authority on orthopaedic and musculoskeletal practice for both students and practitioners. Orthopaedic and Trauma Nursing: * Is strongly supported by the latest evidence, with chapters summarizing evidence, with reference to relevant and seminal research * Offers practical guidance based on the relevant evidence * Focuses on the perspective of the patient with patient narrative and case studies throughout * Includes a section specifically dealing with children and young people
eBook
Imaging musculoskeletal trauma
Offers a well-designed approach to imaging musculoskeletal trauma Medical imaging plays an important role in identifying fractures and helping the patient return to regular activities as soon as possible. But in order to identify the fracture, and describe all the relevant associated injuries, the radiologist first needs to understand normal anatomy and the mechanisms of fractures. Imaging Musculoskeletal Trauma reviews common fracture and dislocation mechanisms and provides up-to-date guidelines on the use and interpretation of imaging tests. Designed for use by professionals in radiology, orthopedics, emergency medicine, and sports medicine, this book offers a concise, systematic approach to imaging musculoskeletal trauma. Replete with easily accessible information, including well-designed tables and lists, the book features radiology report checklists for each anatomic site, numerous radiographs and CT and MRI images, simple illustrations for common fracture classification schemes, examples of common and serious injuries in the musculoskeletal system, and a chapter devoted to fracture complications—including complications relating to the use of hardware in treating injuries. This well-designed guide teaches professional and student users to: Identify normal anatomy relevant to interpretation in musculoskeletal studies Describe common fracture and dislocation mechanisms Describe fractures using appropriate terminology Recommend appropriate imaging studies for various clinical situations Use a systematic approach to interpret imaging studies Provide a clear and relevant radiology report Recognize complications associated with fractures and fracture treatment Complete with on-call issues, common traumas, and specially highlighted \"do-not-miss\" fractures, this is an invaluable resource for everyone involved with the imaging of musculoskeletal trauma.
eBook
Orthopedic Trauma Call for the Attending Surgeon
Orthopedic Trauma Call for the Attending Surgeon
is a clinically focused book that will help guide the orthopedic surgeon through the most commonly encountered injuries when on call.
Drs. David J. Hak, Kyros R. Ipaktchi and Steven Morgan are joined by over 50 leading experts to provide a succinct and quick review of the key points that will allow you to provide patients with expert and immediate care.
Inside
Orthopedic Trauma Call for the Attending Surgeon
each chapter is written in an easy to read bulleted format that will allow for a quick review of the key facts you need to know while taking call.
Chapters also cover emergent and definitive management and provide guidelines for when to consider referral to a higher level of care. The authors also share their tips and tricks for successful outcomes, while highlighting potential pitfalls and how to avoid them.
Since it can be difficult to find time to read a traditional textbook or review article,
Orthopedic Trauma Call for the Attending Surgeon
is perfect for orthopedic surgeons, physician assistants, extenders who cover ER call, and orthopedic trainees.
eBook
Intravenous paracetamol versus dexketoprofen in acute musculoskeletal trauma in the emergency department: A randomised clinical trial
Musculoskeletal system traumas are among the most common presentations in the emergency departments. In the treatment of traumatic musculoskeletal pain, paracetamol and non-steroidal anti-inflammatory analgesics (NSAID) are frequently used. Our aim in this study is to compare the efficacy of intravenous dexketoprofen and paracetamol in the treatment of traumatic musculoskeletal pain.
This prospective, randomised, double blind, controlled study was conducted in a tertiary care emergency unit. The participating patients were randomised into two groups to receive either 50 mg of dexketoprofen or 1000 mg of paracetamol intravenously by rapid infusion in 150 mL of normal saline. Visual analogue scale (VAS), Numeric Rating Scala (NRS) and Verbal Rating Scale (VRS) was employed for pain measurement at baseline, after 15, after 30 and after 60 mins.
200 patients were included in the final analysis. The median age of the paracetamol group was 34 (24–48), while that of the dexketoprofen group was 35 (23–50), and 63% (n = 126) of them consisted of men. Paracetamol and dexketoprofen administration reduced VAS pain scores over time (p = 0.0001). Median reduction in VAS score at 60 min was 55 (IQR 30–65) for the paracetamol group and 50(IQR 30.25–60) for the dexketoprofen group. There was no statistically significant difference between the paracetamol and dexketoprofen groups in terms of VAS reductions (p = 0.613).
Intravenous paracetamol and dexketoprofen seem to produce equivalent pain relief for acute musculoskeletal trauma in the emergency department.
CLINICALTRIALS.GOV NO: NCT03428503
Journal Article
Confirmatory Factor Analysis of the Disablement in the Physically Active Scale and Preliminary Testing of Short-Form Versions: A Calibration and Validation Study
The Disablement in the Physically Active (DPA) scale is a patient-reported outcome instrument recommended for use in clinical practice and research. Analysis of the scale has indicated a need for further psychometric testing.
To assess the model fit of the original DPA scale using a larger and more diverse sample and explore the potential for a short-form (SF) version.
Observational study.
Twenty-four clinical settings.
Responses were randomly split into 2 samples: sample 1 (n = 690: 353 males, 330 females, and 7 not reported; mean age = 23.1 ± 9.3 years, age range = 11-75 years) and sample 2 (n = 690: 351 males, 337 females, and 2 not reported; mean age = 22.9 ± 9.3 years, age range = 8-74 years). Participants were physically active individuals who were healthy or experiencing acute, subacute, or persistent musculoskeletal injury.
Confirmatory factor analysis was conducted to assess the factor structure of the original DPA scale. Exploratory factor, internal consistency, covariance modeling, correlational, and confirmatory factor analyses were conducted to assess potential DPA scale SFs.
The subdimensions of the disablement construct were highly correlated (≥0.89). The fit indices for the DPA scale approached recommended levels, but the first-order correlational values and second-order path coefficients provided evidence for multicollinearity, suggesting that clear distinctions between the disablement subdimensions cannot be made. An 8-item, 2-dimensional solution and a 10-item, 3-dimensional solution were extracted to produce SF versions. The DPA SF-8 was highly correlated (
= 0.94,
≤ .001,
= 0.88) with the DPA scale, and the fit indices exceeded all of the strictest recommendations. The DPA SF-10 was highly correlated (
= 0.97,
≤ .001,
= 0.94) with the DPA scale, and its fit indices values also exceeded the strictest recommendations.
The DPA SF-8 and SF-10 are psychometrically sound alternatives to the DPA scale.
Journal Article
Managing minor musculoskeletal injuries and conditions
Emergency care professionals are increasingly expected to work autonomously when caring for patients with minor musculoskeletal injuries and conditions. They have to be able to competently and safely take a patient's history, examine, diagnose and provide management of these conditions. Managing Minor Musculoskeletal Injuries and Conditions pulls together all these aspects of care into one practical, easy-to-read text. Aimed principally at students undertaking minor injury and emergency care courses, this title is a comprehensive manual of minor musculoskeletal injuries and conditions, highly illustrated throughout and containing a variety of activities and exercises. Key features: * Includes material on study skills, distance and self-directed learning to support both students on formal courses and those working alone * Extensive learning features, including a range of activities, hints and tips and multiple-choice questions * Supported by a companion website with further self-assessment, downloadable X-ray PowerPoint slides, picture tutorials, practice history-taking documentation and legal scenarios * Enables more effective management and care of patients with musculoskeletal injuries
eBook
Manual of orthopaedics
Manual of Orthopaedics, Seventh Edition provides you with quick access to the orthopaedic information needed to diagnose and treat musculoskeletal injuries and diseases with confidence. Your keys to excellence in your orthopaedic challenges… \\u00b7 Broad scope covers the full range musculoskeletal conditions, from the commonly encountered seen in primary care medicine to the catastrophic seen in the emergency rooms and orthopaedic clinics \\u00b7 User-friendly outline format provides quick access to essential facts on a variety of acute and chronic orthopaedic disorders \\u00b7 Treatment algorithms provide an initial approach to all musculoskeletal problems \\u00b7 Illustrations support the text offering visual guidance on common techniques - including placement of splints, use of casts, and injections New to the Seventh Edition… \\u00b7 All chapters have been updated with the most current information \\u00b7 New authors have been added to gain a fresh perspective and to update chapter outlines where indicated \\u00b7 Clear distinction has been made regarding what conditions are appropriately managed by primary care and emergent/urgent care providers and which need orthopaedic subspecialist care A must have resource for students, residents, primary care providers, emergent and urgent care providers and orthopaedic providers in all practice enviornments.
eBook
Work-Related Musculoskeletal Disorders
Estimated costs associated with lost days and compensation claims related to musculoskeletal disorders-including back pains and repetitive motion injuries-range from $13 billion to $20 billion annually. This is a serious national problem that has spurred considerable debate about the causal links between such disorders and risk factors in the workplace.
This book presents a preliminary assessment of what is known about the relationship between musculoskeletal disorders and what may cause them. It includes papers and a workshop summary of findings from orthopedic surgery, public health, occupational medicine, epidemiology, risk analysis, ergonomics, and human factors. Topics covered include the biological responses of tissues to stress, the biomechanics of work stressors, the epidemiology of physical work factors, and the contributions of individual, recreational, and social factors to such disorders. The book also considers the relative success of various workplace interventions for prevention and rehabilitation.
eBook
The Eagle Tactical Athlete Program Reduces Musculoskeletal Injuries in the 101st Airborne Division (Air Assault)
The Eagle Tactical Athlete Program (ETAP) was scientifically developed for the U.S. Army's 101st Airborne Division (Air Assault) to counter unintentional musculoskeletal injuries (MSIs).
To determine if ETAP would reduce unintentional MSIs in a group of 101st Airborne Division (Air Assault) Soldiers.
ETAP-trained noncommissioned led physical training. 1,720 Soldiers were enrolled (N = 1,136 experimental group [EXP], N = 584 control group [CON]) with injuries tracked before and after initiation of ETAP. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes were analyzed and described the anatomic locations, anatomic sub-locations, onset, and injury types. McNemar tests compared the proportions of injured subjects within each group.
There was a significant reduction in the proportion of Soldiers with preventable MSIs in the EXP (pre: 213/1,136 (18.8%), post: 180/1,136 (15.8%), p = 0.041) but not in the CON. In addition, there was a significant reduction in stress fractures in the EXP (pre: 14/1,136 (1.2%), post: 5/1,136 (0.4%), p = 0.022) but no significant differences in the CON.
The current analysis demonstrated that ETAP reduces preventable MSIs in garrison. The capability of ETAP to reduce injuries confirms the vital role of a scientifically designed training program on force readiness and health.
Journal Article