Chapter 29:Orthopaedic Injuries

A partial or incomplete dislocation.

subluxation

Discoloration of the skin associated with a closed wound; bruising.

ecchymosis

A bandage or material that helps to support the weight of an injured upper extremity.

sling

Tenderness that is sharply localized at the site of the injury, found by gently palpating along the bone with the tip of one finger.

point tenderness

A simple joint where the bony projections of the scapula and the clavicle meet at the top of the shoulder.

acromioclavicular (AC) joint

The heel bone.

calcaneus

The area of potentially damaged soft tissue, adjacent nerves, and blood vessels surrounding an injury to a bone or a joint.

zone of injury

Used to splint the bony pelvis to reduce hemorrhage from bone ends, venous disruption, and pain.

pelvic binders

A fracture in which bone fragments are separated from one another and not in anatomic alignment.

displaced fracture

The outer and smaller bone of the bones of the lower leg.

fibula

A simple crack in the bone that has not caused the bone to move from its normal anatomic position; also called a hairline fracture.

nondisplaced fracture

The part of the scapula that joins with the humeral head to form the glenohumeral joint.

glenoid fossa

The major nerve to the lower extremities; control much of muscle function in the leg and sensation in most of the leg and foot.

sciatic nerve

A joint injury involving damage to supporting ligaments, and sometimes partial or temporary dislocation of bone ends.

sprain

The space between the abdominal cavity and the posterior abdominal wall, containing the kidneys, certain large vessels, and part of the gastrointestinal tract.

retroperitoneal space

The bleeding control method used when a wound continues to bleed despite the use of direct pressure and elevation; useful if a patient is bleeding severely from a partial or complete amputation.

tourniquet

Blood in the urine.

hematuria

Swelling in a confined space that produces dangerous pressure; may cut off blood flow or damage sensitive tissue; frequently seen in fractures below the elbow or knee in children.

compartment syndrome

Return a dislocated joint or fractured bone to its normal position; set.

reduce

Any break in a bone in which the overlying skin has been damaged.

open fracture

A hand position in which the wrist is slightly dorsiflexed and all finger joints are moderately flexed.

position of function

The shin bone, the larger of the two bones of the lower leg.

tibia

Stretching or tearing of a muscle; also called a muscle pull.

strain

A flexible or rigid appliance used to protect and maintain the position of an injured extremity.

splint

The place where two bones come into contact.

joint

A pearly layer of specialized cartilage covering the articular surfaces (contact surfaces on the ends) of bones in synovial joints.

articular cartilage

Longitudinal force applied to a structure.

traction

Disruption of a joint in which ligaments are damaged and the bone ends are completely displaced.

dislocation

A grating or grinding sensation caused by fractured bone ends or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling.

crepitus

A break in the continuity of a bone.

fracture

A bandage that passes around the chest to secure an injured arm to the chest.

swathe