Question

Module Readings: Early Ch 30, Lippert 11, 12, &13

Module Objectives:

1. Give examples of common orthopedic injuries as a result of trauma
2. Define the signs and symptoms of each injury
3. Identify the functional implications of each injury to occupational performance.
4. Provide examples of general OT assessment & intervention for each injury
5. Describe the special OT considerations (precautions, education etc) for each injury.

Common Diagnosis Include:

1. UE Fractures
2. Dislocations/subluxations
3. Acute Hand Injuries
4. Rotator Cuff Injury
5. Complex Regional Pain Syndrome (RSD)

Answer 1

Answer:-

Examples of common orthopedic injuries as a result of trauma and their sign and symptoms

Dislocation

Sign and symptoms are:-

• Severe pain
• Swelling
• Inability to move the joint

Fracture

Sign and symptoms are:-

• Severe pain
• Swelling
• Moving difficulty
• Bruising
• Altered normal limb alignment

Sprains

• Pain
• Swelling
• Bruising
• Inability to move the affected joint

General OT assessment & intervention for orthopaedic injuries:-

Diagnosis	OT assessment	Intervention
1. UE Fractures	· Wound	· Stabilizing fracture by immobilization.
· Pain	· Pain management
· Muscle strength	· Therapeutic exercises
· Range of motion	· Active range of motion exercises.
· Sensory	· Therapeutic activities · Sensory re-education
2. Dislocations/subluxations	· Performance of daily living	· Light activities of daily living & exercises
· Assess Pain & oedema	· Elevate the affected limb and pain management with the use of modalities.
· Range of motion	· Active range of motion exercises.
· Sensory like numbness or tingling	· Exercises
3. Acute Hand Injuries	· Assess the wound	· Wound management
· Level of consciousness	· Cognitive therapy
· Speech and language	· Speech therapy
4. Rotator Cuff Injury	· Assess Pain & oedema	· Elevate the affected limb and pain management with the use of modalities.
5. Complex Regional Pain Syndrome (RSD)	· Range of motion	· Active range of motion exercises.
· Assess for Sensory disturbances	· Exercises & Sensory re-education