NR 324 Musculoskeletal Disorders Worksheet
Student Name: Date: Assignment Week/Day:
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Sprains *SPRAIN – injury to *similar manifestations *x ray to r/o *mild sprains/strains *avulsion fracture
ligaments surrounding *pain, edema, decreased *clinical usually self limiting to 3-6 *dislocation
joint; usually from function, contusion presentation weeks *hemarthrosis
wrenching or twisting *pain aggravated by *educate – warm up
Strains *STRAIN – excessive continued use muscles before activity
stretching of a muscle, its follow by stretching
fascial sheath, or a *RICE
tendon; usually in large *cold therapy then heat
muscle groups 24-48 hrs after injury
*elastic compression
bandage
Dislocation *DISLOCATION – severe *sub lux s/s is just less *x ray *prompt attention; *open joint injuries
injury of ligaments severe orthopedic emergency *intraarticular fractures
surrounding joint; *deformity *neurovascular *avascular necrosis
complete displacement or *local pain, tenderness assessment!! *damage to adjacent
Subluxation separation *loss of function to injured *first goal – realign neurovascular tissue
*SUBLUX – only PARTIAL area dislocation *compartment syndrome
or incomplete *swelling *immobilize area *higher risk for repeated
displacement *pain relief, dislocations
support/protection of
joint – gentle ROM
exercises
Repetitive Strain Injury *RSI – injuries from *RSI – pain, weakness, *RSI – no definitive *RSI – prevent thru *permanent damage
prolonged force or numbness, impairment of dx; usually difficult education and *decreased function
repetitive motor function, *CTS – POSITIVE ergonomics, NSAIDs, rest,
Carpal Tunnel Syndrome movements/awk posture; inflammation TINELS AND heat/cold application, PT
tiny tears *CTS – weakness, pain, PHALENS SIGN *CTS – wrist splints,
*CARPAL – compression of numbness, or impaired *RCI – drop arm ergonomics, relieve
median nerve; associated sensation down nerve; test, MRI underlying cause,
Rotator Cuff Injury w/ hobbies or continuous shaking hands relieves s/s, corticosteroid injection,
wrist movement clumsiness in fine motor surgery is >6 months
*RCI – tear in rotator cuf signs
*RCI – shoulder weakness,
1
, NR 324 Musculoskeletal Disorders Worksheet
Student Name: Date: Assignment Week/Day:
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Meniscus Injury pain, decreased ROM
Anterior Cruciate
Ligament Injury
Fractures *disruption or break in *immediate localized pain *X ray *treat life threatening *delayed union/healing
continuity of structure of *decreased function injuries first *refracture
bone *inability to bear weight or *check neurovascular *pseudoarthrosis
*can be d/t traumatic use afected part status distal to injury *fat emboli
injuries or secondary to *guards and protects *elevate limb, splint *compartment syndrome
disease process (cancer, extremity from movement *DO NOT straighten
osteoporosis) *edema/swelling *DO NOT manipulate
*open or closed, *muscle spasm, contusion protruding bones
complete, or incomplete *ice packs
*administer tetanus
diptheria prophylaxis
*mark location of pulses
*monitor VS, LOC, pain,
compartment syndrome,
fat emboli
Amputation *circulatory impairment *phantom limb pain *CBC – elevated *goal of surgery – *infection
*traumatic & thermal WBC preserve extremity length *flexion contractures – avoid
injuries *arteriography, and function sitting in chair for more than
*uncontrolled/widespread doppler, *at risk pts – carefully an hr
infection venography examine lower
*malignant tumors extremities for problems,
*congenital disorders foot care
*reinforce why
amputation is necessary,
prosthesis
*educate – phantom limb
2
Student Name: Date: Assignment Week/Day:
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Sprains *SPRAIN – injury to *similar manifestations *x ray to r/o *mild sprains/strains *avulsion fracture
ligaments surrounding *pain, edema, decreased *clinical usually self limiting to 3-6 *dislocation
joint; usually from function, contusion presentation weeks *hemarthrosis
wrenching or twisting *pain aggravated by *educate – warm up
Strains *STRAIN – excessive continued use muscles before activity
stretching of a muscle, its follow by stretching
fascial sheath, or a *RICE
tendon; usually in large *cold therapy then heat
muscle groups 24-48 hrs after injury
*elastic compression
bandage
Dislocation *DISLOCATION – severe *sub lux s/s is just less *x ray *prompt attention; *open joint injuries
injury of ligaments severe orthopedic emergency *intraarticular fractures
surrounding joint; *deformity *neurovascular *avascular necrosis
complete displacement or *local pain, tenderness assessment!! *damage to adjacent
Subluxation separation *loss of function to injured *first goal – realign neurovascular tissue
*SUBLUX – only PARTIAL area dislocation *compartment syndrome
or incomplete *swelling *immobilize area *higher risk for repeated
displacement *pain relief, dislocations
support/protection of
joint – gentle ROM
exercises
Repetitive Strain Injury *RSI – injuries from *RSI – pain, weakness, *RSI – no definitive *RSI – prevent thru *permanent damage
prolonged force or numbness, impairment of dx; usually difficult education and *decreased function
repetitive motor function, *CTS – POSITIVE ergonomics, NSAIDs, rest,
Carpal Tunnel Syndrome movements/awk posture; inflammation TINELS AND heat/cold application, PT
tiny tears *CTS – weakness, pain, PHALENS SIGN *CTS – wrist splints,
*CARPAL – compression of numbness, or impaired *RCI – drop arm ergonomics, relieve
median nerve; associated sensation down nerve; test, MRI underlying cause,
Rotator Cuff Injury w/ hobbies or continuous shaking hands relieves s/s, corticosteroid injection,
wrist movement clumsiness in fine motor surgery is >6 months
*RCI – tear in rotator cuf signs
*RCI – shoulder weakness,
1
, NR 324 Musculoskeletal Disorders Worksheet
Student Name: Date: Assignment Week/Day:
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Meniscus Injury pain, decreased ROM
Anterior Cruciate
Ligament Injury
Fractures *disruption or break in *immediate localized pain *X ray *treat life threatening *delayed union/healing
continuity of structure of *decreased function injuries first *refracture
bone *inability to bear weight or *check neurovascular *pseudoarthrosis
*can be d/t traumatic use afected part status distal to injury *fat emboli
injuries or secondary to *guards and protects *elevate limb, splint *compartment syndrome
disease process (cancer, extremity from movement *DO NOT straighten
osteoporosis) *edema/swelling *DO NOT manipulate
*open or closed, *muscle spasm, contusion protruding bones
complete, or incomplete *ice packs
*administer tetanus
diptheria prophylaxis
*mark location of pulses
*monitor VS, LOC, pain,
compartment syndrome,
fat emboli
Amputation *circulatory impairment *phantom limb pain *CBC – elevated *goal of surgery – *infection
*traumatic & thermal WBC preserve extremity length *flexion contractures – avoid
injuries *arteriography, and function sitting in chair for more than
*uncontrolled/widespread doppler, *at risk pts – carefully an hr
infection venography examine lower
*malignant tumors extremities for problems,
*congenital disorders foot care
*reinforce why
amputation is necessary,
prosthesis
*educate – phantom limb
2
