Treatments for Elbow conditions
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Hospital statistics for Elbow conditions:
These medical statistics relate to hospitals, hospitalization and Elbow conditions:
- 0.01% (1,219) of hospital consultant episodes were for dislocation, sprain and strain of joints and ligaments of elbow in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 95% of hospital consultant episodes for dislocation, sprain and strain of joints and ligaments of elbow required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 54% of hospital consultant episodes for dislocation, sprain and strain of joints and ligaments of elbow were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 46% of hospital consultant episodes for dislocation, sprain and strain of joints and ligaments of elbow were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
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Book Excerpts: Treatment of Elbow conditions
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Elbow Pain/Swelling:
Treatment
(In a Page: Signs and Symptoms)
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General principles of fracture management include immobilization, analgesia, NSAIDs, and elevation
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Immediate anatomic reduction is required in cases of neurovascular compromise
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Nondisplaced fractures should be immobilized with the elbow flexed at 90°
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Displaced or intra-articular fractures usually require open reduction with internal fixation
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Joint aspiration may relieve pain if effusion is present
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Epicondylitis is treated with rest, NSAIDs, and physical therapy
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Elbow dislocation requires reduction followed by splint immobilization
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Splinting may be beneficial
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Reduction of a subluxed radial head (nursemaid's elbow) is performed by placing the thumb over the radial head while supinating, then flexing, the forearm
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Arm pain:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise a patient with a cast to notify his physician if he detects worsening swelling, purple discoloration of fingers, or numbness or tingling because these signs may represent vascular compliance due to a tight cast. Also, inform a patient with angina that arm pain, usually left-sided, may represent an ischemic event, especially if accompanied by diaphoresis, nausea, vomiting, and anxiety.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Arm pain:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise a patient with a cast to notify his physician if he detects any worsening swelling, purple discoloration of fingers, or numbness or tingling because these signs may represent circulatory impairment due to a tight cast. Also advise patients with angina that arm pain, usually left-sided, may represent an ischemic event, especially if accompanied by diaphoresis, nausea, vomiting, and anxiety.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Arm pain:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If you suspect a fracture, apply a sling or splint to immobilize the arm, and monitor the patient for worsening pain, numbness, or decreased circulation distal to the injury site.
▪ Monitor the patient's vital signs, and be alert for tachycardia, hypotension, and diaphoresis.
▪ Withhold food, fluids, and analgesics until potential fractures are evaluated.
▪ Promote the patient's comfort by elevating his arm and applying ice.
▪ Clean abrasions and lacerations and apply dry, sterile dressings, if necessary.
▪ Prepare the patient for X-rays or other diagnostic tests.
▪ Administer analgesics, as appropriate, and evaluate their effectiveness.
▪ Treat the underlying cause, such as MI, appropriately.
Patient teaching
▪ Explain the signs and symptoms of circulatory impairment caused by a tight cast that requires immediate treatment.
▪ Discuss the signs and symptoms of an ischemic event.
▪ Teach the patient about the cause of arm pain and the treatment plan after the diagnosis is determined.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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