NUR 4445 Musculoskeletal 1
- Cast assessment
Answer Cap refill Skin color
Edema Sensation Finger/toe mobility Pulses
- Compartment Syndrome
Answer Pain Pulselessness
Pallor Paresthesia Paralysis Pressure Poikilothermia - temperature changes
- Legg-calve-perthes disease
Answer a self-limited condition of avascular necrosis of the femoral head as a result of an interruption in blood supply
- Legg-calve-perthes disease incidence
Answer 4x more often in males than females
Highest in children ages 4-8 years 90% only 1 hip affected
- Legg-calve-perthes disease etiology
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Answer unknown, but theories include
-A coagulation system disorder -Genetic predisposition -Injury to the area -Breech birth
- Legg-calve-perthes disease s/s
Answer Limp with mild to severe pain
-Pain may be to the groin or anteriomedial thigh or knee areas Weakness and muscle wasting of thigh/hip May cause muscle spasms
- Legg-calve-perthes disease stages
Answer
1. INITIAL/NECROSIS
2. FRAGMENTATION
3. REOSSIFICATION
4. HEALED/RESIDUAL
8. INITIAL/NECROSIS
Answer synovitis, joint irritability, necrosis, lasts 3-6 months
9. FRAGMENTATION
Answer body begins to rebuild the bone, femoral head breaks apart & collapses, child is symptomatic, lasts 1-2 years (*8 months*)
10. REOSSIFICATION
Answer
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