Week 7: MSK/NM/Cognitive Alterations

Long bones

Short bones

Flat bones

Irregular bones

Sterile Q tips, dry gauze application, documentation

Applying ice packs, massaging the area, using alcohol wipes

Changing the pin daily, using soap and water, avoiding documentation

Leaving the pin site uncovered, using lotion, avoiding cleaning

Asymmetry of gluteal and thigh folds

Positive Trendelenburg sign

Positive Ortolani and Barlow’s tests

Swollen tender joints

Maintain harness placement for 12 weeks

Check straps every 1-2 weeks by HCP

Remove harness for several hours daily

Perform neurovascular checks and skin integrity frequently

Morning stiffness

Asymmetry of scapula, ribs, flanks, shoulders, and hips

Positive Ortolani test

Swollen tender joints

2-5 years old

8-15 years old

16-20 years old

Over 20 years old

Observation

Bracing

Spinal Fusion with Rod Placement

Physical Therapy

Serial casting

Gradual repositioning

Lengthening of tendons

All of the above

Deformity of the ankle and foot

Deformity of the hand

Deformity of the spine

Deformity of the knee

Cerebral Palsy

Myelomeningocele Spina bifida

Muscular Dystrophy

Guillain-Barré Syndrome

Muscle weakness

Enlarged calves

Complete immobilization develops

Increased muscle tone