A client has been in a motor vehicle collision. Radiographs indicate a fractured humerus; the client is awaiting the casting of the upper extremity and admission to the orthopedic unit. What is the primary treatment for musculoskeletal trauma? enhancing complications external rotation surgical repair immobilization
The primary treatment for musculoskeletal trauma, such as a fractured humerus, is immobilization. This is essential to stabilize the fracture, prevent further injury, and promote proper healing.
Explanation:
Immobilization: The primary goal is to prevent movement at the fracture site, allowing the bones to align properly and heal. This is typically achieved by casting, splinting, or using other forms of external support. In this case, since the client is awaiting the casting of the upper extremity, immobilization through casting is the planned intervention. Immobilization also helps reduce pain and inflammation by limiting movement.
Surgical repair: While surgery may be necessary in some cases (e.g., if the fracture is displaced or involves complex fractures), it is not always the first line of treatment for every fracture. For this client, since they are awaiting casting, it suggests that the fracture may be non-displaced or stable enough to heal with non-surgical methods.
External rotation: This is typically used in specific fractures (e.g., certain types of shoulder or hip fractures) to promote alignment, but it is not the primary treatment for all musculoskeletal injuries. It may be part of positioning or post-casting instructions but is not the main treatment approach for every type of fracture.
Enhancing complications: While preventing complications (e.g., infection, blood clots, etc.) is critical in managing fractures, the initial treatment focus is on stabilizing and immobilizing the fracture site to ensure proper healing.
Thus, immobilization is the primary treatment for musculoskeletal trauma such as a fractured humerus.