S03.4-5/S13.4-6/S23.3-5/S33.5-7/S43.4-7/S53.4/S63.5-7/S73.1/S83.4-6/S93.4-6/T11.2/T13.2/ T14.3
DESCRIPTION
Clinical features include:
- pain, especially on movement
- limited movement
- tenderness on touch
- history of trauma
May be caused by:
- sport injuries
- overuse of muscles
- slips and twists
- abnormal posture
Note: In children always bear non-accidental injuries (assault) in mind.
EMERGENCY TREATMENT
Immobilise with firm bandage and/or temporary splinting.
Children
- Paracetamol, oral, 10–15 mg/kg/dose 6 hourly when required. See paediatric dosing tool.
Adults
- Paracetamol, oral, 1 g 4–6 hourly when required.
- Maximum dose: 15 mg/kg/dose.
- Maximum dose: 4 g in 24 hours.
AND
Children >12 years of age and adults
- NSAID, e.g.:
- Ibuprofen, oral, 200–400 mg 8 hourly with or after a meal
REFERRAL
- Severe progressive pain.
- Progressive swelling.
- Extensive bruising.
- Deformity.
- Joint tenderness on bone.
- No response to treatment.
- Severe limitation of movement.
- Suspected serious injury.
- Recurrence.
- Previous history of bleeding disorder.