ONP-C case studies
ONP-C · Put your knowledge to work in context.
The Orthopaedic Nurse Practitioner-Certified (ONP-C) credential is a specialty certification for advanced practice registered nurses who assess, diagnose, and manage musculoskeletal conditions across the care continuum. It signals that a nurse practitioner has met a knowledge standard beyond entry-level APRN preparation in orthopaedics, and it is typically pursued by NPs working in orthopaedic clinics, fracture and trauma services, sports medicine practices, spine and joint replacement programs, and perioperative settings. The ONP-C case studies are 5 cases and about 3,889 words.
1Radiographically Occult Wrist Injury in a Self-Employed Patient
A 58-year-old right-handed hairdresser slipped on wet pavement while gardening and fell onto her outstretched right hand 3 hours ago. She describes immediate radial-sided wrist pain and has not been able to grip a comb since.
761 words, about 4 min2Displaced Pediatric Supracondylar Fracture With a Pulseless Pink Hand
A 6-year-old boy fell approximately 2 meters from the monkey bars onto his left elbow 3 hours ago. He holds the arm in extension and refuses to move it.
810 words, about 4 min3Frail Older Adult With a Displaced Femoral Neck Fracture on Apixaban
An 86-year-old woman who lives in an assisted-living facility fell while reaching for her walker and has not been able to stand since. She arrives 2 hours later with a shortened, externally rotated right leg.
716 words, about 4 min4Opioid-Tolerant Patient With CKD and Sleep Apnea After Total Knee Arthroplasty
A 64-year-old man is on postoperative day 1 after right total knee arthroplasty. He has chronic low back pain and takes oxycodone extended-release 20 mg twice daily plus oxycodone/acetaminophen 5/325 mg up to three times daily, a baseline of roughly 80 morphine milligram equivalents per day.
782 words, about 4 min5Open Tibial Shaft Fracture With Evolving Compartment Syndrome
A 34-year-old male bicycle commuter was struck by a car turning right and arrived by ambulance at 19:10. He has a 4 cm jagged wound over the anterior tibial crest at the midshaft with exposed bone and visible road debris, and no active bleeding.
820 words, about 4 min