fracturile membrului superior
DESCRIPTION
FRACTURILE MEMBRULUI SUPERIOR. DR. CODRIN HUSZAR Spitalul Universitar Bucuresti. FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI. Epidemiologie : 0.9% din totalul fracturilor 40.1 ani ♂ : ♀ = 73 / 27 Incidenta 11.7 / 10 5 / an Fracturi deschise : 11.7% - PowerPoint PPT PresentationTRANSCRIPT
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FRACTURILE MEMBRULUI FRACTURILE MEMBRULUI SUPERIORSUPERIOR
DR. CODRIN HUSZAR
Spitalul Universitar Bucuresti
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Epidemiologie : 0.9% din totalul fracturilor 40.1 ani ♂ : ♀ = 73 / 27 Incidenta 11.7 / 105 / an Fracturi deschise : 11.7% Cadere simpla - 28.3%
Impact direct (agresiune) - 21.6%
Sport - 18.3%
Accidente rutiere - 13.3%
Fractures of the femurFractures of the femur 2
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
MECANISM DE PRODUCERE : Traumatisme energie joasa /
medie
Mecanism indirect
Mecanism direct (fracturi de aparare)
Traumatisme de energie inalta
Fractures of the femurFractures of the femur 3
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 4
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 5
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 6
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 7
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 8
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 9
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
CLINIC : Inspectie : Deformare regionala Echimoze / escoriatii Fracturi deschise
Palpare : Semne de certitudine ! Cot / Pumn
Semne suferinta neuro / vasculara
! Sdr. De compartiment
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Investigatii paraclinice: Rx. antebrat F + P (! Cot + Pumn)
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
TRATAMENT :
Refacerea raportului de lungime
Refacerea formei
! Reducere anatomica
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 13
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 14
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 15
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 16
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 17
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 18
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 19
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Complicatii immediate : Fractura deschisa Leziuni neuro – vasculare Interpozitia musculara
Fractures of the femurFractures of the femur 20
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 21
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Complicatii precoce : Sindromul de compartiment Osteita
Fractures of the femurFractures of the femur 22
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 23
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 24
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 25
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Complicatii tardive : Pseudartroza Calusul vicios Sinostoza radio – ulnara Sdr. Volkmann Fracturile iterative
Fractures of the femurFractures of the femur 26
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 27
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 28
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 29
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Sinostoza radio - ulnara
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FRACTURILE DIAFIZARE ALE OASELOR ANTEBRATULUI
Fractures of the femurFractures of the femur 31
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FRACTURI OLECRAN
Fractures of the femurFractures of the femur 32
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FRACTURI OLECRAN
Fractures of the femurFractures of the femur 33
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FRACTURI OLECRAN
CLINIC : ! Extensie activa cot ! Nv. ulnar
Fractures of the femurFractures of the femur 34
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FRACTURI OLECRAN
Fractures of the femurFractures of the femur 35
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FRACTURI OLECRAN
Fractures of the femurFractures of the femur 36
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FRACTURI OLECRAN
Fractures of the femurFractures of the femur 37
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FRACTURI CAP RADIAL
Fractures of the femurFractures of the femur 38
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FRACTURI CAP RADIAL
Fractures of the femurFractures of the femur 39
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FRACTURI CAP RADIAL
CLINIC : Stabilitate cot ! (valgus) Mobilitate cot
Fractures of the femurFractures of the femur 40
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FRACTURI CAP RADIAL
Fractures of the femurFractures of the femur 41
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FRACTURI CAP RADIAL
Fractures of the femurFractures of the femur 42
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Epidemiologie : Cea mai frecventa fractura 2008 : 644985 3 varfuri de incidenta
Fractures of the femurFractures of the femur 43
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 44
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fracturi extraarticulare :
Colles Goyrand - Smiths
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fracturi partial articulare : fracturile marginale volara / dorsala fractura stiloidei radiale
Fractures of the femurFractures of the femur 46
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fracturi articulare :
Fractures of the femurFractures of the femur 47
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fracturi complexe / cominutive :
Fractures of the femurFractures of the femur 48
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Examen radiologic :
Fractures of the femurFractures of the femur 49
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Examen radiologic :
Fractures of the femurFractures of the femur 50
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 51
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Clinic
Fractures of the femurFractures of the femur 53
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 54
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 55
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 56
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 57
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Fractures of the femurFractures of the femur 58
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Complicatii immediate : Fractura deschisa (rar) Leziuni neurologice (rar, Goyrand Smiths)
Fractures of the femurFractures of the femur 59
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Complicatii precoce : !!! Sdr. de compartiment Deplasarea secundara sub ap. gipsat
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FRACTURA EXTREMITATII DISTALE A RADIUSULUI
Complicatii tardive : CALUSUL VICIOS Artroza radio - carpiana Redori articulare DISTROFIA REFLEXA SIMPATICA Rupturi tendinoase Pareze in “doi timp” (nv. median – fr. GS)
Fractures of the femurFractures of the femur 61