trauma: curs 2 tratament
TRANSCRIPT
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FRACTURILE OLECRANULUI
Delimitare
Frecvenţă: 4%
Mecanism de producere: indirect
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FRACTURILE OLECRANULUIDiagnostic
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Fracturi fără deplasare Fracturi deplasate
FRACTURILE OLECRANULUITratament - indicaţii
Imobilizare ghipsată Reducere sîngerîndă 4 săptămîni Fixare
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FRACTURILE OLECRANULUITratament chirurgical
Posibilităţi de fixare
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Hobanajul
FRACTURILE OLECRANULUITratament
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FRACTURILE CUPUŞOAREI RADIALE
Delimitare
Frecvenţă: 1%
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Mecanism de producere: indirect
FRACTURILE CUPUŞOAREI RADIALEMecanism de producere
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FRACTURILE CUPUŞOAREI RADIALEClasificare
I II III
I II III IV
Adult
MASON
Copil
JUDET
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FRACTURILE CUPUŞOAREI RADIALEClasificare
Tip I
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FRACTURILE CUPUŞOAREI RADIALEClasificare
Tip II
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FRACTURILE CUPUŞOAREI RADIALE Clasificare
Tip III
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Caracteristic:
pronosupinaţia antebraţului determină durere la nivelui cotului, extern
FRACTURILE CUPUŞOAREI RADIALESemne clinice
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Fracturile tip I
Imobilizare pe atelă ghipsată 14 zile
Reeducare
FRACTURILE CUPUŞOAREI RADIALETratament
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FRACTURILE CUPUŞOAREI RADIALETratament
Fracturile tip II
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Fracturile tip III
FRACTURILE CUPUŞOAREI RADIALETratament
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FRACTURILE ANTEBRAŢULUI
Delimitare
Frecvenţă: 4%
Mecanism de producere:• indirect• direct (cubitus)
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FR
AC
TU
RIL
E A
NT
EB
RA
ŢU
LU
I
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FRACTURILE ANTEBRAŢULUIFractura Monteggia
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FRACTURILE ANTEBRAŢULUIFractura Galeazzi
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FR
AC
TU
RIL
E A
NT
EB
RA
ŢU
LU
IT
rata
men
t
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FRACTURILE MONTEGGIATratament
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FRACTURILE GALEAZZITratament
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Delimitare: 4 cm deasupra
interliniului articular
Frecvenţă: 15-20%
FRACTURILE RADIUSULUI DISTAL
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HIPEREXTENSIE HIPERFLEXIE
FRACTURILE RADIUSULUI DISTALMecanism de producere
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A - fractura Pouteau-Colles
B - fractura cu fragment postero-intern
C - fracturi complexe
FRACTURILE RADIUSULUI DISTALClasificare
I Fracturi prin compresie-extensie
A B C
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II Fracturi prin compresie-flexsie
FRACTURILE RADIUSULUI DISTALClasificare
A – Fractura Goyrand-Smith
B – fractura marginală anterioară simplă
C – fractura marginală anterioară complexă
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Fractura marginală anterioară
FRACTURILE RADIUSULUI DISTALClasificare
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Fractura Pouteau-Colles
FRACTURILE RADIUSULUI DISTALClasificare
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• Durere circumferenţială la 2-3 cm supraarticular
• Deformarea în "dos de furculiţă"
• Deformarea "în baionetă"
• Proeminenţa capului cubital
• Orizontalizarea liniei bistiloidiene
FRACTURILE RADIUSULUI DISTALSemne clinice
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FRACTURILE RADIUSULUI DISTALExamen radiologic
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FRACTURILE RADIUSULUI DISTALComplicaţii
• Deplasare secundară
• Calus vicios
• Artroză
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FRACTURILE DEPLSATEStabileImobilizare în flexie 18+18 zile
FRACTURILE RADIUSULUIDISTALTratament
FRACTURILE FĂRĂ DEPLSARE
Imobilizare ghipsată 30 zile
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FRACTURILE RADIUSULUI DISTALTratament
FRACTURILE DEPLSATEInstabile
Fixator extern
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FRACTURILE RADIUSULUI DISTALTratament
Broşaj
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Fixare cu placă
FRACTURILE RADIUSULUI DISTALTratament
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Grefare şi fixator extern
FRACTURILE RADIUSULUI DISTALTratament