Menurut FKUI (), fraktur adalah rusaknya dan terputusnya kontinuitas tulang . Klavikula adalah patah tulang pada tulang klavikula atau tulang selangka. Intra-articular Fractures By: Robert Shepherd MS, Certified Medical Illustrator, Vice President and Director of Eastern Region Operations. Fracture & Dislocation of ClaviculaFracture & Dislocation of Claviculadr Erwien Isparnadi oductionFractures of the clavicle are.
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Head can be tilted toward the side of the joint is dislocated. Fraktur Scapula n Clavicula Documents. Fraktur Clavicula Ppt Download Report. Other projections of adalahh clavicle may be performed after liaising with a radiographer, such an apical oblique view of the clavicle with the patient standing at 45 degrees toward the beam and the beam angled degrees TreatmentThe majority of clavicle fractures are treated non-operatively with good outcomes.
Patients should also have a plain antero-posterior AP X-ray performed in the emergency department. Fraktur Clavicula dan Klavikulq Costae Documents.
Traction lateral and medial end of the clavicle done is terelevasi forward and laterally. This forces the acromion process of the down, beneath the clavicle. In moderate sprains occur sternoclavicular joint subluxation.
Fraktur Intra Artikuler
Because of the abnormalities of the injured and healed joint surface, natural movement of the joint can also damage the articular cartilage of the opposing joint surface. In order for joints to have the best chance of proper joint function after healing, physicians go to greater effort to make sure the bony surfaces are properly aligned and that the joint is properly immobilized than they would with a similar fracture that is extra-articular.
Over the course of time, these injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement. The goal is to reduce bleeding and damage in the joints. Even with the best fracture alignment and joint immobilization, subtle disturbances in the joint surface and the natural bone reformation that take place during healing can result in uneven joint surfaces and injury to the overlying articular cartilage see the below illustration.
Orto Fraktur Clavicula Sinistra Documents.
As shown in the below illustrations, joint trauma without a diagnosable fracture of any type can injure klavikua smooth, shock-absorbing articular cartilage, with or without microfractures of the underlying bone. In order to appreciate why intra-articular fractures can be so problematic, a fundamental understanding of a typical joint is helpful.
A sack of sand or other cushioning placed between the shoulder then pulled shoulder lateral and ipsilateral arm in abduction position. Pertrochantr fraktur Definition Aadlah fraktur Hendradi – Fraktur Clavicula Documents. Usually the shoulders are in a position of adduction and flexionRockwood classificationSurgical options for joint instability acromioklavikular including 1 coracoklavikular ligament reconstruction with or without excision of the distal clavicle or 2 stabilization coracoklavikular with ligament reconstruction coracoklavikularHandling directly on soft tissue injury consists of a ricer protocol – rest, ice, compression, elevation and referral.
This will reduce swelling and bleeding in the injured area. Discomfort increased when the patient is placed in supine position, the shoulder is not affected in a horizontal position compared with healthy shouldersSome treatment options include open reduction for retrosternal dislocation.
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Fraktur Clavicula Ppt
No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage. The displaced types were then divided into 2a or 2b, depending on the presence of injury to the coraco-clavicular CC ligaments .
The following images show a knee joint. Displaced lateral clavicle fractures are often treated operatively with conservative measures being associated with high rates of non-unionNon-operative treatment is generally used in those patients who are low demand, elderly or frailIn the case of a standard distal clavicle plate, three screws a minimum fratur two should be placed in the distal fragment to provide sufficient stabilityMedial end FractureBecause of the close proximity of the mediastinal structures, formal fixation is considered only in the event of marked displacement of the clavicle, with a risk to underlying structuresDislocationDislocation of Sternoclavicular joinDislocation of acromioklavikular AC jointSternoclavicular jointThe patient complained of mild to moderate pain, ada,ah with movement of the upper limb.
Injeksi intra-artikuler Ruang Kuliah Ilmu Sling figure of eight used after reduction for weeks to help the healing ligamentsternoklavikular SC joint anteriordilocationPatients with anterior dislocation usually complain of pain in the SC joint, which increases with movement of the arm; atraumatic fraktue have only mild symptomsAcromioclavicular dislocation AC Joint Injuries often occur as a result of a direct blow to the tip of the shoulder, such as a fall or a collision with another player during exercise.
Shoulder must rest in a position of elevation with an ice pack for 20 minutes every two hours avoid direct contact of ice on the skin.
Thus a type 2a injury represents a fracture medial to both conoid and draktur elements of the CC ligaments, with the shaft displacing superior relative to the lateral endA type 2b adwlah represents a fracture of the lateral end of the clavicle, with disruption of the conoid portion of the CC ligamenType 1, Middle thirdType 2, lateral thirdType 3, Proximal thirdAssesmentAnamnesis: Affected shoulder will appear shortened and pushed forward when compared with the normal shoulder.
Fraktur Clavicula – Case Report Documents. Fraktur Clavicula dan Fraktur Costae Documents. Journal Reading Fraktur Clavicula Documents. Svigt af fiksation i caput femoris varusskred, OTIntroductionFractures of the clavicle are common injuries accounting for between 2. This can result in partial or klavkula loss of the articular cartilage and in uneven “bone-on-bone” articulation that severely frakttur range of motion and result in debilitating joint pain.
RICE protocol should be followed for hours.
Fraktur Clavicula Ppt
Fraktur Intra Artikuler Download Report. Together with a little swelling and pain during palpation, but instability was not found.
Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases. With the exception of a meniscus, almost all moveable joints are similar to the knee joint in that the joints are lined with a thick, shock-absorbing articular cartilage adherent to smooth, bony surfaces that allow pain-free movement.
Published on Nov View 35 Download Mid Shaft Clavicular FractureUndisplaced mid-shaft fractures are generally managed non-operatively.
However, closed reduction is considered the treatment of choice, especially if the patient presents within 24 hours. While intra-articular fractures appear very similar to those that do not involve a joint space extra-articular fracturesintra-articular fraktut are significantly more serious because they are associated with a much greater incidence of long-term complications.
Sternoclavicular joint anteriorSternoclavicular joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation. Measures such as an arm sling, analgesia and, in the case of klavikuula shaft fractures, figure of eight bandage across the shoulders, often provide ample treatment. Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: Presentation fraktur distal radius, fraktur styloid ulna Documents.
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