Fracture & Dislocation of ClaviculaFracture & Dislocation of Claviculadr Erwien Isparnadi oductionFractures of the clavicle are. Clavicula Fraktur Zeitlicher Verlauf Atlanta (USA) Vielseitigkeitsturnier rotationaler Fall Notfall-Helikopter Transport nach Spital. Penatalaksanaan Fisioterapi Pasca Operasi Pemasangan Plate And Screws Fraktur Clavicula Dextra 1/3 Distal Di Rsud Panembahan.
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Fraktur Clavicula Ppt Download Report. Published on Nov View 35 Download OTIntroductionFractures of the clavicle are common injuries accounting for between 2. The displaced types were then divided into 2a or 2b, depending on the presence of injury to the coraco-clavicular CC ligaments .
Thus a type 2a injury represents a fracture medial to both conoid and trapzezoid elements of the CC ligaments, with the shaft displacing superior relative to the lateral endA type 2b injury 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: Patients should also have a plain antero-posterior AP X-ray performed in the emergency department.
Other projections of the 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.
Measures such as an arm sling, analgesia and, in the case of mid shaft fractures, figure of eight bandage across the shoulders, often provide ample treatment. Mid Shaft Clavicular FractureUndisplaced mid-shaft fractures are generally managed non-operatively.
Displaced lateral clavicle fractures are often treated operatively with conservative measures cclavicula 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 of 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 Ffaktur joinDislocation of acromioklavikular AC jointSternoclavicular jointThe patient complained of mild to moderate pain, especially with movement of the upper limb.
Together with claviculla little swelling and pain during palpation, clavifula instability was not found. In moderate sprains occur sternoclavicular joint subluxation. Ligaments can be partially disrupted.
There is swelling and pain, especially with movement of the arm.
Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: Sternoclavicular joint anteriorSternoclavicular joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation. Affected shoulder will appear shortened and pushed forward when compared with the normal shoulder. Head can be tilted toward the side of the joint is dislocated.
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. However, closed reduction is considered the treatment of choice, especially if the patient presents within 24 hours.
Fraktur Clavicula Ppt
A sack of sand or other cushioning placed between the shoulder then frakutr shoulder lateral and ipsilateral arm in abduction position. Traction lateral and medial end of the clavicle done is terelevasi forward and laterally.
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 cases 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.
This forces the acromion process of the down, beneath the clavicle. In addition, the AC Joint injury can occur as a result of the upward force on the long axis of the humerus in the fall with direct impact when the wrist in a clavivula position.
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.
RICE protocol should be followed for hours. The goal is to reduce bleeding and damage in the joints.
Clavicula Fraktur by Michaela Rentsch on Prezi
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. Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases.
No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage. This will reduce swelling and bleeding in the injured area.
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