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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Pertrochantr fraktur Definition Pertrochantr fraktur Orto Fraktur Clavicula Sinistra Documents.
Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases. Asuhan Keperawatan Fraktur Clavicula Documents.
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.
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.
When a fracture involves the articular surface of one or more bones of a joint, the articular cartilage and smooth articular surface of the bone are disrupted. Fraktur Clavicula dan Fraktur Costae Documents. The displaced types were then divided into 2a or 2b, depending on the presence of injury to the coraco-clavicular CC ligaments . Klasifikasi fraktur berdasarkan garis fraktur Documents. Fraktur Clavicula – Case Report Documents. Together with a little swelling and pain during palpation, but instability was not found.
While intra-articular fractures appear very similar to those that do not involve a joint space extra-articular fracturesintra-articular fractures are significantly more serious because they are associated with a much greater incidence of long-term complications.
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. Lapsus radiologi fraktur clavicula dan cruris Documents.
LP fraktur clavicula 2. 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. Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: 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 straight position.
Patients should also have a plain antero-posterior AP X-ray performed in the emergency department.
Fraktur Intra Artikuler
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: Affected shoulder will appear shortened and pushed forward when compared with the normal shoulder.
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 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 Sternoclavicular joinDislocation of acromioklavikular AC jointSternoclavicular jointThe patient complained of mild to moderate pain, especially with movement of the upper limb.
No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage. Sternoclavicular joint anteriorSternoclavicular joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation.
This can result in partial or total loss of the articular cartilage and in adlah “bone-on-bone” articulation that severely decrease range of motion and result in debilitating joint pain. Journal Reading Fraktur Clavicula Documents.
Fraktur Clavicula Ppt
Svigt af fiksation i caput femoris varusskred, 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. 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.
Fraktur Intra Artikuler Download Report.
Mid Shaft Clavicular FractureUndisplaced mid-shaft fractures are generally managed non-operatively. 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. The goal is to reduce bleeding and damage in the joints. RICE protocol should be followed for hours.
Over the course of time, these injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement. 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.
Head can be tilted toward the side of the joint is dislocated. Fraktur Scapula n Clavicula Documents. Fraktur Clavicula dan Fraktur Costae Documents. Sjldent sekundr collum-fraktur Documents. The following images show a knee joint. As shown in the below illustrations, joint trauma without a diagnosable fracture of any type can injure the smooth, shock-absorbing articular cartilage, with or without microfractures of the underlying bone.
Traction lateral and medial end of the clavicle done is ffaktur forward and laterally. Fraktur Clavicula Ppt Download Report.
Hendradi – Fraktur Clavicula Documents. This forces the acromion process of the down, beneath the clavicle. Published on Sep View 43 Download Presentation fraktur distal radius, fraktur styloid ulna Documents.
This will reduce swelling and bleeding in the injured area. Published on Nov View 35 Download A sack of sand or other cushioning placed between the shoulder then pulled shoulder lateral and ipsilateral arm in abduction 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 klaviikula distal clavicle or 2 stabilization coracoklavikular with ligament adakah coracoklavikularHandling directly on soft tissue injury consists of a ricer protocol – rest, ice, compression, elevation and referral.
It is also important to realize that a fracture needs not enter a joint to result in injury to the articular surfaces and begin the self-perpetuating post-traumatic breakdown of the joint surfaces post-traumatic arthritis.