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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Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases. Orto Fraktur Clavicula Sinistra Documents.
Injeksi intra-artikuler Ruang Kuliah Ilmu Asuhan Keperawatan Fraktur Clavicula Documents. 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. 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.
Klasifikasi fraktur berdasarkan garis fraktur Documents.
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. 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 . Ligaments can be partially disrupted. Pertrochantr fraktur Definition Pertrochantr fraktur Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: Published on Sep View 43 Download Sjldent sekundr collum-fraktur Documents.
This will reduce swelling and bleeding in the injured area. Presentation fraktur distal radius, fraktur styloid ulna Documents.
This can result in partial or total loss of the articular cartilage and in uneven “bone-on-bone” articulation that severely decrease range of motion and result in debilitating joint pain. 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.
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. 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.
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 Clavicula dan Fraktur Costae Documents. Fraktur Clavicula dan Fraktur Costae Documents. Published on Nov View 35 Download Head can be tilted toward the side of the joint is dislocated.
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. OTIntroductionFractures of the clavicle are common injuries accounting for between 2.
Fraktur Intra Artikuler
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. Tutorial Skenario b Fraktur Clavicula Education.
Fraktur Clavicula Ppt Download Report. Patients should also have a plain antero-posterior AP X-ray performed in the emergency department. 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.
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: LP fraktur clavicula 2.
Hendradi – Fraktur Clavicula Documents. Injeksi Intra Artikuler Documents. Sternoclavicular joint anteriorSternoclavicular joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation.
Fraktur Intra Artikuler
While intra-articular fractures appear klavokula 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. Status Ujian Fraktur Clavicula Documents.
Over the course of time, these injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement.
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.
There is swelling and pain, especially with movement of the arm. 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.
The goal is to reduce bleeding and damage in the joints.