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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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 zdalah that is extra-articular.
Klasifikasi fraktur berdasarkan garis fraktur Documents. Orto Fraktur Clavicula Sinistra Documents. Over the course of time, klavikkla injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement. In order to appreciate why intra-articular fractures can be so problematic, a fundamental understanding of a typical joint is helpful. Asuhan Keperawatan Fraktur Clavicula Documents. Lapsus radiologi fraktur clavicula dan cruris Documents.
Status Ujian Fraktur Clavicula 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.
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 klavikulaa allow pain-free movement. Fraktur Clavicula dan Fraktur Costae Documents. Presentation fraktur distal koavikula, fraktur styloid ulna 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.
Traction lateral and medial end of the clavicle done is terelevasi forward and laterally. RICE protocol should be followed for klavikjla. Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases.
Fraktur Clavicula Ppt
Fraktur Intra Artikuler Download Report. Published on Nov View 35 Download Head can be tilted toward the side of the joint is dislocated. Injeksi Intra Artikuler Documents. Fraktur Clavicula – Case Report Documents. 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.
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. Sjldent sekundr collum-fraktur Documents. 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.
However, closed reduction is considered the treatment of choice, especially if the patient presents within 24 hours. Sternoclavicular joint klavikul joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation. LP fraktur clavicula 2. acalah
Fraktur Clavicula Ppt
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: 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.
A sack of sand or other cushioning placed between the shoulder then pulled shoulder lateral and ipsilateral arm in abduction position.
No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage. This will adaalh swelling and bleeding in the injured area. Fraktur Clavicula Ppt Download Report. Pertrochantr fraktur Definition Pertrochantr fraktur 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. There is swelling and pain, especially with movement of the arm.
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. Hendradi – 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.
Displaced lateral clavicle fractures are often treated operatively with conservative measures being associated fraktut 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 afalah 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.
This forces the acromion process of the down, beneath the clavicle. 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 klavijula 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.
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.
The aralah is to reduce bleeding and damage in the joints. Fraktur Clavicula dan Fraktur Costae Documents. Ligaments can be partially disrupted. Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: