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.
|Published (Last):||28 September 2013|
|PDF File Size:||8.50 Mb|
|ePub File Size:||5.58 Mb|
|Price:||Free* [*Free Regsitration Required]|
Presentation fraktur distal radius, fraktur styloid ulna Documents. This forces the acromion process of the down, beneath the clavicle.
Fraktur Clavicula Ppt
When a fracture involves the llavikula surface of one or more bones of a joint, the articular cartilage and smooth articular surface of the bone are disrupted. 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.
Anterior or posterior sternoclavicular subluxation was evident when the joint is injured compared with normal joinSternoclavicular joint describe on 2 type, there is: In order to appreciate why intra-articular fractures can be so problematic, a fundamental understanding of a typical joint is helpful. 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.
The following images show a knee joint. 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.
Ligaments can be partially disrupted. 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 klavikual stabilization coracoklavikular with ligament reconstruction coracoklavikularHandling directly on soft tissue injury consists of ffraktur ricer protocol – rest, ice, compression, elevation and frakgur.
Measures such as an arm sling, analgesia and, in the case of mid shaft fractures, figure frqktur eight bandage across the shoulders, often provide ample treatment.
In addition, the AC Joint injury can occur as a result of the upward adalzh on the long axis of the humerus in the fall with direct impact when the wrist in a straight position. 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.
Injeksi intra-artikuler Ruang Kuliah Ilmu Klasifikasi fraktur berdasarkan garis fraktur Documents.
LP fraktur clavicula 2. Arm immobilized in a sling at least two days for minor injuries or six weeks for more severe cases. In moderate sprains occur sternoclavicular joint subluxation.
Tutorial Skenario b Fraktur Clavicula Education. Over the course of time, these injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement.
Fraktur Clavicula Ppt
OTIntroductionFractures of the clavicle are common injuries accounting for between 2. 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. 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.
Orto Fraktur Clavicula Sinistra Documents. Fraktur Clavicula dan Fraktur Costae Documents.
Mid Shaft Clavicular FractureUndisplaced mid-shaft fractures are generally managed non-operatively. Hendradi – Fraktur Clavicula Documents.
Sjldent sekundr collum-fraktur Documents.
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.
Klavikuula increased when the patient is placed in supine position, the shoulder is fraktue affected in a horizontal position compared with healthy shouldersSome treatment options include open reduction for retrosternal dislocation. Displaced lateral clavicle fractures are often treated operatively with conservative measures being associated with high rates of non-unionNon-operative ftaktur 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 ilavikula AC jointSternoclavicular jointThe patient complained of mild to moderate pain, especially with movement of the upper limb.
Status Ujian Fraktur Clavicula 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 klavikuls are associated with a much greater incidence of long-term complications.
Asuhan Keperawatan Fraktur Clavicula Documents. Together with a little swelling and pain during palpation, but instability was not found. Fraktur Intra Artikuler Download Report. Sternoclavicular joint anteriorSternoclavicular joint posteriorSternoclavicular joint dislocation posterior clavicle will appear less prominent on palpation. No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage.