02 Fracturile MS

7/25/2019 02 Fracturile MS

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FRACTURILE MEMBRULUI

SUPERIOR

CLINICA ORTOPEDIE SPITAL

COLENTINACONF.RODICA MARINESCU


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FRACTURILE DE CLAVICULA


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FRACTURILE CLAVICULEI

Frecventa:11%fractur a!u"t #"$c II

&'()*% n 1+, -e!e

C$:,/%!n fractur

-ecan0-(frecvent n!rect


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SEDIUL FRACTURII

1+, -e!e

Mecan0- n!rect(ca!ere u-ar(

Cu !e"a0are


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CLINICA

P$ta anta"2ca

Def$r-area re2un

U-ar -a c$3$rat 0 -a 0curt Ec4-$a tar!va

M$3"tate n f$car


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C$-"cat

Te2u-entare 5!e0c4!ere f$car

Va0cu"are 5 a 0u3c"ave

Nerv$a0e 5 "e6 3ra4 V0cera"e 5 "eura


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COMPLICATII TARDIVE

Ca"u0 vc$0 4ertr$7c

P0eu!artr$a

O0teta $0tfracturaraRe!$area !e u-ar


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TRATAMENT ORTOPEDIC

BANDAJ DESSAULT BANDAJ WATSON-JONES


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TRATAMENT C8IRUR9ICAL

Fractur c$-"cate

Fractur cu -are !e"a0are

Scurtare -$rtanta u-ar


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Avantae :re!ucere anat$-ca;-$3"are rec$ce .

Deavantae :!eer$0tare;!eva0cu"arare ;ntarere nc$n0$"!are ;r0c nfecte r0c!eter$rare -$nta.


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FRACTURILE OMOPLATULUI

1% t$ta" fractur

Varetat :a"e 2"ene 0 c$"u"u

A"e c$ru"u $-$"atu"u


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FRACTURILE OMOPLATULUI

FRACTURILE 9LENEI SI COLULUI

FRACTURILE COLULUI


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FRACTURILE COLULUIOMOPLATULUI

C4rur2ca"

Anat$-c


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TRATAMENT

Funct$na"

Ort$e!c

c4ru2ca"


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FRACTURILE 8UMERUSULUI

E6tre-tatea r$6-a"a

Da7are

E6tre-tatea !0ta"a


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FRACTURILE E


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FRACTURI COLC8IRUR9ICAL

Prn a!!ucte 5 tner ( varu0

Prn a3!ucte 5 3atran (va"2u0


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CLASIFICARE FRACTURIARTICULARE

AN9RENATE

CU DEPLASARE

CU MARE DEPLASARE FRACTURI+LU


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CLINICA

Durere ;-$tenta funct$na"a t$ta"a;u-ar 2"$3u"$0 ;cu $na !e!ere0une( ="$vtura !e t$$r

=;ec4-$a 3ra4$t$racca 8enne>un.

Atente c$-"cat :va0cu"are

;nerv$a0e ;cutanate ;-u0cu"are ?


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TRATAMENT

ORTOPEDIC

C8IRUR9ICAL


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$0te$0ntea 3r$0e @ ;0uru3ur ;"acacu 0uru3ur


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FRACTURILE DIAFIEI8UMERALE

Re"atv frecvente :%

Mecan0- n!rect :e6e; t$r0une .


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MECANISME SI TRAIECTE DEFRACTURA


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CLINICA

Durere ;-$tenta funct$na"a;!urere n unct 76 .

Netran0-03"tatea -0car;cretat $0$a0e ;-$3"tatean$r-a"a;0curtare

Attu!ne u-"a


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DEPLASAREFUNCTIE DESEDIU


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RISC COMPLICATII PRECOCE

Cutanate(!e0c4!ere f$car fractura

Nerv$a0e(n.ra!a"

Va0cu"are(a.3ra4a"a


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TRATAMENT ORTOPEDIC

Re!ucere 5-$3"are

Re!ucere "enta -$3"are


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In!cat :fractur cu !e"a0are n0ta3"e;fracture e $0 at$"$2c

;$"trau-atat;fracture c$-"cate.


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VARIETATI TRATAMENTC8IRUR9ICAL

O0te$0ntea centr$-e!u"arae"a0tca+ r2!a .

O0te$0ntea cu "aca 0 0uru3ur .

F6at$r e6tern


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COMPLICATII TARDIVE

Intarere c$n0$"!are

P0eu!artr$a

O0teta $0tfracturaraCa"u0u" vc$0(afectare tar!va n. ra!a"


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FRACTURILE E


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CLASIFICAREANATOMOPATOLO9ICA

SUPRACONDILIENE SUPRA SI INTERCONDILIENE


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CLASIFICAREANATOMOPATOLO9ICA

CONDIL EXTERN CONDIL INTERN


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FRACTURI SUPRACONDILIENE 5MECANISME

8ere6ten0e

8ere6e


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REPERE CLINICE

EXTENSIE FLEXIE


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CLINICA

P"ca c$tu"u "na ;ec4-$a "nara@r-00$n ;!0tantaacr$-$ec$n!"ana

0curtata;!a-etruanter$$0ter$r.


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TRATAMENT ORTOPEDIC


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Br$0e @;"ac n G cu 0uru3ur .


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COMPLICATII IMEDIATE

CUTANATE,NERVOASE

.

VASCULARE


40/80

COMPLICATII TARDIVE

CALUS VICIOS REDOARE DE COT


41/80

FRACTURILESUPRAINTERCONDILIENE

Frecventa "a a!u"t

Traect ntraartcu"ar


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CLINICA

Brat 0curtat ;a"eta 4u-era"a"ar2ta ;2rava n0ta3"tate a c$tu"u;cretat $0$a0e .

R0c c$-"cat ,/%:va0cu"are;nerv$a0e ;cutanate .

R6 5certtu!ne


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COMPLICATII

I-e!ate :cutanate;va0cu"are;nerv$a0e .

Tar!ve :0eu!artr$a ;ca"u0u"vc$0 ;re!$area !e c$t ;ca"c7car"eerartcu"are ;nfecta .


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TRATAMENT

Ort$e!c

C4rur2ca"(frecvent


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FRACTURI PARCELARE

CONDILULUI EXTERN CAPITELULUI


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FRACTURA DE EPITRO8LEE

FRACTURILE OASELOR


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FRACTURILE OASELORANTEBRATULUI

E6tre-tat r$6-a"e a cu3tu0u"u$"ecran


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O0te$0ntea 0uru3ur ;"aca cu0uru3ur ;4$3ana.

FRACTURILE E


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FRACTURILE E


50/80

TRATAMENT

Ort$e!c

c4rur2ca"


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FRACTURILE ANTEBRATULUI

I$"ate :rare$rHcu3tu0 0au ra!u0 .

A0$cate :frecvent .

Mecan0- r$!ucere :!rect 0aun!rect .

R0c(er!erea r$n$0unate

IMPERATIVELE


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IMPERATIVELEPRONOSUPINATIEI

Refacere "un2-e$a0e

Refacere cur3ura

ra!u0 Satu nter$0$0 "3er

Artcu"atra!$cu3ta"e -$3"e

Fara !eca"a ntrece"e !$ua $a0e


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TRATAMENT

Ort$e!c 5fara !e"a0are


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O0te$0ntea cu "aca 0 0uru3ur


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COMPLICATII REDUTABILE

I-e!ate 50n!r$-u" !ec$-art-ent

Tar!ve 50n!r$-u" V$"-an


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COMPLICATII TARDIVE

P0eu!artr$a

Ca"u0ur"e vc$a0e

Fractur teratve Sn$0t$a ra!$carana

FRACTURI LU


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FRACTURI(LU


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FRACTURA LU


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FRACTURA 9ALLEAI

FRACURA 9ALEAI


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FRACURA 9ALEAI(TRATAMENT

FRACTURILE E


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FRACTURILE E


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FRACTURA POUTEAU(COLLES

Cea -a frecventa fractura ntrau-at$"$2e

Mecan0- n!rect(ca!ere $!u"

a"-e

De"a0are =n !$0 !e furcu"ta=;nc"nare ra!a"a ;r$6-a"a .

FRACTURI DE EPIFIA DISTALA


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FRACTURI DE EPIFIA DISTALARADIALA

FARA DEPLASARE CU DEPLASARE


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FRACTURILE ARTICULARE


65/80

TRATAMENT

Re!ucere 0 -$3"are


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C8IRUR9ICAL

P"aca cu 0uru3ur F6at$r e6tern


67/80

COMPLICATII

Ca"u0u" vc$0

Sn!r$-u" !e tune" caran

Re!$area artcu"ara


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COMPLICATII

Mana 0tra-3a ra!a"a

FRACTURILE DE SCAFOID


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FRACTURILE DE SCAFOIDCARPIAN


70/80

CLINICA

Durere n ta3ac4era anat$-ca

Inc!enta 0eca"e R6


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TRATAMENT

ORTOPEDIC CHIRURGICAL


72/80

COMPLICATII

Necr$a ava0cu"ara

P0eu!artr$a

FRACTURILE


73/80

FRACTURILEMETACARPIENELOR


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FRACTURILE FALAN9ELOR


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LOCALIARE FRACTURI MTC


76/80

TRATAMENT

Ort$e!c

C4rur2ca"


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FRACTURA BENNETT

TRATAMENT FRACTURI


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TRATAMENT FRACTURIFALAN9E

ASPECTE R< FRACTURI


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ASPECTE R< FRACTURIFALAN9E

TRATAMENT ORTOPEDIC


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TRATAMENT ORTOPEDICFRACTURI FALAN9E

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02 Fracturile MS