Fracture Shoulder

Embed Size (px)

Citation preview

  • 7/26/2019 Fracture Shoulder

    1/21

    !"#$%&"'( *+ %,' -,*&./'"

    /"0 1&,0 -#234 -567

  • 7/26/2019 Fracture Shoulder

    2/21

  • 7/26/2019 Fracture Shoulder

    3/21

    89#%*:;< G*%#%*" H&@

    G'A9+*"$'( B*A9% $#5(&.' 899&.&( +*":'/ +"*:

    :&($&.*%'9/A9*&(

    A9('"3*9(8 -&5"#(5A9#%&(I J*A9% H#5(&.'H K#E"&:L -&E($#5&.#"A(M K*9> ,'#/ *+ EA$'5(! N9+"#(5A9#%&(O 7'"'( 1A9*"

  • 7/26/2019 Fracture Shoulder

    4/21

    I6PM 8P8761Q 6! 7RM-R6SKLMG

  • 7/26/2019 Fracture Shoulder

    5/21

    I#(A$ MC#:A9#3*9< N9(5'$3*9

    O'9'"#.< -T'..A9>M";%,':#J*A9% L'+*":A%;1&($.' T#(39>

    !"*9%< -%'"9*$.#FA$&.#" J*A9% 5"*:A9'9$'

    H.#FA$.' /'+*":A%;8$"*:A*$.#FA$&.#" B*A9% 5"*:A9'9$'L'.%*A/ T#(39>

    -A/'< -T'..A9> I',A9/< -$#5&.# (,#5' #9/ (A%*9

    U'EEA9> *+ %,' (2A9

    UA9>A9> 8E*F'< H.#FA$.'

    -&5"#$.#FA$&.#" +*((#'-T'..A9>

  • 7/26/2019 Fracture Shoulder

    6/21

    I#(A$ MC#:A9#3*9< V#.5#3*9

    R'#% H"'5A%#3*9(

    I*9; %'9/'"9'(( R&:*"#. ,'#/ #9/

    (,#W

  • 7/26/2019 Fracture Shoulder

    7/21

    I#(A$ MC#:A9#3*9< 1*F':'9%

    8$3F' E'+*"' 5#((AF' 8E/&$3*9 ? X Y Z[X\ 8//&$3*9 ? ]X\ !.'CA*9 ? X Y Z^]\ MC%'9(A*9 ? X Y ^X\ N9%'"9#. "*%#3*9 A9 #E/&$3*9 Y [X\ MC%'"9#. "*%#3*9 A9 #E/&$3*9 Y ZXX\ N9%'"9#. "*%#3*9 A9 'C%'9(A*9 ? %*&$, %,' *55*(A%' ($#5&.#

    MC%'"9#. "*%#3*9 A9 'C%'9(A*9 Y [X\ MC%'"9#. "*%#3*9 A9 #E/&$3*9 ? ,#9/ E',A9/ %,' ,'#/

  • 7/26/2019 Fracture Shoulder

    8/21

    V"#$3$#. #(('((:'9%

    KAW ;*&" #": "A>,% &5 _/':*9(%"#%'( +&..#E/&$3*9`

    P*T .'% ;*&" #": /*T9 _5#A9+&. #"$ *W'9

    :*"' 'FA/'9% *9 /*T9(%"*2'` V&% ;*&" ,#9/ E',A9/ ;*&" ,'#/ _%'(%(

    'C%'"9#. "*%#3*9` V&% ;*&" ,#9/( E',A9/ ;*&" T#A(% _%'(%(

    A9%'"9#. "*%#3*9`

  • 7/26/2019 Fracture Shoulder

    9/21

    aYG#;(

    89%'"A*" V*(%'"A*" FA'T7,' (%#9/#"/ FA'T A9 #..,*(5A%#.(0

    8"3$&.#" (&"+#$'( *+,&:'"&( #9/ >.'9*A/ #"'5#"#..'.0N9+'"A*" #(5'$%( *+#$"*:A&: #9/ $.#FA$.'

    (,*&./ E' #% %,' (#:'.'F'.0R&:'"#. ,'#/ .**2( .A2'# T#.2A9> (3$20

  • 7/26/2019 Fracture Shoulder

    10/21

    aYG#;(

    7,' bQc FA'T7,' bQc (A%( &9/'"%,' ,&:'"#. ,'#/07,' (%': *+ %,' bQc A(%,' E.#/' *+ %,'($#5&.#07,' .A:E( *+ %,' bQc

    #"' %,' $*"#$*A/ #9/%,' #$"*:A&:5"*$'((0

  • 7/26/2019 Fracture Shoulder

    11/21

    -$#5&.# +"#$%&"'

    S9$*::*9 A9B&";4X0]d #.. +"#$%&"'

    RA>, '9'">; A9B&"; S(..; /A"'$% E.*T K**2 +*" #((*$A#%'/

    A9B&"A'(

    aY"#; # %"#&:# ('"A'(e8YV FA'T48CA..#";FA'T4-$#5&.#" Q FA'T

  • 7/26/2019 Fracture Shoulder

    12/21

    -$#5&.# +"#$%&"'

    1*(% ($#5&.# +"#$%&"' #"' #E.' %* 9*9*5'"#3+%"'#%:'9%

    -&">A$#. A9/A$#3*9 eZ0 LA(5.#$'/ A9%"##"3$&.#" A9F*.F' f g] d*+ %,' #"3$&.#" (&"+#$'

    g0 -$#5&.#" 9'$2 TA%, f hXY/'>"'' *" f Z $:

    :'/A#. %"#9(.#3*9=0 -$#5&.#" +"#$%&"' TA%, $.#FA$.' +"#$%&"'

  • 7/26/2019 Fracture Shoulder

    13/21

    -$#5&.# +"#$%&"'

    h0 !"#$%&"' *+ %,' $*"#$*A/ 5"*$'(( %,#%"'(&.% +&9>3*9#. #$"*:A*$.#FA$&.#"('5#"#3*9

    ]0 H*::A9&%'/ +"#$%&"' *+ %,' ($#5&.#" (5A9'

  • 7/26/2019 Fracture Shoulder

    14/21

    V"*CA:#. R&:'"&( !"#$%&"'(

  • 7/26/2019 Fracture Shoulder

    15/21

  • 7/26/2019 Fracture Shoulder

    16/21

    V"*CA:#. R&:'"&( !"#$%&"'(

    M5A/':A*.*>; 1*(% $*::*9 +"#$%&"' *+ %,' ,&:'"&( RA>,'" A9$A/'9$' A9 %,' './'".;4 %,*&>,% %* E' "'.#%'/ %*

    *(%'*5*"*(A( !':#.'( geZ >"'#%'" A9$A/'9$' %,#9 :#.'(

    1'$,#9A(: *+ N9B&"; 1*(% $*::*9.; # +#.. *9%* #9 *&%(%"'%$,'/ #": +"*:

    (%#9/A9> ,'A>,% Q*&9>'" 5#3'9% %;5A$#..; 5"'('9% #W'" ,A>, '9'">; %"#&:#

    (&$, #( 1i8

  • 7/26/2019 Fracture Shoulder

    17/21

    V"*CA:#. R&:'"&( !"#$%&"'(

    H.A9A$#. MF#.*9 V#3'9%( %;5A$#..; 5"'('9% TA%, #":

    ,'./ $.*(' %* $,'(% E; $*9%"#.#%'"#.,#9/0 V#A9 #9/ $"'5A%&( /'%'$%'/ *9

    5#.5#3*9 H#"'+&. Pi 'C#: A( '(('93#.4

    5#"3$&.#".; TA%, "'>#"/( %* %,' #CA..#";9'"F'0 7'(% ('9(#3*9 *F'" %,' /'.%*A/0L'.%*A/ #%*9; /*'( 9*% 9'$'((#"A.;$*9j": #9 #CA..#"; 9'"F' A9B&";

  • 7/26/2019 Fracture Shoulder

    18/21

    V"*CA:#. R&:'"&( !"#$%&"'(

    7"'#%:'9% 1A9A:#..; /A(5.#$'/ +"#$%&"'(Y -.A9> A::*EA.AD#3*94 '#".; :*3*9 7T*Y5#"% +"#$%&"'(Y

    89#%*:A$ 9'$2 +"#$%&"'( .A2'.; "'k&A"' 6GN!0 RA>, A9$A/'9$' *+*(%'*9'$"*(A(

    -&">A$#. 9'$2 +"#$%&"'( %,#% #"' :A9A:#..; /A(5.#$'/ $#9 E' %"'#%'/$*9('"F#3F'.;0 LA(5.#$':'9% &(..; "'k&A"'( 6GN!

    7,"''Y5#"% +"#$%&"'( L&' %* /A("&53*9 *+ *55*(A9> :&($.' +*"$'(4 %,'(' #"' &9(%#E.' (* $.*('/

    %"'#%:'9% A( /Al$&.%0 LA(5.#$':'9% "'k&A"'( 6GN!0 !*&"Y5#"% +"#$%&"'(

    N9 >'9'"#. +*" /A(5.#$':'9% *" &9(%#E.' A9B&"A'( 6GN! A9 %,' ;*&9> #9/,':A#"%,"*5.#(%; A9 %,' './'".; #9/ %,*(' TA%, ('F'"' $*::A9&3*90 RA>,"#%' *+ 8iP _Z=Y=hd`

  • 7/26/2019 Fracture Shoulder

    19/21

  • 7/26/2019 Fracture Shoulder

    20/21

    !"#$%&"' H.#FA$.'

    -&">A$#. A9/A$#3*9 A9$.&/A9> eZ0 65'9 +"#$%&"'

    g0 !.*#39> (,*&./'"

    =0 TA%, 5*%'93#. +*" (2A9 E"'#2/*T9

    h0 TA%, 9'&"*F#($&.#" A9B&";

  • 7/26/2019 Fracture Shoulder

    21/21