Osteonecrosis Dan Fraktur Pada Anak

7/24/2019 Osteonecrosis Dan Fraktur Pada Anak

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Osteonecrosis dan

Fraktur pada Anak


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Sinonim : aseptic necrosis, bone necrosis,avascular necrosis, bone infarction, ischemicnecrosis

Kematian jaringan tulang karena kegagalansuplai darah.

Paling sering pada tulang panjang Etiologi :

Vascular occlusion Hiperlipidemia

ntravascular coagulation

Healing process

Osteonekrosis


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!anifestasi Klinis : "simptomatis#$simptomatis

%&eri pada tulang &g terkena

S'elling

(eformitas, atro) otot


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lucent crescent sign (white arrow) andthe discontinuity where thesubchondral bone has collapsed (blackarrowhead). Also note a coredecompression channel drilled upthrough the femoral neck (blackarrows).


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Sno'capping*denseappearance of humaralhead from avascularnecrosis thought toresemble sno' onmountain top


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+ight hip "V% 'as diagnosed one&ear prior in this patient, andstigmata of core decompression areseen at the right femoral headarro'heads- on this /*'eightedimage. Signal changes compatible'ith occult left hip "V% arro'- arenoted on the as&mptomaticcontralateral side.


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"dalah 0raktur &ang terjadi pada anak &angterletak pada lempeng e)sis

anda dan 1ejala : S'elling

%&eri

(eformitas

Krepitasi, n&eri bila digerakkan

Fraktur Selter-Harris


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ipe :

I.S: slipped t&pe -

II.A: above t&pe -III.L: lo'er t&pe -

IV.T: through or transverse or together t&pe V-

V.R: ruined or rammed t&pe V-

S: slipped t&pe -

M: metaph&seal t&pe -

A: articular*epiph&seal t&pe -

C: complete*metaph&sis and epiph&sis t&pe V-

:krushed3 t&pe V-


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Tipe I

Salter*Harris t&pe / fracture of the)fth distal phalan4 of the hand.


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Tipe II

above the gro'th plate, there is a slight e4tensionthrough the lateral aspect of the gro'th plate.


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Tipe III


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Tipe IV

ntraarticular fracture involving the left 5rd metatarsal head 'ithstep depression of the dominant metatarsal head fragment of upto 6mm. 0racture e4tends to involve the metaph&sis consistent'ith a Salter Harris 7 t&pe injur&.


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Tipe V

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Osteonecrosis Dan Fraktur Pada Anak