DISLOKASI SENDIDISLOKASI SENDI

KONDISI TRAUMATIKKONDISI TRAUMATIKSUBJEK ORTOPEDIKSUBJEK ORTOPEDIK

KOD MOR 2323KOD MOR 2323

Dislokasi sendiDislokasi sendi

Definisi:Definisi:Peralihan/tersasar tulang dari Peralihan/tersasar tulang dari posisi yang membentuk sendiposisi yang membentuk sendi

Mekanisma penyebabMekanisma penyebab

1.1. KongenitalKongenital2.2. Kecederaan - hentakanKecederaan - hentakan

Jenis-jenis dislokasiJenis-jenis dislokasiAcromioclavicular jointAcromioclavicular joint

Pengendalian Pengendalian SubloksasiSubloksasi-Arm sling (1 Arm sling (1 week)week)-shoulder exerciseshoulder exercise

DislokasiDislokasi-Padding and Padding and strappingstrapping-ScrewScrew

2. Sendi sternoclavicular2. Sendi sternoclavicular

Sternoclavicular dislocationSternoclavicular dislocation CT scan (anterior dislocation)CT scan (anterior dislocation)

Pengendalian Pengendalian Anterior dislocation – closed Anterior dislocation – closed reductionreductionPosterior dislocation – open Posterior dislocation – open reductionreduction

3. Dislokasi bahu (shoulder)3. Dislokasi bahu (shoulder)

Kochers methodKochers method

Anterior dislocationAnterior dislocation-Closed reductionClosed reduction-Open reduction Open reduction (pembedahan)(pembedahan)

Posterior dislocationPosterior dislocation-Closed reduction-Closed reduction

4. Dislokasi elbow4. Dislokasi elbow

Posterolateral dislocationPosterolateral dislocation-Closed reductionClosed reduction-Pembedahan jika terdapat kepatahan Pembedahan jika terdapat kepatahan dan dislokasidan dislokasi

5. Dislokasi pangkal paha5. Dislokasi pangkal paha

PengendalianPengendalian- Closed reductionClosed reduction

• TractionTraction- Open reductionOpen reduction

• Internal fixationInternal fixation• Fragments - removedFragments - removed

Posteroir Posteroir dislocationdislocation

Anterior Anterior dislocationdislocation

6. Dislokasi lutut6. Dislokasi lututPengendalianPengendalian- Closed reductionClosed reduction- Open reductionOpen reduction

• Ligament suturedLigament sutured• Capsule repairedCapsule repaired

Dislokasi patellaDislokasi patellaPengendalianPengendalian- Closed reductionClosed reduction- Open reductionOpen reduction

• Osteochondral fragment Osteochondral fragment removed removed

• Medial Capsule repairedMedial Capsule repaired

7.7. Dislokasi pergelangan kakiDislokasi pergelangan kaki

PengendalianPengendalian- Closed Closed

reductionreduction• Plaster cast Plaster cast

- Open reductionOpen reduction• Ligament Ligament

repairedrepaired• Kirschers wiresKirschers wires• Fixed with screwFixed with screw

Tarso metatarsal Tarso metatarsal dislocationdislocation

Peri

tala

r Pe

rita

lar

disl

ocat

ion

disl

ocat

ion

Mid

tars

al

Mid

tars

al

disl

ocat

ion

disl

ocat

ion

8.8. Dislokasi interfalangealDislokasi interfalangeal

PengendalianPengendalian- Closed Closed

reductionreduction• Splinted with Splinted with

grater strapping grater strapping 2-3 week 2-3 week

Ciri-ciri klinikalCiri-ciri klinikal

1.1. KesakitanKesakitan2.2. BengkakBengkak3.3. Lebam setempatLebam setempat4.4. TenderTender5.5. Keabnormalan posisi bahagian Keabnormalan posisi bahagian

terlibatterlibat6.6. Kehilangan fungsi sendiKehilangan fungsi sendi

Rawatan dan pengurusanRawatan dan pengurusan

1.1. Redaksi segeraRedaksi segera2.2. Larang gerakLarang gerak3.3. SimptomatikSimptomatik4.4. PembedahanPembedahan

KomplikasiKomplikasi1.1. Kecederaan vaskularKecederaan vaskular2.2. Kecederaan sarafKecederaan saraf3.3. Nekrosis avaskularNekrosis avaskular4.4. Kekakuan sendiKekakuan sendi5.5. Dislokasi berulangDislokasi berulang6.6. Jangkitan (dislokasi terbuka)Jangkitan (dislokasi terbuka)7.7. Osteoartritis (kerosakkan rawan)Osteoartritis (kerosakkan rawan)