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)