Post on 25-Feb-2018
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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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TRATAMENT C8IRUR9ICAL
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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TRATAMENT C8IRUR9ICAL
$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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TRATAMENT C8IRUR9ICAL
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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TRATAMENT C8IRUR9ICAL
Br$0e @;"ac n G cu 0uru3ur .
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COMPLICATII IMEDIATE
CUTANATE,NERVOASE
.
VASCULARE
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COMPLICATII TARDIVE
CALUS VICIOS REDOARE DE COT
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FRACTURILESUPRAINTERCONDILIENE
Frecventa "a a!u"t
Traect ntraartcu"ar
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CLINICA
Brat 0curtat ;a"eta 4u-era"a"ar2ta ;2rava n0ta3"tate a c$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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TRATAMENT C8IRUR9ICAL
O0te$0ntea 0uru3ur ;"aca cu0uru3ur ;4$3ana.
FRACTURILE E
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FRACTURILE E
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TRATAMENT
Ort$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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TRATAMENT C8IRUR9ICAL
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
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TRATAMENT
Re!ucere 0 -$3"are
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C8IRUR9ICAL
P"aca cu 0uru3ur F6at$r e6tern
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COMPLICATII
Ca"u0u" vc$0
Sn!r$-u" !e tune" caran
Re!$area artcu"ara
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COMPLICATII
Mana 0tra-3a ra!a"a
FRACTURILE DE SCAFOID
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FRACTURILE DE SCAFOIDCARPIAN
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CLINICA
Durere n ta3ac4era anat$-ca
Inc!enta 0eca"e R6
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TRATAMENT
ORTOPEDIC CHIRURGICAL
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COMPLICATII
Necr$a ava0cu"ara
P0eu!artr$a
FRACTURILE
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FRACTURILEMETACARPIENELOR
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FRACTURILE FALAN9ELOR
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LOCALIARE FRACTURI MTC
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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