ppt referat dislokasi
TRANSCRIPT
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D I S L O K A S ID I S L O K A S I( Luksasio( Luksasio ))
OLIVIA HALIM KUMALAOLIVIA HALIM KUMALA
PRATAMI FRIRIA RIEUWPASSAPRATAMI FRIRIA RIEUWPASSA
FK UKRIDAFK UKRIDA
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DISLOKASI
– Defnisi :
Tergesernya permukaan tulangyang membentuk persendianterhdap tulang lainnya
Dislokasi ada 2:Dislokasi ada 2:
Dislokasi komplitDislokasi komplitSubluksasiSubluksasi tidak komplit
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Etiologi :
Trauma Non trauma
1.Infeksi : Sinovitis dengan kapsul sendi joint laxity
.!us"le Imbalan"e : Polio : #tot$otot normal kontraksi
otot yang normal
Cerebral palsy : keseimbangan antaraotot$otot spastik dengan otot–otot normal.
%. &ongenital : CDH
'angguan plate a"etabulum jadi dangkal
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Pemeriksaan Fisik : (namnesa : )i*ayat trauma
Inspeksi : S*elling
+eformitas
'erakan abnormal
Nyeri setempat
)ontgen : (kan lebih jelas
,royeksi (, – -ateral
Terapi :
&asus akut
+ini lanjut
)eposisi tertutup gagal
reposisi terbuka
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Dislokasi Shoulder oi!"Dislokasi Shoulder oi!"
Sering terjadi
avitas glenoidalis dangkal
"aput humerus besar
Dislokasi Anterior
Subcoracoid Subglenoid Subclavicular
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Gambaran klinis :
Rontgen ::
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Terapi :Terapi :
)eposisi tertutup
(da % "ara :Stimson maneuver
!il"h maneuver
/ippo"rati" maneuver
,ost reposisi :
imobilisasi dlm posisi : adduksi–internalrotasi dengan sling selama % mgg.
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Komplikasi :Komplikasi :
)e"urrent dislo"ation operatif
'angguan N. (xillaris
)uptur rotator "u0
Interposisi "aput longus dari tendon
bi"eps
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Dislokasi Pos"eriorDislokasi Pos"erior
arang
Gambaran klinis :Gambaran klinis :
Adduksi – Internal rotasi Adduksi – Internal rotasi
Ant. Fullness of shoulder lost Ant. Fullness of shoulder lost
Coracoid process prominent Coracoid process prominent
Humeral head prominent Humeral head prominent
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Rontgen #
Tera$i #
)eposisi tertutup
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Dislokasi Se!di siku (El%o&Dislokasi Se!di siku (El%o&
oi!") oi!")
PosteriorPosterior
AnteriorAnterior
LateralLateral MedialMedial
DivergenDivergen
seri!' diser"aiseri!' diser"ai d!' rak"urd!' rak"ur
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Terapi :
)eposisi tertutup
gagal 2 3 fraktur )eposisi terbuka
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Dislokasi
pergelangan
tangan (wrist
joint)
– Tulang karpal bagian
distal terdiri dari
beberapa tulang
berikut : hamate4
capitate4 trapezoid4
dan trapezium4
sedangkan bagianproksimal terdiri dari
tulang berikut:
scaphoid4 lunate4
triquetrum4 dan
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Dislokasi Pergelangan Tangan
(Wrist Joint)
!ay5eld mengklasi5kasikan dislokasi pergelangan tangan
menjadi:
–S"a'e I – dislokasi s"apholunate akibat sobekan pada
ligament interoseus s"apholunate dan ligament radiolunate.
–S"a'e II – subluksasi sendi -unate$"apitate yang
diakibatkan dari "ederanya sendi "apitolunate.
–S"a'e III – dislokasi sendi -unate$"apitate yang akibat
terdapatnya "edera pada ligamen interoseustri6uetrolunate.
–S"a'e IV – dislokasi tulang lunate yang akibat terdapatnya
"edera pada ligamen radioulnate bagian dorsal.
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Dislokasi Se!diDislokasi Se!diPa!''ul (Hi$Pa!''ul (Hi$
oi!") oi!")
Sendi paling stabil
7 ball and so"ket 8
Trauma berat
&--4 jatuh
(da % type :
Dislokasi HipDislokasi HipPosterior Posterior
7 dashboard injur 8
,aling sering /ip : $ 9lexi – (dduksi
– Internal rotasi
Shortening
Spasme otot
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Terapi
)eposisi tertutup
'agal 2 3 fraktur reposisi terbuka
&omplikasi : (N
-esi N. S"hiati"
,ost traumati" degenerativa joint dislokasi
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Dislokasi HipDislokasi Hip
Anterior Anterior
arang terjadi
/ip :
9leksi –abduksi $
eksternal rotasi Shortening
Tera$i : Reposisi tertutupReposisi tertutup
bila gagal 2 fraktur #
reposisi terbuka
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)eposisi tertutup : Allis Maneuver
bila gagal 2 fraktur reposisi terbuka
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Dislokasi !entral Dislokasi !entral
$ +isertai fraktur a"etabulum
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Terapi
Ko!ser*a"i #
Traksi
O$era"i #
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Dislokasi Se!diDislokasi Se!di
lu"u" (K!ee oi!") #lu"u" (K!ee oi!") #
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Dislokasi sendi lutut
PengendalianPengendalian
- ClosedClosed
reductionreduction
- pen reductionpen reduction
• LigamentLigament
suturedsutured
• CapsuleCapsulerepairedrepaired
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Dislokasi Su%"alar oi!" +Dislokasi Su%"alar oi!" +
TalusTalus
7 ankle joint 8:
D lk l kk
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Dislokasi pergelangan kaki
(ANKLE JOINT)
PengendalianPengendalian
- ClosedClosedreductionreduction
• Plaster castPlaster cast
- pen reductionpen reduction• LigamentLigament
repairedrepaired
• !irschers "ires!irschers "ires
• Fi#ed "ithFi#ed "ithscre"scre"
$arso metatarsal$arso metatarsal
P e
r i t a l a r
P e r i t a l a r
d i s l o c a t i o n
d i s l o c a t i o n
M i d t a r s a l
M i d t a r s a l
d i s l o c a t i o n
d i s l o c a t i o n
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