Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Orto > Fractura MS > Flashcards

Fractura MS Flashcards

1
Q

Mecanism Fr clavicula

A

-indirect (cade in maini sau cot si face hiperflexie si torsiune)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Deplasari fr clavicula:

A

-fr medial ascensionat de m SCM (deschide focar)
-fr lateral tras in jos de m DELTOID (compresie V-N subclavicular)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Clinica fr claviculara:

A
  1. durere
  2. impotenta functionala relativa
  3. atitudine umila
  4. umar coborat
  5. regiune deformata
  6. echimoza tardiva
  7. brat scurtat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tratament ortopedic fr clavicula:

A
  1. bandaj moale Dessault (fara depl)
  2. bandaj Watson Jones (cu deplasare)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tratament chirurgical fr clavicula:

A

-placa cu surub
-brose percutane
(fr cu deplasare mare, scurtare mare, complicate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Complicatii fr claviculare (9):

A
  1. infectie (subcut) =>osteita postfracturara
  2. pseudartroza
  3. deteriorare montaj
  4. leziune viscerala (dom pl)
  5. leziune V/N (plex cervical)
  6. deschidere focar
  7. calus hipertrofic
  8. redoare de umar
  9. deperiostare
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tratament ortopedic fr omoplat:

A

-aparat gipsat toraco-brahio-antebrahial cu brat in abd si usoara rotatie interna

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tratament chirurgical fr omoplat

A

-brose percutane
-placa cu surub

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bandajul Dessault:

A

-brat in add, cot in flexie 90, pumn indiferent
-30 zile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mecanism epifiza proximala humerus:

A

-indirect (cade in cot sau palme cu membrul in add sau abd)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mecanism fr omoplat:

A

-indirect (politraumatisme)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tipuri fracturi epifiza proximala humerus:

A
  1. parcelara
  2. col anatomic
  3. col chirurgical
  4. trohiter (m. rotator extern)
  5. trohin (m. subscapular)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clinica fr epif proximala humerus:

A
  1. durere
  2. impotenta functionala totala
  3. umar globulos
  4. depresiune in lovitura de topor
  5. echimoza Hannequin
  6. leziune V-N (n. axilar, a. brahiala), leziuni cutanate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tratament ortopedic epif prox humerus:

A
  1. aparat Dessault 30 zile
  2. aparat de atarnare (mai mult la diafiza) 2-3 sapt
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tratament chirurgical epif prox humerus:

A
  1. placuta cu surub
  2. brose percutane (batrani cu osteoporoza)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Complicatii epif prox humerus (6):

A
  1. deteriorare montaj
  2. calus vicios
  3. pseudartroza/ artroza
  4. necroza aseptica cap humeral
  5. afectare coafa rotatori
  6. afectare nerv axilar
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Mecanism diafiza humerala:

A

-direct: -tr mic=> tr oblic scurt, TV
-tr intens=> cominutiva
-indirect: -flexie => oblic lung
-flexie+torsiune/torsiune pura=> spiroida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ce element nobil are raport cu diafiza humerus?

A

= n radial (1/3 medie humerus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Clinica fr diafiza humerus:

A
  1. durere in punct fix
  2. imp funct totala
  3. brat scurtat
  4. regiune deformata
  5. atitudine umila
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Clinica afectarii n. radial:

A

-sensibilitate afectata pe f dorsala a mainii (degete 1-2)
-abolire flexie dorsala a degetelor
- “mana in gat de lebada”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Tratament ortopedic fr diafiza humerus:

A
  1. aparat de atarnare
  2. orteza functionala umar-cot 8-12 sapt (scoti cotul dupa 2 sapt)
  3. gips toraco-brahio-antebrahial
22
Q

Tratament chirurgical diafiza humerus:

A
  1. tija centromed zavorata (abandonata, eventual cea in floare)
  2. placa cu surub (min 3 suruburi sup si inf de focar)
  3. tija elastica in dublu arc secant la copii
  4. posibil neuroliza N. radial
23
Q

Complicatii fr diafiza humerus (4):

A
  1. afectare n. radial
  2. calus vicios
  3. pseudartroza
  4. osteita postfracturara
24
Q

Articulatia humerus-ulna:

A

-trohlee + cap ulnar (olecran)

25
Q

Articulatia humerus-radius:

A

-capitullum + cap radial

26
Q

Muschii ce se prind de epicondilul lateral:

A

-m. extensori+supinatori

27
Q

Muschii ce se prind de epicondilul medial:

A

-m flexori+ pronatori

28
Q

Ligamentele articulatiei cotului:

A

-LCM, LCL, lig inela al radiusului

29
Q

Mecanism fr. distala humerus:

A

-indirect (hiperext, hiperflexie)

30
Q

Tipuri de fracturi epifiza distala humerus:

A
  1. supracondiliana (copii)
  2. supraintercondiliana (Adulti)
  3. unicondiliana
31
Q

Deplasare in fr. distala humerus:

A

-frag prox tras anterior de m brahial
-frag distal basculat dorsal si afecteaza m si tendonul triceps

32
Q

Clinica epif distala humerus:

A
  1. durere
  2. reg deformata (cot globulos)
  3. impotenta functionala totala
  4. echimoza Kirmisson
  5. brat scurtat
33
Q

Tratament ortopedic fr distala humerus:

A

aparat gipsat brahio-antebrahio-palmar cu cotul in flexie la 90 si pumn indiferent

34
Q

Tratament chirurgical fr distala humerus:

A

placa cu surub (in Y daca e supraintercondiliana)

35
Q

Complicatii fr distala humerus (7):

A
  1. calus vicios
  2. artroza/pseudartroza
  3. redoare de cot
  4. lezare N. median
  5. lezare a. brahiala
  6. leziuni cutanate
  7. calcificari periarticulare
36
Q

Ce muschi se insera pe olecran si ce inseamna asta?

A

=m. triceps => mereu avem deplasare in aceste fracturi => tratam. chirurgical

37
Q

Tratament ortopedic fr olecran:

A

=gips brahio-antebrahio-palmar cu cot aproape in extensie (140)

38
Q

Tratament chirurgical fr. olecran:

A

-hobanaj
-placa cu surub
-surub

39
Q

Semn fractura olecran:

A

-semnul creionului (ca la patela)

40
Q

Complicatii fr. olecran (3):

A
  1. redoare articulara
  2. artroza (treapta > 1mm)
  3. pareza N. ulnar
41
Q

Cum se produc fr de cap radial?

A

=mecanism indirect cu antebratul in pronatie

42
Q

Tratamentul fr. de cap radial:

A
  1. ortopedic nu prea (la varstnici)
  2. chirurgical cu suruburi mici ce nu trebuie extrase (la adulti)
  3. brose (la copii)
  4. proteza de cap de radius (fr ce se extind spre diafiza, fr cominutive)
43
Q

Mecanism fr. diafiza antebrat:

A

-indirect, dar cea de cubitus e de aparare (direct)

44
Q

Criterii pastrare prono-supinatie (5):

A
  1. lungime
  2. curburi fiziologice
  3. spatiu interosos liber
  4. artic radio-cubitale mobile
  5. sa nu existe decalaj
45
Q

Tratament ortopedic fr diafiza antebrat:

A
  1. gips br-antebrahio-palmar cu cot la 90
  2. orteza functionala
46
Q

Tratament chirurgical fr. diafiza antebrat:

A
  1. placa cu surub
    +- grefa osoasa (creasta iliaca sau chiar epif distala radius pt ca e cantitate mica)
47
Q

De ce e greu de vindecat fr antebrat?

A

-spf osoase mici, muschi multi cu actiune divergenta

48
Q

Complicatii fr antebrat (6):

A
  1. sdr comp acut
  2. sdr comp cronic
  3. pseudartroza
  4. calus vicios
  5. sinostoza radio-cubitala
  6. fractura iterativa
49
Q

De ce apar fracturi interative la fr de antebrat?

A

Placuta montata va determina demineralizare 25% a osului subiacent. Daca ea se scoate mai devreme, focarul nu e consolidat bine si tinand cont ca avem si aceasta demineralizare + multe grupe de muschi ce actioneaza divergent, apar fracturi pe acelasi traiect
Se recomanda placuta minim 18 luni, apoi inca 3 luni de evitare a activitatii fizice

50
Q

Tipuri speciale de fracturi:

A
  1. Essex Loperdi: fr cap radial + fr 1/3 medie diafiza radiala + luxatie radio-ulnara distala
  2. Montegia Stanciulescu: fr 1/3 prox diafiza ulna + luxatie cap radial-humerus
  3. Galeazzi: fr 1/3 distala diafiza radius + luxatie radio-ulnara distala
51
Q

Complicatii fr Pouteau Colles (5):

A
  1. calus
  2. sdr tunel carpian
  3. redoare articulara
  4. artroza radio-carpiana
  5. mana stramba radial

Orto (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions