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TyO > Fx humero distal. > Flashcards

Fx humero distal. Flashcards

1
Q

Fx humero distal. Fx de la paleta humeral (intraarticulares). Mecanismo

A

Traumatismo de alto impacto o paciente osteopenicos

Suelen ser conminutas

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2
Q

Fx humero distal. Fx de la paleta humeral (intraarticulares). Tx

A

Reduccion abierta + Osteosintesis con clavos Kirshner + rehab

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3
Q

Fx humero distal. Fx de la paleta humeral (intraarticulares). Ostepenicos. Tx

A

Artroplastia

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4
Q

Fx humero distal. Fx de la paleta humeral (intraarticulares). Pediatricos. Tx

A

Reduccion cerrada + clavos Kirscher percutaneos + inmovilizacion con ferula por 3 sem

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5
Q

Fx humero distal. Fx de la paleta humeral (intraarticulares). Complicaciones

A

Rigidez con o sin osificacion heterotopica.
Ausencia de consolidacion
Artrosis postraumatica
Neuropatia cubital

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6
Q

Fx humero distal. Fx condilo humeral. Variedades

A 
Ostecondral (Kocher-Lorenz)
Condilea total (Hahn-Steinthal)
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7
Q

Fx humero distal. Fx condilo humeral. Tx

A

Reduccion abierta con osteosintesis

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8
Q

Fx humero distal. Fx epicondilo y epitroclea.

A

Mas fx en niños

Fx epitrocleares pueden asociarse a luxacion del codo

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9
Q

Fx humero distal. Fx epicondilo y epitroclea. Tx

A

Conservador

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10
Q

Fx humero distal. Fx epicondilo y epitroclea. Indicion de tx qx

A

Cuando la epitroclea se interpone en un codo luxado e impide su reduccion.

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11
Q

Fx supracondilea humeral. Mecanismo de lesion

A

Caida sobre palma de la mano en dorsifexion con el codo en extension 95%

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12
Q

Nucleos de osificacion que tiene la articulacion del codo

A

6 nucleos

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13
Q

Fx supracondilea humeral. Complicaciones. Neuropraxia

A

80%

Esperar 2 -3 meses para exploracion qx

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14
Q

Fx mas fx en pacientes <16 años

A

Fx supracondilea humeral.

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15
Q

Fx supracondilea humeral. Mecanismo de lesion mas fx

A

Caida sobre la palma en dorsiflexion con el codo extendido

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16
Q

Fx supracondilea humeral. Arteria mas fx lesionada

A

Arteria braquial

17
Q

Fx supracondilea humeral. Lesiones nerviosas mas fx

A

Radial, cubital y mediano

18
Q

Fx condilo lateral. Edad mas fx

A

5-10 años (2a mas fx en codo)

19
Q

Fx condilo lateral. Tx. Ferula que debe colocarse

A

Braquipalmar

20
Q

Fx condilo lateral. Complicacion que consite en: Dolor grave, edema, parestesis, cianosis distal o palidez, ausencia de pulso

A

Sx compartimental

21
Q

Fx condilo lateral. Primer paso a realizar en Sx compartimental

A

Retirar ferulo y/o vendaje

Si no se observa mejoria—- Liberacion qx

TyO (40 decks)

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