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trauma > Fx intertrocanterica > Flashcards

Fx intertrocanterica Flashcards

1
Q

Patoloia asociada

A

osteoporosis

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2
Q

¿que es la region intertrocanterica?

A

area entre los tracenteres mayor y menor
representa la zona de transicion desde el cuello femoral a la diafisis femoral

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3
Q

tipo de fx

A

extracapsular

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4
Q

signo caracteristico

A

equimosis

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5
Q

grupo etario y sexo

A

mujeres >65 años con osteoporosis

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6
Q

porcentaje de mortalidad en el primer año posterior a la fx

A

30%

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7
Q

musculos que aqui se insertan

A

gluteos
psoas iliaco
rotadores externos cortos

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8
Q

fx de cadera

A

es la mas comun

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9
Q

cc

A

quimosis en el area de trocanter mayor
rotacion externa y acortamiento de la extremidad
dolor intenso en cadera o ingle
incapacidad para la marcha

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10
Q

adicional a la EF

A

valorar lesion neurovascular

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11
Q

mecanismo de lesion en jovenes

A

alta energia
accidentes o caidas de altura

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12
Q

mecanismo de lesion en adultos mayores

A

baja energia
caida simple 90%

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13
Q

dx rx

A

AP y lateral de cadera
TAC o RMN: reservadas a sospecha de fx no visible a la rx

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14
Q

clasificacion usada

A

AO y Boyd y Griffin

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15
Q

Boyd tipo 1

A

traz intertrocanterico simple no desplazado

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16
Q

Boyd tipo 2

A

conminucion en la region trocanterica

17
Q

Boyd tipo 3

A

conminucion asociada a la region subtrocanterica

18
Q

Boyd tipo 4

A

fx oblicua con extension hacia la region subtrocanterica

19
Q

tx de eleccion

A

RCFI

20
Q

opciones de tx qx

A

Placa de comresion dinamica
clavo cefalomedular
artroplastia

21
Q

beneficios del tx qx

A

Rehabilitacion precoz = mejor oportunidad de recuperacion funcional

22
Q

tx no qx

A

px con contraindicacion para cx

23
Q

tx medico

A

tx integral = revisar comorbilidades como sarcopenia u osteoporosis

24
Q

complicaciones por estancia hospitalaria

A

ulceras x presion
IVU
contracturas articulares
neumonia
complicaicones tromboembolicas

25
Q

complicaciones por tx

A

deformidad en varo
acortamiento

trauma (40 decks)

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