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Ombro > Fx úmero distal > Flashcards

Fx úmero distal Flashcards

1
Q

Epidemio

A
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2
Q

Anato: colunas

A
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3
Q

Anato: flexão ou extensão?

A
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4
Q

Anato: varo ou valgo?

A
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5
Q

Anato: RE ou RI?

A
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6
Q

Mecanismo de trauma

A
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7
Q

Imagem

A

Rx ortogonais
TC(padrão ouro)

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8
Q

Lesões associadas

A
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9
Q

Classificação

A

AO
Milch
Mehne e Matta
Bryan e Morrey

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10
Q

13A

A
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11
Q

13B

A
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12
Q

13C

A
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13
Q

Milch

A

Lateral
Medial

II sempre é no meio

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14
Q

Milch: lateral

A
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15
Q

Milch: medial

A
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16
Q

Mehne e Matta

A
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17
Q

Mehne e Matta: extracapsular

A
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18
Q

Mehne e Matta: intracapsular extraarticular

A
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19
Q

Mehne e Matta: intracapsular intraarticular

A

Ou coronal

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20
Q

Mehne e Matta: intracapsular intraarticular dupla coluna

A
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21
Q

Mehne e Matta: intracapsular intraarticular coronal

A
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22
Q

Bryan e Morrey

A
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23
Q

Bryan e Morrey: hahn steinthal

A
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24
Q

Bryan e Morrey: Kocher lorenz

A
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25
Q

Bryan e Morrey: Cominuta

A
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26
Q

Bryan e Morrey: McKee

A
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27
Q

Fraturas parciais articulares

A
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28
Q

TTO conservador

A
29
Q

TTo cirurgico: principios

A
30
Q

TTo cirurgico: decúbito

A

.

31
Q

TTo cirurgico: acessos

A
32
Q

Paraolecraniano

A
33
Q

Paratriceptal

A
34
Q

Triceps split

A
35
Q

Tríceps reflecting

A

Melhor acesso para artroplastia

Deve ser feita a reinserção do tríceps

36
Q

Transolecraniano

A

Osteotomia tipo chevron
(aumenta a area de contato e estabilidade)

37
Q

Kocher/Kaplan

A
38
Q

Hotkiss

A
39
Q

Vias x osteotomia

A

OTT pode ser fixada com banda de tensão, parafuso canulado ou placa

Riscos: PSA, rigidez e implante sintomático

40
Q

Passo a passo

A

Acesso posterior
Isolar e proteger o n ulnar
OTT chevron
FIxação provisória
Fixação articular
FIxação metáfise

41
Q

Acesso posterior

A
42
Q

Isolar e proteger o n ulnar

A
43
Q

OTT chevron

A
44
Q

Fixação provisória

A
45
Q

Fixação articular

A
46
Q

Fixação metáfise

A
47
Q

Posicionamento placas

A

Apesar da rigidez da sintese com placas paralelas ser maior não existe diferença clínica entre elas na pratica

48
Q

Artroplastia total cotovelo: indicação

A
49
Q

Artroplastia total cotovelo: contra-indicação

A

Usar acesso de Bryan-Morrey

50
Q

Complicações

A
51
Q

PSA

A
52
Q

Ossificação heterotopica

A
53
Q

Complicações da artroplastia

A
54
Q

Acesso fraturas coronais

A
55
Q

Como é feita a fixação fraturas coronais

A
56
Q
A

d

57
Q
A

b

58
Q
A

d

59
Q
A

a

60
Q

13A1

A
61
Q

13A2

A
62
Q

13A3

A
63
Q

13B1

A
64
Q

13B2

A
65
Q

13B3

A
66
Q

13C1

A
67
Q

13C2

A
68
Q

13C3

A

Ombro (27 decks)

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