Fx úmero distal Flashcards by Deleted Deleted

Q

Epidemio

A

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Q

Anato: colunas

A

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Q

Anato: flexão ou extensão?

A

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Q

Anato: varo ou valgo?

A

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Q

Anato: RE ou RI?

A

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Q

Mecanismo de trauma

A

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Q

Imagem

A

Rx ortogonais
TC(padrão ouro)

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Q

Lesões associadas

A

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Q

Classificação

A

AO
Milch
Mehne e Matta
Bryan e Morrey

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Q

13A

A

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Q

13B

A

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Q

13C

A

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Q

Milch

A

Lateral
Medial

II sempre é no meio

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Q

Milch: lateral

A

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Q

Milch: medial

A

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Q

Mehne e Matta

A

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Q

Mehne e Matta: extracapsular

A

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Q

Mehne e Matta: intracapsular extraarticular

A

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Q

Mehne e Matta: intracapsular intraarticular

A

Ou coronal

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Q

Mehne e Matta: intracapsular intraarticular dupla coluna

A

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Q

Mehne e Matta: intracapsular intraarticular coronal

A

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Q

Bryan e Morrey

A

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Q

Bryan e Morrey: hahn steinthal

A

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Q

Bryan e Morrey: Kocher lorenz

A

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Q

Bryan e Morrey: Cominuta

A

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Q

Bryan e Morrey: McKee

A

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Q

Fraturas parciais articulares

A

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Q

TTO conservador

A

Q

TTo cirurgico: principios

A

Q

TTo cirurgico: decúbito

A

.

Q

TTo cirurgico: acessos

A

Q

Paraolecraniano

A

Q

Paratriceptal

A

Q

Triceps split

A

Q

Tríceps reflecting

A

Melhor acesso para artroplastia

Deve ser feita a reinserção do tríceps

Q

Transolecraniano

A

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

Q

Kocher/Kaplan

A

Q

Hotkiss

A

Q

Vias x osteotomia

A

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

Riscos: PSA, rigidez e implante sintomático

Q

Passo a passo

A

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

Q

Acesso posterior

A

Q

Isolar e proteger o n ulnar

A

Q

OTT chevron

A

Q

Fixação provisória

A

Q

Fixação articular

A

Q

Fixação metáfise

A

Q

Posicionamento placas

A

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

Q

Artroplastia total cotovelo: indicação

A

Q

Artroplastia total cotovelo: contra-indicação

A

Usar acesso de Bryan-Morrey

Q

Complicações

A

Q

PSA

A

Q

Ossificação heterotopica

A

Q

Complicações da artroplastia

A

Q

Acesso fraturas coronais

A

Q

Como é feita a fixação fraturas coronais

A

Q

A

d

Q

A

b

Q

A

d

Q

A

a

Q

13A1

A

Q

13A2

A

Q

13A3

A

Q

13B1

A

Q

13B2

A

Q

13B3

A

Q

13C1

A

Q

13C2

A

Q

13C3

A