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trauma > luxacion acromioclavicular > Flashcards

luxacion acromioclavicular Flashcards

1
Q

ligamentos

A

acromioclavicular
coracoclaviculares
conoideo
trapezoideo

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2
Q

porcentaje de las lesiones de la cintura escapular

A

10%

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3
Q

grupo etario y sexo

A

hombres 20 años

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4
Q

mecaniso de lesion directo

A

traumatismo en cara lateral de hombro, acromion se mete por debajo de la clavicula

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5
Q

mecanismo de lesion indirecto

A

caida de codo en extension, desplza la cabeza del humero sobre acromion

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6
Q

cc

A

deformidad: se cae la escapula
dolor
edema en hombro

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7
Q

lesiones asosiadas

A

lesiones intrarticulares: glena, labrum
fx del tercio distal de la clavicula/coracoides

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8
Q

clasificacion usada

A

ROCKwood

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9
Q

Rockwood 1

A

lesion menos de los ligamentos acromioclaviculares
art. estable
no evidencia a la rx

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10
Q

Rockwood tipo 2

A

ruptura de los ligamentos acromioclaviculares
no hay depresion del hombro
rx: ligera elevacion de clavicula

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11
Q

rockwood tipo 3

A

ruptura de los ligamentos acromioclaviculares y coracoclaviculares
aumento del espacio coracoclavicular 25-100%
desplazamiento interior de la escapula y el hombro = deformidad

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12
Q

¿en que rockwood se presenta el signo de la tecla de piano?

A

tipo 3

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13
Q

rockwood tipo 4

A

luxacion posterior de la clavicula
rara

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14
Q

rockwood tipo 5

A

ruptura de los acromio y coraco claviculares + disrupcion de inserciones del deltoides y trapecio
aumento del espacio coracoclavicular >100%
deformidad mas marcada

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15
Q

rockwood tipo 6

A

luxacion inferior de la clavicula
asociada a lesion de plexo braquial, neumotorax o lesiones vasculares

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16
Q

rockwood mas rara

A

tipo 5

17
Q

dx rx

A

AP del hombro o ZANCA comparativa contralateral con estres, lateral o axial

18
Q

tx conservador indicaciones

A

tipo 1 y 2

19
Q

tx conservador

A

cabestrillo 10-15 dias

20
Q

tx qx indicaciones

A

tipo 4,5,6

21
Q

tx qx

A

con tornillo de bosworth o reconstruccion

22
Q

complicaciones

A

al tx qx con falla de fijacion
fx de clavicula

trauma (40 decks)

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