KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 DISLOKASI SENDI
Dislokasi sendi Definisi: Peralihan/tersasar tulang dari posisi yang membentuk sendi
Mekanisma penyebab Kongenital Kecederaan - hentakan
Jenis-jenis dislokasi Acromioclavicular joint Pengendalian Subloksasi Arm sling (1 week) shoulder exercise Dislokasi Padding and strapping Screw
CT scan (anterior dislocation) 2. Sendi sternoclavicular Sternoclavicular dislocation CT scan (anterior dislocation) Pengendalian Anterior dislocation – closed reduction Posterior dislocation – open reduction
3. Dislokasi bahu (shoulder) Kochers method Anterior dislocation Closed reduction Open reduction (pembedahan) Posterior dislocation -Closed reduction
Posterolateral dislocation 4. Dislokasi elbow Posterolateral dislocation Closed reduction Pembedahan jika terdapat kepatahan dan dislokasi
5. Dislokasi pangkal paha Posteroir dislocation Anterior dislocation Pengendalian Closed reduction Traction Open reduction Internal fixation Fragments - removed
6. Dislokasi lutut Dislokasi patella Pengendalian Closed reduction Open reduction Ligament sutured Capsule repaired Dislokasi patella Pengendalian Closed reduction Open reduction Osteochondral fragment removed Medial Capsule repaired
7. Dislokasi pergelangan kaki Tarso metatarsal dislocation Peritalar dislocation Midtarsal dislocation Pengendalian Closed reduction Plaster cast Open reduction Ligament repaired Kirschers wires Fixed with screw
8. Dislokasi interfalangeal Pengendalian Closed reduction Splinted with grater strapping 2-3 week
Ciri-ciri klinikal Kesakitan Bengkak Lebam setempat Tender Keabnormalan posisi bahagian terlibat Kehilangan fungsi sendi
Rawatan dan pengurusan Redaksi segera Larang gerak Simptomatik Pembedahan
Komplikasi Kecederaan vaskular Kecederaan saraf Nekrosis avaskular Kekakuan sendi Dislokasi berulang Jangkitan (dislokasi terbuka) Osteoartritis (kerosakkan rawan)