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ID:40075404
大小:816.05 KB
页数:49页
时间:2019-07-19
《《上肢骨折和手外伤》ppt课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、ClavicleFractures锁骨骨折AnatomyCausesofClavicleFractureAccidentssuchasfallsSometimes,ablowfromabluntobjectoracollisionofsomesortFractureClassificationFractureofmiddle1/3(groupI)accountfor80%frxofdistal1/3(groupII)accountfor10-15%typeI:minimaldisplacementtypeII:frxmedialtocoracoclavicularligamentstype
2、III:articularsurfacefracturesfrxofmedial1/3(groupIII)accountfor5%SymptomsofClavicleFracturePainSwellingTendernessDeformityInternalbleedingIfaskedtolifttheirarm,patientswithabrokenclaviclecannotdosowithoutextremepain.TreatmentofClavicleFractureThegoaloftreatingbrokenbonesistosetthem,makingthemwhole
3、againfigure-8splintorstrapimmobilizedfor6-8weeksOpenreductionandinternalfixationHumerusShaftFractures肱骨干骨折CausesofHumeralShaftFractureDirectstress,suchasablowtothearm.Indirectforces,suchasafall,twistingortorsionalforces.mechanismbendingforceproducestransversefrxoftheshaft;torsionforcewillresultina
4、spiralfracture;combinationofbendingandtorsionproduceobliquefrxw/orw/oabutterflyfragment;compressionforceswillfrxeitherproximalordistalendsofhumerus;typesofhumeralshaftfractureTransversehumeralfracturesShortobliquefracturesLongspiralfracturesSymptomsofhumeralshaftfracturePainLossofstrengthinthegrip
5、SwellDeformityTendernessIfthebloodsupplyisimpaired,theremaybenumbnessandcoldnessinthearmandhand.NonOperativeTreatmentofHumeralShaftfractureLongarmsplintneedstobeappliedfromshouldertowristtofullyimmobilizetheextremity;OperativeTreatment:internalfixationshouldbereservedforfractureswithinadequateredu
6、ctionorpatientswithmultipletrauma;IMNailingofHumeralShaftFracturesPlateFixationAnatomySupracondylarFractureoftheHumerus肱骨髁上骨折CausesByafallThechildmaystretchouthisorherhandandtheforcefromtheimpactmaybeenoughtocauseabreakinthebone. Butanytraumatothearea,suchasaninjuryfromacaraccident,mayalsobeacaus
7、e.-typeI:non-displacedfrx-typeII:displacedwithintactposteriorcortex-typeIII:displacedwithnocorticalcontactSymptomspainintheelbowswellingintheelbowinabilitytomovethearmduetopainComplicationscompartmentsyndromeVolk
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