dislocation lusi

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DISLOCATION

Lecturer :

dr. Erwien Isparnadi, Sp.OT

Author :

Lusiana Ayu Lestari

201210401011027

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Definition

JOINT

Is a relationship between two or more bones are

connected through the connective tissue wrapping onthe outside and on the inside there is a joint cavitywith the bone surface covered by cartilage.

Dislocation A condition in which the bones that form the joint is

no longer connected anatomically (off the bone ofjoints).

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clasification

Congenital

Patoligik Traumatik

Paralitic

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Clinical manifestasion

acute

chronic

recurent

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Etiology

Falls

patologist

Trauma

notrelated to

sports

Sportinjury

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ANATOMI

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Repositioning immediately

Dislocation reduction: restored to its originalplace, it is necessary to use anesthesia ifsevere dislocation.

Head of bone dislocation manipulated andreturned into the joint cavity

Imobillized casts, splints, traction Several days to weeks after the reduction

carried out mobilization smooth 3-4x a day.

Management

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ANATOMI

Shoulder dislocation

Sternoklavikularjoin

Akromioklavikularjoin

Humeroskalpulerjoin

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Adult >>

Arms are usually forced to abduction,

external rotation, and extensionHumerus is

pushed forward, tearing the capsule or

causing avulsi the edge of the glenoid

Bankart lesion

Anterior shoulder dislocation

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Arm injuries sustained by other hand

Deformity

Position tilted to the position of the sick

Painful

Palpable bumps on clavicle

Unable to move his arm

On palpation palpable under the acromion isempty

Clinical manifestasion

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Overlap between the humeral head and

glenoid fossa, caput usually in below and

medial to the joint bowl

X- RAY

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repositioning immediately

With the indication:

no fracture

absence of neurological deficits1. axilarry sensory nerves in m.deltoideus

2. n.radialis hand extension

3. a.brachialisradial pulse

Treatment

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Close reduction

STIMPSON

This method is simple and

does not require

anesthesia.

Patients in prone position

and sleep on the table,hanging downward. Arm

were given a weight 5-7 kg.

At the time of the shoulder

muscles in a state ofrelaxation, is expected to

occur due to therepositioning of heavy arms

that hung beside the bed.

Applied 15 to 20 minutes

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When Stimson failed

patient supine

grasps the affected side at thehand and forearm and abduksi

foot pressed into axiila(tilting the humeral head to

the lateral and posterior)

Shoulder position maintainedendorotasi by a buffer chest

min 3 weeks

HIPPOCRATES

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After reposition shoulder joints were fixed with chest, with verband and

forearm suspended by slings. 3-6 weeks of immobilization enough.27/07/2013 22


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operation

bristow-helfet

Brankartprosedur

putti-plat

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Rarely Indirect force that causes internal rotation and

strong adduction.

Clinical features The arm was swollen and deformity locked in

position adduction and internal rotation,

protrusion of the posterior humeral head, the

blank subakromion Limited adduction can not be rotated to

external

Posterior shoulder dislocation

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caput humeris looks abnormal (such as light

bulbs), away from the glenoid fossa (glenoid

sign blank)

Radiological examination

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The humeral head trapped under the cavities

glenoidale locked in position abduction.

Treatmen like anterior dislocation

Inferior shoulder dislocation

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Adult >>

Common in traumatic35 years

Congenital dislocation of about 2-4 casesper 1000 live births, 80-85% in women

HIP DISLOCATION

DefinitionA situation where the femur head out

of the acetabulum

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Posterior hip dislocation

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supine

Assistant pressing the crista

iliaca to the table

Operators do traction of the

femur one way direction of

the axis

endorotasi

eksorotasi

Ekstensi hip join

treatment

THE BIGELOW MANEUVER

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supine

Fixation crista iliaca to the

operating table

Traction direction axis of the

femur + endorotasi femur

Immobilized with skin

traction with minimal

flexion of the hip joint

Endorotasi for 2-3 weeks

Non-weight bearing

mobilization2-3 weeks

METODE ALLIS

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Early lesions n. Ischiadicus

Lately nekrosis avaskuler

artrosis degeneratif

COMPLICATION

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fell from a high place and rub the head femur in front of the

acetabulum

Anterior HIP DISLOCATION

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Leg is be laid Eksorotasi, in a abductionposition

patient can not move Flexion actively when

in a state of dislocation. Kaput femur in

front of the femoral triangle.

sinar x

clinical manifestation

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Pattien supine

Fixation crista iliaca to

the operating table

Traction in the direction

of the axis of the femur

Endorotasi and adduksi

femur

management

REVERSE BIGELOW

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excessive abduction of the pelvis trochanter

major moves agains pelvis to tilting kaput

femur out of the acetabulum.

clinical symptoms and examination

abduction and can not in normal position

trochanter and pelvic region pain

Can do a limp movements

Central hip dislocation

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Treatment

Changing thesedislocations into

anterior / posteriorhip dislocation

reduced with true

appropriate

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dislocation lusi

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