fraturas da diáfise do Úmero - resumo ortopedia medicina

5/11/2018 Fraturas da Di fise do mero - Resumo Ortopedia Medicina - slidepdf.com

http://slidepdf.com/reader/full/fraturas-da-diafise-do-umero-resumo-ortopedia-medicina

J`f}il Eq, Lkbokf IQ]IWKM@N Jkm`b`ln * DNC

>

Dqn}{qnr mn m`îd`rk mi õjkqi

Nr dqn}{qnr mn m`îd`rk mi õjkqi nwqkrkl}nj {jn `lb`målb`n mk 1+ mk }imnr nr dqn}{qnr kbilr}`}{kj 17+ mnr dqn}{qnr mi õjkqi mi nm{f}i, N jnìq`n mnr dqn}{qnr mkrrk }`wi ibiqqk kjrk{ }kqãi jàmì (47+)& rkc{`mi wkfir }kqãir wqix`jnf (27+) k m`r}nf (>7+),

Nln}ij`nN m`îd`rk mi õjkqi kr}klmk*rk wqix`jnfjkl}k mkrmk n aiqmn r{wkqìq mi jõrb{fiwk`}iqnf jnìq n}à n qkc`âi r{wqnbilm`f`nln m`r}nfjkl}k, Li }kqãi jàmì& ál}kqi*fn}kqnfjkl}k&nwqkrkl}n*rk n }{akqir`mnmk mkf}ò`mk k& wir}kqìqjkl}k n }{akqir`mnmk& kr}î i r{fbi wnqn ilkqti qnm`nf, I lkqti qnm`nf tkj mkrbklmi kj b{qri krw`qi`mnf mk jkm`nf k wir}kqìq wnqnfn}kqnf& rklmi wqi}kc`mi mi bil}n}i m`qk}i bij i õjkqi lkrrn qkc`âi wkfir jõrb{fir }qêbkwr kaqn~{`nf,

I aqnãi à m`t`m`mi lir bijwnq}`jkl}ir nl}kqìq k wir}kqìq, Li bijwnq}`jkl}i nl}kqìq&kr}âi ir jõrb{fir aêbkwr aqn~{`nf& biqnbiaqn~{`nf k aqn~{`nf& bij n nq}àq`n k tk`n aqn~{`n`r klkqtir jkm`nli& {flnq k j{rb{fib{}álki b{qrnlmi jkm`nfjkl}k ni aêbkwr, Li

bijwnq}`jkl}i wir}kqìq& kr}âi i jõrb{fi }qêbkwr aqn~{`nf k i lkqti qnm`nf, Kj rk{ b{qrim`r}nf& i lkqti {flnq wkqd{qn i rkw}i `l}kqj{rb{fnq jkm`nf& k i lkqti qnm`nf dnu i jkrji bij irkw}i `l}kqj{rb{fnq fn}kqnf,

N nãâi j{rb{fnq mk}kqj`ln i mkrtì mir dqncjkl}ir lnr dqn}{qnr mn m`îd`rk mi õjkqi,Lnr dqn}{qnr nb`jn mn `lrkqãâi mi wk`}iqnf jnìq& i dqncjkl}i wqix`jnf kr}î kj nam{ãâi kqi}nãâi& wkfn nãâi mi jnlc{`}i qi}nmiq& k i dqncjkl}i m`r}nf mkrt`n jkm`nfjkl}k mkt`mi çdiqãn mi wk`}iqnf jnìq, Lnr dqn}{qnr nan`xi mn `lrkqãâi mi wk`}iqnf jnìq k nb`jn mn `lrkqãâimi mkf}ò`mk& i dqncjkl}i wqix`jnf mkrt`n wnqn jkm`nf wkfn diqãn mir jõrb{fi wk`}iqnf jnìq&qkmilmi jnìq k fn}êrr`ji mi miqri& k i dqncjkl}i m`r}nf wkqjnlkbk fn}kqnf& wkfn nãâi mimkf}ò`mk, Lnr dqn}{qnr m`r}n`r ç `lrkqãâi mi mkf}ò`mk& i dqncjkl}i wqix`jnf kr}î nam{u`mi&kl~{nl}i i dqncjkl}i m`r}nf kr}î }qnbìlnmi wqix`jnfjkl}k,




1

Jkbnl`rjiN dqn}{qn mn m`îd`rk mi õjkqi wimk ibiqqk wiq }qn{jn m`qk}i i{ `lm`qk}i& rklmi jn`r

dqk~ökl}k li }qn{jn m`qk}i ~{k ibiqqk mkt`mi n ~{kmnr& `jwnb}i m`qk}i mi aqnãi& nb`mkl}krn{}ijia`fêr}`bir i{ fkrûkr wiq jî~{`lnr `lm{r}q`n`r i{ ncqêbifnr& li }qn{jn @lm`qk}i ibiqqkbij{jkl}k kj ~{kmnr riaqk i bi}itkfi i{ bij n jâi krwnfjnmn& i{ rõa`}n bil}qnãâi

j{rb{fnq,Ofklkqjnl (>040) mkjilr}qi{ mk diqjn kxwkq`jkl}nf ~{k diqãnr mk bijwqkrrâi ckqnjdqn}{qnr mk õjkqi wqix`jnf k m`r}nf& jnr lâi mn m`îd`rk? diqãnr nlc{fnqkr qkr{f}nj kj dqn}{qnr}qnlrtkqrnr mn m`îd`rk {jkqnf? diqãnr }iqrìln`r bn{rnj dqn}{qnr krw`qnfnmnr k n bija`lnãâimk diqãnr }iqrìln`r k nlc{fnqkr ibnrìln dqn}{qnr mk }qnãi iafê~{i& j{`}nr tkukr bijdqncjkl}i kj ‖nrn mk aiqaifk}n‚,

Bfnrr`d`bnãâiLâi kx`r}k {jn bfnrr`d`bnãâi {l`tkqrnfjkl}k nbk`}n wnqn nr dqn}{qnr m`nd`rîq`nr mi

õjkqi, Bil}{mi wimk*rk mkd`l`q n dqn}{qn bilr`mkqnlmi*rk n fibnfùnãâi& i }qnãi mn dqn}{qn& rk

kxwir}n i{ dkbhnmn& n wqkrklãn mk fkrâi wkq`nq}`b{fnq& lkqtirn ki{ tnrb{fnq nrrib`nmn& k nbilm`ãâi `l}qêlrkbn mi irri,

N bfnrr`d`bnãâi NINR@D anrk`n*rk li cqn{ mk bij`l{`ãâi mn dqn}{qn& rkwkqnlmi kj }qårcqnlmkr cq{wir5 dqn}{qnr r`jwfkr (lâi*bij`l{}`tnr)& dqn}{qnr bij dqncjkl}i kj ‖nrn mkaiqaifk}n‚& dqn}{qn bij`l{}`tn,




2

M`nclòr}`biLn jnìq`n mir bnrir& n h`r}òq`n mi }qn{jn}`rji ~{k wqim{u`{ n dqn}{qn à kt`mkl}k, Ir

r`ln`r bfîrr`bir mk dqn}{qn râi miq& kmkjn& mkdiqj`mnmk& bqkw`}nãâi k jia`f`mnmk nliqjnf&~{k wimkj kr}nq }imir wqkrkl}kr& mk nbiqmi bij i }`wi mk dqn}{qn,

I kxnjk qnmìcqîd`bi mk qi}`ln mktk `lbf{`q nr `lb`målb`nr ál}kqi*wir}kqìq (NW) k mkwkqd`f (W) mk õjkqi& kltiftklmi nr nq}`b{fnãûkr mi ijaqi k mi bi}itkfi, Krrnr qnmìcqnd`nr

mktkj rkq ia}`mnr bij i wnb`kl}k jitklmi*rk rkj qimnq i jkjaqi ndk}nlmi `rifnmnjkl}kriaqk i dibi mn dqn}{qn, Dqn}{qnr j{`}i bij`l{}`tnr wimkj qk~{kqkq qnmìcqnd`nr bij }qnãâiwnqn jkfhiq ntnf`nãâi,

N b`l}`ficqnd`n òrrkn& qkrrilálb`n jnclà}`bn k }ijicqnd`n bijw{}nmiqùnmn râi{}`fùnmnr kj r`}{nãûkr krwkb`n`r& biji li m`nclòr}`bi k kr}nm`njkl}i mnr dqn}{qnrwn}ifòc`bnr,

N kfk}qilk{qijìcqnd`n nwkln rkqn õ}`f wnqn i m`nclòr}`bi mn fkrâi lk{qifòc`bn n wnq}`qmn }kqbk`qn rkjnln mi }qn{jn? wiq}nl}i& à `jwqkrb`lmêtkf n qknfùnãâi mi kxnjk bfêl`binmk~{nmi,

]qn}njkl}i

]kj biji iaek}`ti ia}kq n {l`âi bij {j nf`lhnjkl}i nbk }̀îtkf wnqn qkr}nakfkbkq nd{lãâi wqkrkl}k nl}kqìqjkl}k& mktklmi rkjwqk bilr`mkqnq bnqnb}kqêr}`bnr mn dqn}{qn& miwnb`kl}k& fkrûkr nrrib`nmnr& fkrâi mk }kb`mir jifkr wnqn n krbifhn mi }qn}njkl}i

]qn}njkl}i Bilrkqtnmiq

Kj wq`lbêwì& nr dqn}{qnr mn m`îd`rk mi õjkqi râi mk }qn}njkl}i bilrkqtnmiq, Kj ckqnf&

nr dqn}{qnr lâi*mkrfibnmnr ktif{kj mk jnlk`qn rn}`rdn}òq`n& bij bhnlbkr mk bilrif`mnãâi mk07*>77+,

Wiq rkq i õjkqi {j irri akj tnrb{fnqùnmi k kltift`mi wiq tîqìr jõrb{fir& iwqibkrri mk bilrif`mnãâi à dnb`f`}nmi, Lnr dqn}{qnr bij mkrfibnjkl}i& hî lkbkrr`mnmk mkdnukq n qkm{ãâi `lbq{kl}n& fkjaqnlmi ~{k wimk rkq nbk`}n {jn nlc{fnãâi nl}kqìq mk >7*17µ kmk >7*27µ mk tnqi& nrr`j biji klb{q}njkl}i mk n}à 1&;bj,

Kl}qk ir m`tkqrir jà}imir mk }qn}njkl}i lâi b`qõqc`bi (w`lãn mk bildk`}k`qi& ckrriwklmkl}k& ckrri }iqnbiaqn~{`nf& `jia`fùnãâi mk Tkfwkn{)& i {ri mk òq}krkr aqn~{`n`r(rnqj`kl}i)& ~{k wkqj`}kj n bil}qnãâi mir cq{wir j{rb{fnqkr nmenbkl}kr k kr}`j{fnj nbilrif`mnãâi& à i jà}imi mk }qn}njkl}i lâi b`qõqc`bi jn`r {}`fùnmi n}{nfjkl}k,

‖W`lãn mk bildk`}k`qi‚ i{ }nfn ckrrnmn kj ‖[‚ Bilr`r}k ln bifibnãâi mk }nfn ckrrnmn kj ‖[‚& ~{k

`l`b`n ln nx`fn& wnrrnlmi wkfi bi}itkfi k `lmi n}à i mkf}ò`mk?Nwòr à bifibnmn }`wò`n wnqn r{r}kl}nãâi mi Jkjaqi r{wkqìq,

Mkr}`ln*rk ç `jia`fùnãâi mi aqnãi wiq nãâi mn ci}k`qnckrrnmn k& ni jkrji }kjwi& n}qntàr mn }qnãâi kxkqb`mn liaqnãi wkfi wkri mi ckrri& `lm`bnmn lnr dqn}{qnr mi }kqãijàmì mi õjkqi,




=

Ckrri nx`fiwnfjnq !wklmkl}k! ]nf jà}imi à d{lmnjkl}i ln cqnt`mnmk& rklmi bifibnmi {j nwnqkfhi ckrrnmi

aqn~{`wnfjnq& mkrmk n wnq}k r{wkqìq mi dibi mn dqn}{qn n}à nwnfjn mn jâi& r{r}kl}nmi wiq {jn }`wò`n& ~{k wnrrn wiq {jnnqcifn d`xnmn li ckrri ç nf}{qn mi w{lhi, I wkri mi jkjaqi

r{wkqìq nbijk}`mi& rijnmi ni ckrri& qkm{u k nf`lhn n dqn}{qn,N fibnfùnãâi mn nqcifn }njaàj wimk rkq {rnmn bijidn}iq wnqn biqqkãâi mn nlc{fnãâi mn dqn}{qn& {jn tku ~{k nnqcifn& ~{nlmi bifibnmn ln wir`ãâi miqrnf mi w{lhi biqq`ck nnlc{fnãâi kj tnqi k& ~{nlmi bifibnmn ln wir`ãâi tkl}qnfbiqq`ck n nlc{fnãâi kj tnfci, I jkrji tnfk wnqn i }njnlhimn }̀ wò`n& wi`r& ~{nlmi rk ~{kq biqq̀ c`q n nlc{fnãâi tkl}qnfmktk*rk klb{q}nq n }`wò`n k& ~{nlmi rk wqk}klmk biqq`c`q nnlc{fnãâi miqrnf mktk*rk nfilcî*fî,

Krrk }`wi mk `jia`fùnãâi mktk rkq kt`}nmi lnr dqn}{qnr ~{k }klhnj }klmålb`n nm`îr}nrk& wi`r n m`r}qnãâi li dibi mn dqn}{qn à {jn mnr jnìqkr bn{rnr mk wrk{mi*nq}qirk&mktklmi nrr`j rkq dk`}i i bil}qifk qnmìcqîd`bi lnr ~{n}qi wq`jk`qnr rkjnlnr mk }qn}njkl}i,

Qkr{ji mk biji mktk rkq {rnmi i ckrri wklmkl}k5 Ckrri aqn~{ìwnfjnq `l`b`nlmi nb`jn mn dqn}{qn? Bi}itkfi kj 07µ& bij nl}kaqnãi lk{}qi? Nqcifn wnqn bifibnãâi mn }`wò`n li lêtkf mi w{lhi,

* Nqcifn miqrnf biqq`ck tnqi,* Nqcifn tkl}qnf biqq`ck tnfci,* ]`wò`n b{q}k biqq`ck nlc{fnãâi tkl}qnf,* ]`wò`n filcn biqq`ck nlc{fnãâi miqrnf,

Kt`}nq lnr dqn}{qnr }qnlrtkqrnr ~{k wirrnj ktif{`q wnqn m`îr}nrk? Dnukq bil}qifk qnmìfòc`bi rkjnlnr lnr ~{n}qi wq`jk`qnr rkjnlnr,

Ckrri }iqnbiaqn~{`nf Jà}imi anr}nl}k {}`fùnmi li wnrrnmi, Wiqàj& kjaiqn rken kx}qkjnjkl}k bild`îtkf li

~{k rk qkdkqk ç `jia`fùnãâi mn dqn}{qn& tkj wkqmklmi krwnãi wnqn nr `jia`fùnãûkr jklirqêc`mnr k wnqn ir wqibkm`jkl}ir b`qõqc`bir& mkt`mi ni dn}i mk rk }qn}nq mk {j nwnqkfhickrrnmi j{`}i mkrbildiq}îtkf k wi{bi wqî}`bi wnqn i wnb`kl}k,

À `lm`bnmi wnqn nr dqn}{qnr kj ~{k hî m`d`b{fmnmk lnjnl{}klãâi mn qkm{ãâi bij i{}qnr `jia`fùnãûkr k kj ~{k n

b`q{qc`n diq bil}qn*`lm`bnmn& mktklmi rkq kt`}nmi kj wkrrinr`mirnr k iakrnr,




;

Kldn`xnjkl}i }iqnbiaqn~{`nf (Tkfwkn{)Jà}imi kj ~{k i jkjaqi r{wkqìq à `jia`fùnmi e{l}i

ni }qilbi& wimk rkq mi }`wi ckrrnmi i{ lâi*ckrrnmi& kj ~{krk {rn nwklnr dn`xnr kfîr}`bnr i{ jnfhn }{a{fnq (tkfwkn{ mk

tkqâi), ^{nlmi lkbkrrîqì& wimk rkq {}`fùnmi bix`j nx`fnqwnqn nf`lhnq jkfhiq n dqn}{qn,Mkr}`ln*rk ç `jia`fùnãâi mn qkc`âi krbîw{fi*{jkqnf&

`lm`bnmi lnr f{xnãûkr cfkli{jkqn`r (nwòr qkm{ãâi)& lnrdqn}{qnr mi bifi mi õjkqi k mn krbnw{fn,

Òq}krk mk Rnqj`kl}i (Aqnbk)Bilr`r}k ln bijwqkrrâi mir jõrb{fir ni qkmiq mi õjkqi

wiq {jn iq}krk b`qb{ldkqklb`nf dk`}n ria jkm`mn ~{k wkqj`}k njit`jkl}nãâi mnr nq}`b{fnãûkr mi ijaqi k bi}itkfi,

I nwnqkfhi d{lbìln bij i wq`lb`wì mk bil}qnãâi j{rb{fnqn}`tn biqq`c`lmi qi}nãâi k nlc{fnãâi& `r}i ibiqqk wkfi kdk }̀ibijwqkrr`ti ‖h`mqî{f`bi‚ mir }kb`mir jifkr k wkfn diqãn mncqnt`mnmk& ~{k kj bile{l}i ne{mnj li nf`lhnjkl}i mirdqncjkl}ir mn dqn}{qn,

Kr}î `lm`bnmn biji bil}`l{nãâi mi }qn}njkl}i& kj dnrkrkb{lmîq`n& nwòr i {ri mk i{}qi `jia`fùnãâi jn`r qêc`mn k kj~{k eî kx`r}k jklir jia`f`mnmk li dibi mn dqn}{qn k jkliqkmkjn& `rri bir}{jn nbil}kbkq nwòr 2*= rkjnlnr, Wiqàj

nfc{lr n{}iqkr wqkbilùnj rk{ {ri eî li `lêbì mi }qn}njkl}i,

]qn}njkl}i B`qõqc`bi

N qkm{ãâi nakq}n bij d`xnãâi à `lm`bnmn wnqndqn}{qn kj ~{k lâi di` ia}`mn qkm{ãâi dkbhnmnrn}`rdn}òq`n& i ~{k liqjnfjkl}k nbil}kbk lnr dqn}{qnrrkcjkl}nqkr, I }qn}njkl}i b`qõqc`bi }njaàj à `lm`bnmi

lnr dqn}{qnr iafê~{nr mi }kqãi m`r}nf mi õjkqi& lnr ~{n`ri lkqti qnm`nf wnrrn e{l}i ni dibi mn dqn}{qn k kj ~{k&ln }kl}n}`tn mk qkm{ãâi dkbhnmn& wimk ibiqqkq fkrâilkqtirn,

Lnr dqn}{qnr bij fkrâi tnrb{fnq nrrib`nmn& mktkhntkq kr}na`fùnãâi mn dqn}{qn }nl}i wkfn jnl`w{fnãâiwòr*iwkqn}òq`n ~{nl}i wkfn wqi}kãâi mi wqibkm`jkl}itnrb{fnq,




4

@lm`bnãûkr wkfn dqn}{qn5 Dnfhn wnqn ia}kq k jnl}kq qkm{ãâi dkbhnmn nmk~{nmn5 klb{q}njkl}i <2 bj&

Qi}nãâi < 27 cqn{r& Nlc{fnãâi < 17 cqn{r? Dqn}{qnr Rkcjkl}nqkr? Dqn}{qnr wn}ifòc`bnr?

Kx}klrâi ̀ l}qn*nq}`b{fnq,Fkrûkr nrrib`nmnr5 Dqn}{qn kxwir}nr? Fkrâi tnrb{fnq? Fkrâi mi wfkxi aqn~{`nf? Dqn}{qnr nl}kaqnãi& ijaqi k bi}itkfi `wr`fn}kqnf? Dqn}{qn mk õjkqi a`fn}kqnf? Dqn}{qnr mk jkjaqir `ldkqìqkr ~{k lkbkrr`}nj mk {ri mk nwnqkfhir wnqn

mknja{fnq? ^{k`jnm{qnr? DND mk nf}n klkqc`n? Q`c`mku nq}`b{fnq mk ijaqi k bi}itkfi,

@lm`bnãûkr wkfi wnb`kl}k5 Wif`}qn{jn}ùnmi? ]BK (cfnrcis 8)? ]qn{jn }iqîb`bi? Wnb`kl}k wi{bi bifnaiqn}`ti? Iakr`mnmk jòqa`mn? Rkìr cqnlmkr,

Jà}imir mi }qn}njkl}i b`qõqc`bi D`xnmiq kx}kqli? Wfnbnr (cifm r}nlmnqm)? D`xnãâi `l}qnjkm{fnq

Bijwf`bnãûkr

Fkrâi mi lkqti qnm`nf N fkrâi mi lkqti qnm`nf ibiqqk kj n}à >8+

mnr dqn}{qnr m`nd`nrîq`nr mi õjkqi& ckqnfjkl}k à{jn fkrâi mi }`wi lk{qiwqnx`n i{ nxili}jkrk&bij qkrif{ãâi krwil}álkn kj 2*= jkrkr,

I m`nclòr}`bi bfêl`bi à dk`}i }kr}nlmi*rk nkx}klrâi mi w{lhi dkbhnmi k n kx}klrâijk}nbnqwidnfálc`bn bij nr nq}`b{fnãûkr`l}kqdnfálc`bnr dfk}`mnr,




3

N kx}klrâi mnr nq}`b{fnãûkr `l}kqdnfálc`bnr wqix`jn`r mir mkmir kr}î wqkrkl}k kjfkrûkr mi lkqti qnm`nf& wi`r à qknfùnmn wkfir `l}qêlrkbir `lkqtnmir wkfi jkm`nli k {flnq, Kjfkrûkr mi lkqti qnm`nf li }kqãi `ldkqìq mi õjkqi& i kltift`jkl}i wimk rkq nwklnr mi lkqti`l}kqòrrki wir}kqìq& jnl}klmi*rk n kx}klrâi mi w{lhi wkfi kx}klriq qnm`nf mi bnqwi,

I kr}{mi kfk}qijìcqîd`bi k mn tkfib`mnmk mk bilm{ãâi lkqtirn wimk n{x`f`nq linbijwnlhnjkl}i n wnq}`q mk& li jêl`ji 2 rkjnlnr mk fkrâi,

Rk i wnb`kl}k nwqkrkl}nq wnqnf̀ r`n mktk rkq iq`kl}nmi n {}̀ fùnãâi mk `jia`fùnãâi wnqnjnl}kq i w{lhi kj kx}klrâi k dnukq jit`jkl}nãâi wnrr`tn mi w{lhi k mir mkmir wnqn kt`}nqbil}qn}{qn kj dfkxâi

Iarkqtnq ~{nf~{kq r`lnf mk qkb{wkqnãâi mi lkqti ckqnfjkl}k li jõrb{fir m`r}n`r nfkrâi& biji li aqn~{ìqqnm`nf& kx}klriq qnm`nf b{q}i k filci mi bnqwi& rklâi ibiqqkq lklh{jr`lnf mk qkb{wkqnãâi kj 2 i{ = jkrkr& kxwfiqnãâi mi lkqti à `lm`bnmn& eî ~{k krrk }kjwirkq`n r{d`b`kl}k wnqn n qkb{wkqnãâi mn lk{qiwqnx`n i{ nxili}jkrk,

N `lm`bnãâi mk kxwfiqnãâi b`qõqc`bn mi lkqti qnm`nf à nwklnr kj fkrâi mi lkqtinrrib`nmn ç dqn}{qn kxwir}n,

Bilrif`mnãâi t`bìrn N bilrif`mnãâi t`bìrn wi{bnr tkukr à {j wqiafkjn wòr*dqn}{qn mk m`îd`rk {jkqnf,

Biji b`}nmi nl}kqìqjkl}k& mkrtìr nlc{fnqkr mk 17*27µ wimkj rkq nbk`}ir& riaqk}{mi kjwkrrinr iakrnr, N cqnlmk jia`f`mnmk nq}`b{fnq mi ijaqi wimk bijwklrnq mkrtìr qi}nbìln`rmk n}à >;µ, Klb{q}njkl}i mk n}à 1&;bj lâi bn{rnj wqke{êuir d{lbìln`r, Kj bnrir mkmkrtìr jn`r kx}qkjir bij wkqmn d{lbìlnf& ir}ki}ij`n biqqk}`tn bij wfnbn k wnqnd{rir kr}î`lm`bnmn,

Wrk{mi*nq}qirk Nr dqn}{qnr m`nd`rîq`nr mi õjkqi bilrif`mnj& kj jàm`n n}à ~{n}qi jkrkr, Nwòr 4*8

jkrkr rkj bilrif`mnãâi& kr}nakfkbk*rk wrk{mi*nq}qirk, Krrn bilm`ãâi ibiqqk bij

`lb`målb`n mk n}à >7+ bij }qn}njkl}i bilrkqtnmiq k mk n}à 2>+ bij naiqmnckj b`qõqc`bn,N wrk{mi*nq}qirk kr}î qkfnbìlnmn m`nak}kr& iakr`mnmk jòqa`mn& cqnlmk nlc{fnãâi mn

dqn}{qn& `lm`têm{ir bij `mnmk ntnlãnmn& ria {ri mk biq}`bir}kqò`mkr i{ mk nl}`binc{fnl}kr kwnb`kl}kr bij q`c`mku mk ijaqi i{ bi}itkfi wiq bifibnqkj jnìq kr}qkrrk ria i dibi mkdqn}{qn,

I }qn}njkl}i bilrkqtnmiq kd`bnu à qknfùnmi bij wfnbnr k wnqnd{rir i{ hnr}k`l}qnjkm{fnq& njanr nbijwnlhnmnr mk klxkq}`n òrrkn biq}`bikrwileirn& kxbk}i lir bnrirkj ~{k n wrk{mi*nq}qirk à mi }`wi h`wkq}qòd`bn i{ h`wkqtnrb{fnq k lkbkrr`}n nwklnr mkkr}na`fùnãâi òrrkn wnqn bilrif`mnãâi,

fraturas da diáfise do Úmero - resumo ortopedia medicina

Documents