KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 DISLOKASI

KONDISI TRAUMATIK SUBJEK ORTOPEDIK KOD MOR 2323 DISLOKASI SENDI

Dislokasi sendi Definisi: Peralihan/tersasar tulang dari posisi yang membentuk sendi

Mekanisma penyebab 1. Kongenital 2. Kecederaan - hentakan

Jenis-jenis dislokasi Acromioclavicular joint Pengendalian Subloksasi Dislokasi -Arm sling (1 week) -Padding and strapping -shoulder exercise -Screw

2. Sendi sternoclavicular Sternoclavicular dislocation CT scan (anterior dislocation) Pengendalian Anterior dislocation – closed reduction Posterior dislocation – open reduction

3. Dislokasi bahu (shoulder) Anterior dislocation -Closed reduction -Open reduction (pembedahan) Posterior dislocation -Closed reduction Kochers method

4. Dislokasi elbow Posterolateral dislocation -Closed reduction -Pembedahan jika terdapat kepatahan dislokasi

5. Dislokasi pangkal paha Posteroir dislocation Pengendalian - Closed reduction - • • • Traction Open reduction Internal fixation Fragments - removed Anterior dislocation

6. Dislokasi lutut Pengendalian - Closed reduction - Open reduction • • Ligament sutured Capsule repaired Dislokasi patella Pengendalian - Closed reduction - Open reduction • • Osteochondral fragment removed Medial Capsule repaired

Pengendalian - Closed reduction - • • Plaster cast Open reduction Ligament repaired Kirschers wires Fixed with screw Tarso metatarsal dislocation Midtarsal dislocation Dislokasi pergelangan kaki Peritalar dislocation 7.

8. Dislokasi interfalangeal Pengendalian - Closed reduction • Splinted with grater strapping 2 -3 week

Ciri-ciri klinikal 1. 2. 3. 4. 5. Kesakitan Bengkak Lebam setempat Tender Keabnormalan posisi bahagian terlibat 6. Kehilangan fungsi sendi

Rawatan dan pengurusan 1. 2. 3. 4. Redaksi segera Larang gerak Simptomatik Pembedahan

Komplikasi 1. 2. 3. 4. 5. 6. 7. Kecederaan vaskular Kecederaan saraf Nekrosis avaskular Kekakuan sendi Dislokasi berulang Jangkitan (dislokasi terbuka) Osteoartritis (kerosakkan rawan)