🟥 ORTHOPEDIC_2ndBATCH
قناة خاصة بقسم طب التجبير في التدريب السريري تتبع اللجنة العلمية | الدفعة الثانية "2017" https://t.me/DOCMARK21 تحتوي على كل مايخص قسم طب التجبير من : #أخبار #جداول #تدوينات #محاضرات #آخر_الأنباء #تسجيلات
نمایش بیشتر529
مشترکین
اطلاعاتی وجود ندارد24 ساعت
+17 روز
+330 روز
- مشترکین
- پوشش پست
- ER - نسبت تعامل
در حال بارگیری داده...
معدل نمو المشتركين
در حال بارگیری داده...
■ Posterior hip dislocation: Shortened, internally rotated leg.
■ Anterior hip dislocation:
Lengthened, externally rotated leg .
■ Hip fracture: Shortened, externally rotated leg.
🌸 Volkman's ischemic contracture involves the most commonly Flexor digitorum profundus👌
Clinical Features of Volkman’s Ischemic Contracture (VIC)
•• Pain out of proportion to physical examination findings.
•• Pain on passive stretching: 1st sign
•• Pressure increased
•• Pallor/may also be pink
•• Pulselessness
•• Paresthesia
•• Paralysis
(Pulselessness is a late sign and is unreliable for diagnosis of compartment syndrome)
🌸 Named fracture of the upper limb
🌹 Colles-fracture of the distal radius with dorsal angulation of the distal bone fragment
🌹 Smiths fracture-reverse Colles fracture.fractures of the distal one third of the radius with palmar displacement
🌹 Galeazzi fracture dislocation-fracture of the lower third of the radius and subluxation of the distal radio ulnar joint.
🌹 Monteggia fracture dislocation
fracture of the shaft of ulna with dislocation of proximal radio ulnar joint.
🌹 Barton’s fracture - intra-articular fracture of distal radius
🌹 Rolando fracture:
intraarticular comminuted fracture of the base of the first metacarpal with a t or Y configuration
🌹 Chauffeurs fracture-fracture of the radial styloid
🌹 Essex lopresti - fracture of the radial head with disruption of the interosseous membrane and distal radial ulnar joint ligament
🌹 Nightstick fracture: isolated fracture of the radial or ulnar bone
🌹 Bennet’s fracture: It is an oblique fracture of the base of 1st metacarpal.It is intra-articular and may be associated with subluxation or dislocation of metacarpal.
🌹 Boxer’s fracture : It is fracture of neck of metacarpal, and most commonly involves neck of 5th metacarpal.
اهم شيء اول اربعه 🤗
Photo unavailableShow in Telegram
Xray of knee joint
No name no age no sex
AP&lateral view show total knee replacement
The main indication
1-pain with deformity
2-instability
Complication
1.DVT
2.Infection
3.lossening
4.Patellar problems
Photo unavailableShow in Telegram
Median nerve injery..carpal tunnel syndrome
1_loss sensation in radial three and half digit
2_pointing sign
3_pinch defect
Treatment
_If the nerve is divided , suturing or nerve grafting should always be attempted
_Postoperatively the wrist is splinted in flexion to avoid tension.
_Late lesions are sometimes seen, if there has been no recovery , tendon transfer can be done
Photo unavailableShow in Telegram
Ulnar nerve
1_numbness in ulner one and half finger
2_claw hand deformity in low lesions
Treatment
_Exploration and suturing of a divided nerve , anterior transposition at the elbow permits closure of gap up to 5cm.
_while recovery is awaited , the skin should be protected from burn, passive physiotherapy keeps the hands supple and useful
_If there is no recovery after nerve repair , tendon transfer can be done
Photo unavailableShow in Telegram
anterior shoulder dislocation
1-flattening of lateral aspect of the shoulder
2-hold the affected arm with another
3-prominence acromion
4-head of humer is present
Complications:
Anterior Dislocation
1_Early
*Axillary nerve damage
*Unreduced dislocation
2_Late
* Recurrent dislocation
*Traumatic osteoarthritis
*Shoulder stiffnes
Posterior Dislocation
Early
*Unreduced dislocation
Late
* Recurrent dislocation
*Traumatic osteoarthritis
*Shoulder stiffnes
Photo unavailableShow in Telegram
Radial nerve injury
a_high lesion wrist drop
b_loss sensation around anatomical snuffbox
Treatment :
_Open injuries should be explored and the nerve is repaired or grafted
_Closed injuries are usually first or second degree lesions , and function eventually returns
_If the palsy is present on admission , one can wait for 6 weeks to see if it starts to recovers.
If it does not , then EMG should be performed , if this show denervation potentials , then the nerve should explored.
_While recovery is awaited , the small joints of the hand must be put through a full range of passive movements
_If recovery does not occur , the disability can be largely overcome by tendon transverse.
Photo unavailableShow in Telegram
Support the forearm with elbow in slight flexion method of conservative tx in elbow dislocation
یک طرح متفاوت انتخاب کنید
طرح فعلی شما تنها برای 5 کانال تجزیه و تحلیل را مجاز می کند. برای بیشتر، لطفا یک طرح دیگر انتخاب کنید.