Ni Made Febri Supervisor : Letkol Ckm dr. Basuki Widodo, Sp.

OT

Mr. N

Medical record 07.65.59

Student

15 years old

Moeslem

he lived at Dsn Beseran I RT 2/RW 1 Kel. Beseran Kec. Kaliangkrik, Kabupaten Magelang

Chief complaints: The patient came to the clinic with chief complaints of pain at the left elbow area, and there is lacerated wound at the left elbow area that had been hecting

History of present illness: Friday, October 26, 2012 fall down from the bike Sangkal Putung Soeroto hospital to hecting the wound and took radiological examination.
Because the pain did not go away, the patient came to the clinic on Monday, October 29, 2012.

 Blood presurre : 110/70 mmHg

Pulse
Temperature Respiratory

: 82x/ minute : 36 C : 24 x/ minute

HEAD Eye : CA -/- , SI -/ Pupil isocor : 2 milimetres Head Shape : Mesochepal THORAX
Cor : SI dan SII normal regular Pulmo : vesicular, ronkhi -/- , wheezing -/-

ABDOMEN
Bowel sound (+) N, timpani, liver and spleen no

palpable enlarged

EXTREMITAS

a/r CUBITI SINISTRA

Look

: deformity (+), oedem (+), there is a lacerated wound that had been hecting : oedem (+), tenderness (+), pulse (+)

Feel

Movement : limited ROM, pain when move

 X-RAY

LABORATORY
Hb : 13,3 g/dl Hematokrit : 38,6 CT/BT : 4 / 3 30

POSTERIOR DISLOCATION OF ELBOW SINISTRA (NEGLECTED)

Infus RL Pycin 750 mg

Repositioning Of Elbow Joint Dislocation

Operation report : Patient supine with general anesthesia (GA) Desinfection of the area operation Do the repositioning and debridement Put on the backslab above the elbow with a position angle of more than 90 degrees Attach armsling The operation completed

 Infus RL : D5 = 2 : 1 (20 30 dpm)

Injection Ketorolac 3 x 30 mg
Injection Pycin 2 x 750 mg Mobilization with armsling

 Blood presurre

Pulse
Temperature Respiratory

: 120/90 mmHg : 82x/ minute : 36 C : 22 x/ minute

 Complaint: Dizziness (-), weak (-), nausea and

vomiting (-), the movement of the left elbow joint area is still limited, tingling in IV and V left hand fingers.

a/r CUBITI SINISTRA

Look

: covered with backslab and tensocrepe Feel : tenderness (+), pulse(+) Movement : limited ROM

 Therapy and actions:

medications injury advanced therapy

 Blood presurre

Pulse
Temperature Respiratory

: 120/70 mmHg : 82x/ minute : 36 C : 24 x/ minute

Complaint: Dizziness (-), weak (-), nausea and vomiting (-), the movement of the left elbow joint area is still limited, tingling in IV and V left hand fingers.

a/r CUBITI SINISTRA

Look

: covered with backslab and tensocrepe Feel : tenderness (+), pulse(+) Movement : limited ROM

 Therapy and actions: Change the bandage and aff hecting Oral switch therapy:
Ciprofloxacin 2 x 50 mg Mefenamic acid 2 x 50 mg

Vitamin C 3 x 200 mg

patient is allowed to go home

definition

COMPLICATION

EPIDEMIOLOGY

ELBOW DISLOCATION
THERAPY KLASIFIKASI

DIAGNOSE

SIGN AND SYMPTOMS

 Non-operatif

Operatif

 Loss of the ability to move the joint

neurological disorders
Injury to blood vessels compartment syndrome myositis ossifikans