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    Dislokasi

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    This document discusses dislocations of the hip and shoulder. It notes that posterior dislocations make up over 80% of hip dislocations. For posterior hip dislocations, clinical signs include shortening, flexion, internal rotation, and adduction of the leg. Treatment options include closed or open reduction. Closed reduction techniques discussed include Stimson's gravity method, Allis' maneuver, and Bigelow's maneuver. Complications of posterior hip dislocations include sciatic nerve paresis, irreducible dislocation, and recurrent dislocation. The document also briefly mentions anterior shoulder dislocations and methods for closed reduction.

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    Dislokasi

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    leo
    21 views27 pages
    This document discusses dislocations of the hip and shoulder. It notes that posterior dislocations make up over 80% of hip dislocations. For posterior hip dislocations, clinical signs include shortening, flexion, internal rotation, and adduction of the leg. Treatment options include closed or open reduction. Closed reduction techniques discussed include Stimson's gravity method, Allis' maneuver, and Bigelow's maneuver. Complications of posterior hip dislocations include sciatic nerve paresis, irreducible dislocation, and recurrent dislocation. The document also briefly mentions anterior shoulder dislocations and methods for closed reduction.

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    This document discusses dislocations of the hip and shoulder. It notes that posterior dislocations make up over 80% of hip dislocations. For posterior hip dislocations, clinical signs include shortening, flexion, internal rotation, and adduction of the leg. Treatment options include closed or open reduction. Closed reduction techniques discussed include Stimson's gravity method, Allis' maneuver, and Bigelow's maneuver. Complications of posterior hip dislocations include sciatic nerve paresis, irreducible dislocation, and recurrent dislocation. The document also briefly mentions anterior shoulder dislocations and methods for closed reduction.

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    21 views27 pages

    Dislokasi

    Uploaded by

    leo
    This document discusses dislocations of the hip and shoulder. It notes that posterior dislocations make up over 80% of hip dislocations. For posterior hip dislocations, clinical signs include shortening, flexion, internal rotation, and adduction of the leg. Treatment options include closed or open reduction. Closed reduction techniques discussed include Stimson's gravity method, Allis' maneuver, and Bigelow's maneuver. Complications of posterior hip dislocations include sciatic nerve paresis, irreducible dislocation, and recurrent dislocation. The document also briefly mentions anterior shoulder dislocations and methods for closed reduction.

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    of 27

    Dislocation

    Sugeng Yuwana
    Sub Department of Orthopedic and Traumatology
    Dr. Sardjito Hospital/Faculty of Medicine,
    Gadjah Mada University
    Yogyakarta
    TERMINOLOGI TRAUMA SENDI

    kontusi sprain - occult joint instability - subluksasi / dislokasi


    Dislocation

    DISLOCATION OF THE HIP


    ANTERIOR DISLOCATION
    POSTERIOR DISLOCATION (> 80%)

    DISLOCATION OF THE SHOULDER


    ANTERIOR DISLOCATION (>80%)
    POSTERIOR DISLOCATION
    Pada fraktur yang dinilai:
    aposisi dan panjang
    angulasi
    displacement
    rotasi

    Pada dislokasi:
    jauhnya terlepas
    subluksasi/luksasi
    adanya fraktur?
    Posterior Dislocation of The Hip

    CLINICAL SIGNS:
    SHORTENED/
    FLEXION
    INTERNAL
    ROTATION
    ADDUCTION
    How do we treat posterior
    dislocation of the hip?
    WITHIN 12 HOURS CLOSED
    REDUCTION
    OTHER INDICATION OF OPEN
    REDUCTION:
    UNSUCCESFUL CLOSED REDUCTION
    UNSTABLE
    TRAPPED FRACTURED FRAGMENTS
    BETWEEN THE JOINTS
    Posterior dislocation of the hip

    Method of Closed Reduction

    GRAVITY METHOD OF STIMSON


    ALLIS MANOUVER
    BIGELOWS MANOUVER
    HIPPOCRATIC TECHNIQUE
    PENATALAKSANAAN TRAUMA SENDI

    Metode Stimson
    Posterior dislocation of the hip
    Complication of posterior dislocation of
    the hip

    EARLY:
    Sciatic nerve paresis
    Irreducible posterior dislocation (3-16%)
    Knee ligament injury
    Recurrent dislocation
    10-14% cases of posterior dislocation of
    the hip causes sciatic nerve injury
    Posterior dislocation of the hip

    Complication
    LATE:
    recurrent posterior dislocation
    myositis ossificants
    aseptic necrosis
    post traumatic arthritis
    Vascularization of Head Femur
    Anterior shoulder dislocation

    badge area Elbow flexion


    Shoulder
    abduction
    Endorotation
    Methods of Close reduction

    Stimson gravitation
    - analgesic
    - sedatives
    - weight load 2 kg
    - 5-10 minutes
    Methods of Close reduction
    Hippocratic Methods
    Methods of Close reduction
    Traction and Counter traction methods

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