《上肢骨折和手外伤》ppt课件

《《上肢骨折和手外伤》ppt课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、ClavicleFractures锁骨骨折AnatomyCausesofClavicleFractureAccidentssuchasfallsSometimes,ablowfromabluntobjectoracollisionofsomesortFractureClassificationFractureofmiddle1/3(groupI)accountfor80%frxofdistal1/3(groupII)accountfor10-15%typeI:minimaldisplacementtypeII:frxmedialtocoracoclavicularligamentstype

2、III:articularsurfacefracturesfrxofmedial1/3(groupIII)accountfor5%SymptomsofClavicleFracturePainSwellingTendernessDeformityInternalbleedingIfaskedtolifttheirarm,patientswithabrokenclaviclecannotdosowithoutextremepain.TreatmentofClavicleFractureThegoaloftreatingbrokenbonesistosetthem,makingthemwhole

3、againfigure-8splintorstrapimmobilizedfor6-8weeksOpenreductionandinternalfixationHumerusShaftFractures肱骨干骨折CausesofHumeralShaftFractureDirectstress,suchasablowtothearm.Indirectforces,suchasafall,twistingortorsionalforces.mechanismbendingforceproducestransversefrxoftheshaft;torsionforcewillresultina

4、spiralfracture;combinationofbendingandtorsionproduceobliquefrxw/orw/oabutterflyfragment;compressionforceswillfrxeitherproximalordistalendsofhumerus;typesofhumeralshaftfractureTransversehumeralfracturesShortobliquefracturesLongspiralfracturesSymptomsofhumeralshaftfracturePainLossofstrengthinthegrip

5、SwellDeformityTendernessIfthebloodsupplyisimpaired,theremaybenumbnessandcoldnessinthearmandhand.NonOperativeTreatmentofHumeralShaftfractureLongarmsplintneedstobeappliedfromshouldertowristtofullyimmobilizetheextremity;OperativeTreatment:internalfixationshouldbereservedforfractureswithinadequateredu

6、ctionorpatientswithmultipletrauma;IMNailingofHumeralShaftFracturesPlateFixationAnatomySupracondylarFractureoftheHumerus肱骨髁上骨折CausesByafallThechildmaystretchouthisorherhandandtheforcefromtheimpactmaybeenoughtocauseabreakinthebone. Butanytraumatothearea,suchasaninjuryfromacaraccident,mayalsobeacaus

7、e.-typeI:non-displacedfrx-typeII:displacedwithintactposteriorcortex-typeIII:displacedwithnocorticalcontactSymptomspainintheelbowswellingintheelbowinabilitytomovethearmduetopainComplicationscompartmentsyndromeVolk