Fractura de cadera (cabeza) Flashcards

1
Q

Esta fractura usualmente está asociada a

A

luxación posterior de la cadera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mecanismo de lesión

A

traumatismo de alta energía (automovilístico de tablero)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CLx de fx de cabeza femoral (3)

A

dolor inguinal
pierna acortada
equimosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

lesiones asociadas a fx de cabeza femoral (4)

A
  • fx de cuello
  • fx acetabular
  • lesion del nervio ciático
  • lesion ligamentaria de la rodilla ipsilateral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

diagnóstico (2)

A

Rx Ap y lateral
TAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ayuda a identificar fragmentos intraarticulares, fracturas asociadas

A

TAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

clasificación para fx de cabeza femoral

A

PIPKIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

clasificación de PIPKIN

A
  1. por debajo de la fovea capitis
  2. por arriba de la fóvea capitis
  3. 1 o 2 con fx de cuello femoral asociada
  4. 1 o 2 con fx acetabular asociada
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

fx acetabular mas común

A

de pared posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

De acuerdo a pipkin 1 tratamiento

A

conservador (evitar apoyo 6 semanas)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

De acuerdo a pipkin 2,3 y 4 tratamiento

A

quirúrgico

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

RAFI indicaciones (3)

A

Pipkin 1 con desplazamiento >1mm
Pipkin 2 y 3
presencia de fragmentos intraarticulares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pipkin con alto riesgo de NAV

A

Pipkin 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

artroplastia indicaciones (2)

A

PIPKIN 1,2,3 en adultos viejitos
Fx conminuidas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

complicaciones (4)

A
  • osificación heterotopica
  • NAV
  • Lesion del nervio ciático
  • Artrosis postraumática (75%)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly