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trauma > Fx diafisiarias de humero > Flashcards

Fx diafisiarias de humero Flashcards

1
Q

irrigacion

A

arteria braquial

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2
Q

estructura importante

A

nervio radial
posterior a la arteria braquial

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3
Q

porcentaje de las fx en general

A

1-2%

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4
Q

porcentaje de las fx en humero

A

60% son en diafisis, lugar mas comun

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5
Q

Hombres grupo etario

A

30años

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6
Q

mujeres grupo etari

A

70 años

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7
Q

meanismo de lesion directo

A

alta energia

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8
Q

mecanismo de lesion indirecto

A

baja energia (torsion, flexion)

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9
Q

clsificacion de la OA A simple

A

espiral
oblicua >30°
transervsa <30°

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10
Q

clasificacion de la OA ala de mariposa tipo B

A

fragmento simple
fragmento complejo

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11
Q

OA tipo C multifragmentaria

A

Simple
complejo

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12
Q

clasificacion descriptiva

A

transervo
oblicuo
espiroideo
segmwntario
conminuto

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13
Q

CC

A

dolor
edema
deformidad
acortamiento
incapacidad funcional

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14
Q

lesiones asociadas

A

lesion de nervio radial 12%
fx de HOLSTEIN LEWIS 20%

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15
Q

fx de Holstein Lewis

A

fx del tercio distal del humero con lesion del nervio radial

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16
Q

rx

A

AP y lateral

17
Q

tx de eleccion

A

conservador

18
Q

complicacion del tx conservador

A

pseudoartrosis en 20%

19
Q

valores aceptables de tx conservador

A

angulacion anterior 20°
deformidad en varo o valgo 30°
<3 cm de acortacion

20
Q

Yeso colgante de Caldwell

A

yeso muy grueso y pesado para fortalecer la reduccion por la fuerza d la gravedad

21
Q

indicaciones de yeso colgante de Caldwel

A

fx espiroideas u oblicuas largas
fx anguladas y acortadas

22
Q

rieso de pseudoartrosis en tx qx

A

9%

23
Q

inidaciones absolutas de tx qx

A

lesion vascular
afeccion de tejidos blandos
fx expuestas
codo flotante (fx humeral y de antebrazo)
lesion en plexo braquial

24
Q

complicaciones

A

retardo en la consolidacion
pseudoartrosis
infeccion x cx

trauma (40 decks)

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