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Ombro > Fx úmero distal > Flashcards

Fx úmero distal Flashcards

(68 cards)

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1
Q

Epidemio

A
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2
Q

Anato: colunas

A
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3
Q

Anato: flexão ou extensão?

A
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4
Q

Anato: varo ou valgo?

A
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5
Q

Anato: RE ou RI?

A
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6
Q

Mecanismo de trauma

A
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7
Q

Imagem

A

Rx ortogonais
TC(padrão ouro)

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8
Q

Lesões associadas

A
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9
Q

Classificação

A

AO
Milch
Mehne e Matta
Bryan e Morrey

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10
Q

13A

A
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11
Q

13B

A
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12
Q

13C

A
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13
Q

Milch

A

Lateral
Medial

II sempre é no meio

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14
Q

Milch: lateral

A
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15
Q

Milch: medial

A
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16
Q

Mehne e Matta

A
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17
Q

Mehne e Matta: extracapsular

A
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18
Q

Mehne e Matta: intracapsular extraarticular

A
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19
Q

Mehne e Matta: intracapsular intraarticular

A

Ou coronal

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20
Q

Mehne e Matta: intracapsular intraarticular dupla coluna

A
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21
Q

Mehne e Matta: intracapsular intraarticular coronal

A
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22
Q

Bryan e Morrey

A
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23
Q

Bryan e Morrey: hahn steinthal

A
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24
Q

Bryan e Morrey: Kocher lorenz

A
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25
Bryan e Morrey: Cominuta
26
Bryan e Morrey: McKee
27
Fraturas parciais articulares
28
TTO conservador
29
TTo cirurgico: principios
30
TTo cirurgico: decúbito
.
31
TTo cirurgico: acessos
32
Paraolecraniano
33
Paratriceptal
34
Triceps split
35
Tríceps reflecting
Melhor acesso para artroplastia Deve ser feita a reinserção do tríceps
36
Transolecraniano
Osteotomia tipo chevron (aumenta a area de contato e estabilidade)
37
Kocher/Kaplan
38
Hotkiss
39
Vias x osteotomia
OTT pode ser fixada com banda de tensão, parafuso canulado ou placa Riscos: PSA, rigidez e implante sintomático
40
Passo a passo
Acesso posterior Isolar e proteger o n ulnar OTT chevron FIxação provisória Fixação articular FIxação metáfise
41
Acesso posterior
42
Isolar e proteger o n ulnar
43
OTT chevron
44
Fixação provisória
45
Fixação articular
46
Fixação metáfise
47
Posicionamento placas
Apesar da rigidez da sintese com placas paralelas ser maior não existe diferença clínica entre elas na pratica
48
Artroplastia total cotovelo: indicação
49
Artroplastia total cotovelo: contra-indicação
Usar acesso de Bryan-Morrey
50
Complicações
51
PSA
52
Ossificação heterotopica
53
Complicações da artroplastia
54
Acesso fraturas coronais
55
Como é feita a fixação fraturas coronais
56
d
57
b
58
d
59
a
60
13A1
61
13A2
62
13A3
63
13B1
64
13B2
65
13B3
66
13C1
67
13C2
68
13C3

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