luxacion glenohumeral Flashcards

1
Q

porcentaje de todas las luxaciones

A

45%

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2
Q

direccion mas comun

A

anterior 96%

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3
Q

FR

A

atltetas

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4
Q

grupo etario

A

15-40 años

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5
Q

recidivas

A

50% o 80%
px 14 a 20 años

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6
Q

cc

A

deformidad en CHARRETERA
dolor
contractura muscular
incapacidad

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7
Q

cc ANTERIOR

A

SEPARACION Y ROTACION EXTERNA

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8
Q

CC posterior

A

proximacion
rotacion interna

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9
Q

lesiones asociadas

A

lesion de bankart
lesion de Hill-Slachs
Fx intraarticulares de escapula
Fx de humero proximal

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10
Q

lesion de Bankart

A

avulsion oseo o labrum

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11
Q

lesion de Hill-Salchs

A

fx de humero proximal al impactarse con la art glenoidea

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12
Q

dx rx

A

AP de hombro
lateral de escapula
AP verdadera de hombro (Grashey)

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13
Q

tx conservador

A

Primer evento
reduccion cerrada con maniobras externas + vendaje de VELPAU (inmovilizador)

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14
Q

tx conservador en menores de 30 años duracion

A

3 semanas

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15
Q

tx conservador duracion en mayores de 30 años duracoin

A

1 semana

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16
Q

tx qx indicaciones

A

luxaciones irreductibles
fx-luxaciones
recidivante
cronica

17
Q

complicaciones

A

lesion vascularlesion del nervio axial

18
Q

cc lesion del nervio axial

A

inerva deltoides y redondo menor
producira un area de hipostesia en la cara lateral del hombro y una dificultada a la abduccion