closed. fr. antebrachii
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Transcript of closed. fr. antebrachii
8/18/2019 closed. fr. antebrachii
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FRAKTUR TERTUTUP RADIUS ULNA 1/3 MEDIA SINISTRA
Siti Hardiyanti Aminuddin110 2100117
SUPERVISOR:
dr. Arman Bausat, Sp.B, Sp.OT (K) Spine
DEPARTEMEN ORTHOPEDI DAN TRAUMATOLOGIFAKULTAS KEDOKTERAN
UNIVERSITAS MUSLIM INDONESIA2015
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¤ Nama : A¤ enis Ke!amin : "a#i$!a#i¤ %mur : 2& Ta'un¤ Tan a! asu# : 22 ei 201*
IDENTITAS PASIEN
8/18/2019 closed. fr. antebrachii
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+ -A AT / N AK T• Keluhan Utama : Nyeri lengan bawah sebelah kiri
Anamnesis : Dialami sejak 3 hari sebelum masuk rumah
sakit karena jatuh saat bermain sepakbola. Kemudian pasienmerasakan nyeri dan bengkak.. Tidak ada riwayat pingsansesaat setelah kejadian, tidak ada riwayat mual dan muntah.
iwayat pergi ke tukang pijat setelah terjatuh namun tidak ada perubahan dan bertambah nyeri
!ekanisme trauma : "asien sedang bermain bola dan tiba#tiba kehilangan keseimbangan dan terjatuh dan menggunakanlengan sebelah kiri sebagai tumpuan.
ANAMNESIS
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A /atent
B ++: 2 3minutes, symmetri4, sp5ntane5us,
t'5ra45a6d5mina! type
C /u!se rate 0 3minutes, re u!ar, str5n
D 89S 1* ( ; *), !i 't re<!e =3=,pupi! is54'5rs > 2,* 4m32,* 4m
E T: & , ?9 (a i!!ary)
Prim r! S"r#$!
8/18/2019 closed. fr. antebrachii
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S% %"& '() 'i& R$*i( +%$,r -.ii &i+i&%r
• @e<5rmity (=)• S e!!in (=)• Hemat5ma (=)• -5und ($)
LOOK
• Tenderness (=)FEEL
• Active & passive movement of the elbow and wrist joints can not be evaluated due to painMOVE• Sensibility can not be evaluated due to uncorporated patient• Pulsation of the radial and ulnar arteries are palpable• 9+T 2 se45ndsNVD
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WBC : 7 ! " #$ ! %mm!
BC : ' !$ " #$ ( %mm!
)*B : #! ( +%d,)C- : !. ' /P,- : 00( " #$ ! %mm!
)bsA+ 1on eactive
B- : !2#$3C- : 42$$3
HASIL LABORATORIUM
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FOTO RA AP/LATERAL REGIO
ANTEBRACHII SINISTRA
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Ana5 ,a5i6la5i #' tahun masu5 S Bhayan+5araden+an 5eluhan utama nyeri pada len+an bawah
sebelah 5iri a5ibat terjatuh pada saat bermainbola8ari pemeri5saan 9sis *CS #' tanda vital dalambatas normal ditemu5an deformitas ;< den+annyeri te5an ;< +era5 a5tif dan pasif len+an 5iriterbatas a5ibat nyeri tida5 ada +an++uanneurovas5uler )asil laboratorium dalam batasnormal 8ari pemeri5saan radiolo+i fotoantebrachii sinistra AP%,ateral tampa5 fra5turradius ulna #%! ten+ah sinistra
RESUME
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=ra5tur tertutup radius #%!media sinistra=ra5tur tertutup ulna #%!
media sinistra
DIAGNOSIS
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>?=8 , 04 tetes%mntBidaiAnal+eti5: 5etorolac !$ m+%4j%iv
anitidin '$ m+%4j%iv@ >= radius ulna
Antibioti5 pro9la5sis: cefota"im # +r%#0j%ivPasan+ +ipsPasan+ mitela
PENATALAKSANAAN
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Fraktur
Radius Ulna 1/3 media
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=ra5tur adalah hilan+nya 5ontinuitas tulan+tulan+ rawan sendi tulan+ rawan epi9sis bai5yan+ bersifat total maupun parsial
=ra5tur radius ulna adalah terputusnyahubun+an tulan+ radius dan ulna yan+
disebab5an oleh cedera pada len+an bawahbai5 trauma lan+sun+ ataupun trauma tida5lan+sun+
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+ %(mi
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Pada fra5tur radius ulna trauma biasanya terjadi
sewa5tu tan+an dalam 5eadaanout stretched.
Padatrauma tida5 lan+sun+ daya pemuntir biasanya jatuh pada tan+an< menimbul5an fra5tur spiralden+an 5edua tulan+ patah pada tin+5at yan+berbeda Pu5ulan lan+sun+ atau daya te5u5an
menyebab5an fra5tur melintan+ 5edua tulan+ padatin+5at yan+ sama 8eformitas rotasi tambahan dapatdisebab5an oleh tari5an otot6otot yan+ mele5at
MEKANISME TRAUMA
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8ia+nosisAnamnesis :
iwayat Penya5it e5anisme trauma
Pemeri5saan =isi5 :Primary surveyStatus lo5alis,oo5: deformitas edema lu5a bone e"posuretanda6tanda sindroma 5ompartemen=eel: nyeri te5an 5repitasi
ove: +era5 a5tif dan pasif sebai5nya tida5dila5u5an 5arena dapat memberi5an respontrauma pada jarin+an luna5
Di *+(&i&
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"emeriksaan laboratorium"emeriksaan $oto %#ray
& posisi, & sendi ,& anggota gerak, & trauma, &kali dilakukan $oto.
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*@A,S @= = AC-A1A* 1-
Recognize
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Anak-anak
P$+ % ' )& + +
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