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December 16, 2009

inspired by his humerus-dislocation

it made me so sad when i heard that he got injury during his pradiko
he got humerus-dislocation
he was so brave,he ignored the pain
now he has to immobilize his arm for weeks
this inspired me,
when i started to open my lecture of surgery
i want to share it

DISLOKASI.
Definisi : keluarnya caput sendi dari mangko sendi
Penyebab : trauma
Gejala :
1. Deformitas : hilangnya tonjolan tulang yang normal ( deltoid rata, dislokasi bahu). Ada perpendekan
2. Nyeri
3. Fungsiolesa, gerak terbatas ( contoh dislokasi anterior sendi bahu tak bisa endorotasi )
4. Membuat X- foto
Tindakan :
1. reposisi segera
2. dislokasi sendi kecil dapat direposisi ditempat kejadian tanpa anestesi, misalnya dislokasi bahu, dislokasi jari.


Dislokasi bahu :
- paling sering dislokasi anterior
- teknik reposisi :
1. cara Hipocrates, pakai kaki di axilla, dilakukan traksi
2. cara Kocher, paling sering digunakan , taitu traksi, exorotasi, adduksi, endorotasi
3. Cara Stimson , posisi tengkurap, traksi 5- 71/2 kg, 25 menit.

Komplikasi :
- neuropraxia n axillaris  m deltoid lumpuh tak bisa abduksi
- robeknya cuff sendi
- dislokasi berulang
- interposisi tendo biseps aput longus.

i love u fakhrul,be strong as always *cuph!

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