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SAMENVATTING in powerpoint-vorm - TRAUMATOLOGIE: fracturen bovenste lidmaat
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Samenvatting van de fracturen van het bovenste lidmaat, in powerpoint-vorm. - diagnose - classificatie - behandeling - nabehandeling
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TRAUMATOLOGIE –BOVENSTE LIDMAAT
PROF. M. HERTELEER / 22’-23’
, CLAVICULA-FRACTUREN
INLEIDING • matig tot hoogenergetisch
• sportblessures
DIAGNOSE • KLINISCH: pijn, zwelling, functio laesa; arm ondersteunen
• RADIOLOGISCHE OZ: standaard RX-opnames & CT-scan (enkel bij mediale)
CLASSIFICATIE mediale 1/5e: mediale claviculafractuur
middelste 2/5e-4/5e: midschaft claviculafractuur
laterale 1/5e: laterale claviculafractuur
Neer-type 1: onverplaatst, coraco-claviculaire ligamenten intact;
Neer-type 2: verplaatst, coraco-claviculaire ligamenten gescheurd of lateraal van fractuur;
Neer-type 3: intra-articulaire fracturen
BEHANDELING • CONSERVATIEF: onverplaatste fracturen & kinderen (draagdoek, 8verband)
• CHIRURGISCH – schaft eenvoudig: intramedullaire nagel (relat stab, indirecte heling)
• CHIRURGISCH – schaft complex (verplaatst): plaatOS, bridge plating (relat stab, indirecte hel
• CHIRURGISCH – lateraal type 2: groot -> plaatOS / klein -> haakplaatOS, sutuurfixatie
NABEHANDELING • CONSERVATIEF: draagdoek (3W) -> mobilisatie OGVP / 6W: belasten
• Geen contactsport (3M)
• CHIRURGISCH: plaatOS (midschaft) -> mobiliseren en belasten
haakplaatOS -> plaat weg (3-4M) tot dan mobiliseren onder 90° abd
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