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CT 10’58” <15’00’’
BT 1’49” 1’00”-3’00”
RESUME
A man 34 years old, admitted to Andi
Makkasau Hospital with main complaints of
pain in the left elbow about 4 hours ago
before admission to hospital, the patient also
complained the him elbow difficult to move.
The patient fall from the about 3-4 meters
height when he’s working. He rolled and
stumbled to the ground.
History of loss of consciousness (-), history of
nausea and vomiting (-), history of headache (-
).
Generalist status : normal
RESUME
Generalist status : normal
• Gender
• Age
• Moments after the incident of the patient Refute his forearm with
the other hand. Deformity and swelling of the elbows are usually
very real.
• The patient maintains his elbow to not move in the flexion position.
• Direction of dislocation most often to the posterior but can also
occur laterally or medial.
• In the most dislocated soft tissue damage occurs in the form of: tear
joint capsule and even brachial artery, can also occur fraktur.
• If the dislocation to the lateral or medial ligament will extend even
rupture, ovulsion of the tendon of the plexus and the medial
epicondyle.
DIAGNOSIS
(ANAMNESIS)
• Mechanisms : when falling and extension and abduction of
the arm (posterior) or direct flexion of the elbow (anterior)
• Pain, focus around the elbow joint
• Limitations in motion
DIAGNOSIS
(PHYSICAL EXAMINATION)
DIAGNOSIS
(PHYSICAL EXAMINATION)
Lay a hand gently over the
elbow to detect warmth,
comparing to contralateral
side. Palpate the following
structures, evaluate pain
Olecranon can be palpable
in the back.
Triceps prominen
DIAGNOSIS
(PHYSICAL EXAMINATION)
TREATMENT
• Acute : Closed Reduction
• Stable : Splint for 7-10 day
• Unstable : Splint for 2-3 weeks
• Open Reduction for irreducible dxs and/or ORIF fxs
• Hinged External fixation for grossly unstable elbows
TREATMENT