LOCOMOTOR SYSTEM

DISORDERS

ACUTE CHRONIC

TRAUMA
NON-TRAUMA

Muscles &
tendon/ligame
INF. & INFL. nt neuro-
Bone and Joint BONE & JOINT
vaskuler
INJURY
injury.

- Osteomyelitis
- Osteoarthritis Muscle/tendon/ligament and -Fractures and
. Rhematoid and neurovascular ruptures Dislocations
CPPD (Goats) . Surgery Department - Sprain
- Strain
Ortopedi &
Traumatology Orthopaedic and
Ortthpaedic and
and Internal Traumatology
traumatologic
Medicine and Neurology &
Department
Departments Vascular surgery
Departments
Armis-2005
 LOCOMOTOR SYSTEM
DISORDERS

ACUTE

CHRONIC

TRAUMA NON-TRAUMA

INFECTION/ METABOLIC
BONE TUMOR
INFLAMMATION DYSFUNCTION

FRACTURES
CONGENITAL MUSCLE
DISLOCATIONS ANOMALY WEAKNESS

SPRAIN & STRAIN

ELDERLY PROBLEM
OSTEOMYELITIS
RHEUMATOID ARTHRITIS
GOUT AND PSEUDO-
 LOCOMOTOR SYSTEM Combine with or
DISORDERS without
abnormality
pain, etc
ACUTE KHRONIC

NON-TRAUMA TRAUMA

OVERUSE
INJURY
(block 3.4)

INF. & INFL. BONE Metabolic Muscles & Congenital.

Bone and Joint TUMOR Dysfunction neuro- Anomaly
/ Elderly vaskuler
diseases
- Osteomyelitis - Clubfoot
Benign and
- Osteoarthritis malignant - DDH.
. Rhematoid and Bone Tumor
- Osteoporosis
CPPD (Goats) - Degeneration of
Complication (?)
the joint - Froze
shoulder
Pathologic - Tennis & Golf Elbow
fracture,dan
Complication (?)
- De Quervain
sebagainya. - Osgood schlatter.
Bagian Syaraf, . Sport injury, dan lain-
lain
Orthop. B. vaskul,
Parasites Armis-2005
 FRACTURE & DISLOCATION
AND SPRAIN & STRAIN
DEFINITION OF FRACTURE

Segment
 DEFINITION OF FRACTURE

DISCONTUNUITY OF BONE STRUCTURE

COMPLETE OR INCOMPLETE
INTRAARTICULAR OR EXTRAARTICULAR
COMMUNITIVE/SEGMENTAL
TRANSVERSAL, OBLIQUE OR SPIRAL
CLOSED OR OPEN
OTHERS CLASIFICATION OF
FRACTURE
• TRAUMATIC FRACTURE
• PATOLOGIC FRACTURE
• STRESS FRACTURE
• AVULSION FRACTURE
• GREENSTIC FRACOMPLETED
FRACTURECTURE
• BURST FRACTURE
• BUCKLE FRACTURE
 INTRODUCTION OF THE
LOCOMOTOR SYSTEM DISORDERS
AND TRAUMA

History
Taking
KELUHAN

DIAGNOSIS/
PASIEN DIFFERENTIAL MENEJEMEN
DIAGNOSIS

PEMERIKSAAN
FISIK
Look
Feel
Move
 DIAGNOSIS OF FRACTURE

1. PATIENT COMPLAINT: PAIN, NO MOVEMENT

CAUSE BY PAIN, SWELLING, CREPITATION, DEFORMITY
(COMPLETE FRACTURE)

2. PHSICAL EXAMINATION: LOOK, FEEL, AND

MOVE.

3. INVESTIGATION: RADIOGRAPHS AP AND

LATERAL
 Imobilization &
Transportation
(Closed Fracture)
Primary
care Irigation, debridement,
antibiotic, imobilization,
and transportation
Menejemen (Open Fracture)
Fraktur

HOSPITAL

surgery
Definitive
Treatment
Sling, backslab, or plaster cast
(Sprain, Strain, or Incomplete
fracture)
PUSKESMAS
Armis 2010
OR HOME CARE
FRACTURE COMPLICATIONS

• SHOCK HYPOVOLEMIC
• VASCULAR DAMAGE/RUPTURE
• INFECTION
• AVASCULAR NECROSIS
• COMPARTMENT SYNDROME
• FAT EMBOLISM
• DELAYED UNION
• NON-UNION
• MALUNION
 RISK FACTORUMAH SAKIT
Population Armis - 2005

Open Fracture Case

Dead
no medic.
at the
District Health Service attention
scene/prehospital
(PUSKESMAS)/Emergency
Unit

1. History 2. Physical
3. Management:
Examination
Irrigation, debridement, antibiotic, & & investigation.
immobilization

HOSPITALIZED

Dead nt the treatment Rehabilitation

Dead Impairment Disability Handica Compl.

p recovery
Preventable
 Risk factoRumah POPULATION
Sakit
Incident cases
Acute injuries

Medical attention No medical

Died at scene
received attention at time of
A or injury
prehospital

Admitted to
Died in
District health sevice
District health service/
BA emergency unit
Admitted to
Out-patient treatment
of the hospital
Hospital Discharged home

Discharged to
Died in long-term
Discharged Discharged
home
CB hospital care
to rehabilitation
A
Status at end
of acute care and initial
rehabilitation

Died post- Complete

Residual Limitation Limitation
discharge impairments 2o in recovery
medical conditions in
DC participation
activity
BA
DISLOCATION AND SPRAIN & STRAIN

DEFINITION DISLOCATION AND

SUBLUXATION
DISLOCATION AND SPRAIN & STRAIN

DEFINITION SPRAIN AND STRAIN

SPRAIN GRADING
I.II, AND III
DISLOCATION AND SPRAIN & STRAIN

DEFINITION FRACTURE AND DISLOCATION

AND FRACTURE-DISLOCATION
 DIAGNOSIS

PHYSICAL EXAMINATION:
LOOK, FEEL, AND MOVE
 DISLOCATION PATIENT

What should you do

CLOSED Assess for OPEN

Associated
injuries
Surgery
Closed Reduction
(PUSKESMAS or Open
HOME CARE)
Reduction

Fail
Discharge
Hospital Armis 2010
home
SPRAIN OR STRAIN PATIENT

What should you do

PRICE REPAIR in
HOSPITAL

Discharge
home Armis 2010