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Trauma Kerusakan jar lunak,Tulang & sendi
Jaringan Lunak: -Sprain-Strain-Hematom-Ruptura/perforasi.
Tulang & sendi: -Fraktur-Subluksasi
-Dislokasi
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MODALITAS rMODALITAS röö
X-Ray Conventional: X-Ray Conventional: -Tanpa Kontras -Tanpa Kontras -Dengan Kontras -Dengan Kontras
Ultrasonography (USG)Ultrasonography (USG) Computed Tomografi Scanning (CT Computed Tomografi Scanning (CT
San)San) Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI) Kedokteran Nuklir Kedokteran Nuklir Angiography.Angiography.
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Fraktur--- diskontinuitas
Penyebab: -trauma berat-spontan/patologik-stress/fatigue
Trauma: -eksternal(tabrak, jatuh, dll)-internal(kontraksi otot pd epilepsi,tetanus dll)-trauma ringan terus menerus.
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Fraktur Patologikfr pada tulang patologi (tumor, MM,
kista tulang, osteomyelitis)trauma ringan fr
Fraktur Stress fr oleh trauma ringan terus-menerus
(fr. march pd tentara, fr.tibia penari balet, fr.fibula pelari jarak jauh)
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Macam frakturJenis fr bervariasi, tergtg faktor:
-kuatnya trauma-trauma langsung/tdk lgsg-umur px-lokasi fr.
Tipe2 fraktur:fr. Transversal, oblique/spiralfr. Simpel, Kominutiffr. Avulsifr. Greenstickfr. Epifisisfr. Kompressifr. Impressi/depressi.fr. Terbuka/fr. Tertutup
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Fr. TerbukaRö: - tonjolan fragmen tl melewati batas jaringan
- hilangnya bagian tulang.
- kerusakan soft tissue luas hingga. permukaan tl.
- bayangan udara subcutan.
- benda asing sekitar fraktur.
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Apa yg harus diperhatikan pd foto?minimal 2 posisiadakah fr? lokasinya?struktur tulang (biasa/patologik)jk dekat sendi adakah dislokasi?
Evaluasi ro lanjutan:-post op/reposisi.-menilai kesembuhan: calus,
remodelling, komplikasi.
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Cara baca foto fr: Sebutkan tipe fr, tlg apa, setinggi apa Sebutkan dislokasi fragmen (jk ada)
ad axim: jk membentuk sudutad latum: jk sejajarad longum; jk perpanjangan
cum distractionum: jk menjauhcum contractionum: jk mendekat
Callus Komplikasi
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Penyembuhan frakturhematom – organisasi hematom – fibrous callus – primer callus ( 4mgg) -- sekunder callus (7mgg) densitas tl.
Komplikasi fraktur:1. Bone atrophy (osteoporosis ke 2 fragmen)
jk hebat Sudeck’s atrophy2. Osteomyelitis.3. Delayed Union.4. Non Union --- (ada pseudo arthrosis)5. Mal Union6. Aseptik nekrosis7. Ggn pertumbuhan8. Myositis ossificans9. Soft tissue injury (otot/tendon, p drh, saraf)
10. Fat emboli
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Nama2 khusus fr:Colle’s fr, Smith’s fr, Barton’s fr, Galeazzi’s fr, Montegia’s fr. Boxer fr, dll.
Epifisiolisis;klasifikasi Salter-Harristipe I : separasi epifisial plate
II: separasi + fr metafisis III: separasi + fr epifisis IV: fr. Epi – meta V: kompressi
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Kepala AP: FRAKTUR MANDIBULA
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Fr. Cervical
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Fr. Kompressi
Ga jelas lagiPd osteoporosis
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Fr. Burst L1-corpus vertebra
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Fr.Burst
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FRAKTUR KOMPRESI BGN ANTERIOR
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Humerus
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SUBLUKSASI
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DISLOKASI AC Joint
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Fr.transversal complet femur sinistra 1/3 tengah ad axim cum contractionum
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Humerus
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Fr. Barton’s
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Fr. Smith’s
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Fr.Galeazzi’s
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Fr. Montegia’s
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Green stick, serabut/g rata
Fr.greenstick ulnar dexra 1/3 tengh ad latum
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Bekas screw
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Fr Avulsi
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Fr. Avulsi
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Fr.cominutive femur 1/3 distal ad latum com contractionum
Displace posterior
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Fr. patologis
Metafise ada kista
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Abd Left Lateral Decubitus Untuk melihat udara bebas
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Abd erect/tegak
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Fr.Diastasis/irisan axial
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USG tendon achilles
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USG tendon achilles
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AC Joint
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CT Scan
Computerized Tomography scanner.Sebelumnya: Conventional Tomography.
Tabung Sinar X
Objek
Kaset/Filem
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Peralatan CT Scan
1. Scanning Gantry: - X ray tube, detectors
2. Scanning table3. Generator4. Computer & viewing devices
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Generasi CT ScanGenerasi 1.
-single detector-translate rotate-scan time: 4-5 mnt-reconstruction time: 4-5 mnt
Generasi 2. 2A: -3 detector, translate rotate -scan time: 2,5 mnt.2B: -12 s/d 30 detector, translate rotate -scan time 18 sec.
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Generasi 3.->360 detector, translate rotate-scan time 5 sec
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Generasi 4:- 360 s/d 720 detector (diam)- yg gerak: tabung sinar X. - 1 slice atau spiral (helical).
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MS/MDCT.
MSCT 64-slice
Gantry
Meja Prks
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Hounsfield Unit
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Penggunaan Ct Scan
-Pemeriksaan Kepala/otak-Leher-Thorax-Abd-Musculoskeletal
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CT Scan--- kepala --- trauma kapitis.
Dapat terjadi: -Hematom kulit kepala-Fraktur-Hematom Epidural, subdural, subarachnoid, intra cerebral.
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Trauma Kepala
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Epidural Haematom (EDH)
1. EDH akut.-area hyperdens biconvex-tdk melewati sutura-desak parenchym otak sekitar-deviasi midline str.
2. EDH kronis.-hyperden menjadi hypoden
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EDH akut EDH kronis
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Subdural Hematom (SDH)
SDH akut
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SDH Kronis
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Subarachnoid Hematom
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Intra Cerebral Haematom (ICH)
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Infark Cerebri
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CT Thorax
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Ct Abd
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Ct Abd
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Terimakasih