DISLOKASI BAHU
PRESENTER :
ZAITITA & SHAEIMA
JENIS-JENIS KECEDERAAN BAHU
DISLOCATED SHOULDER SEPARATED SHOULDER STERNOCLAVICULAR SEPARATION TENDONITIS, BURSITIS, & IMPINGEMENT
SYNDROME ROTATOR CUFF TEAR FRACTURE ARTHRITIS OF THE SHOULDER (GLENOHUMERAL
JOINT) OSTEOLYSIS OF THE ACROMIOCLAVICULAR JOINT
DEFINISI
DISLOKASI- PERALIHAN ATAU TULANG TERSESAR DARI POSISI PERMUKAAN YANG MEMBENTUK SENDI.
DISLOKASI BAHU- PERALIHAN ‘BALL’ YANG BERADA DI SENDI BAHU (HUMERUS) DARI SOKET SENDI (LEKUK GLENOID WING BONE @ SKAPULA)
FAKTOR PENYEBAB
KECEDERAAN SUKAN
TRAUMA (MVA)
JATUH, TERSADUNG
KLASIFIKASI DISLOKASI BAHU
LOCATION POSITION OF HUMERAL HEAD
1. ANTERIOR :
a) Subcoracoid Below coracoid process
b) Subglenoid Below & anterior to glenoid
c) Subclavicular Medial to coracoid process
d) Intrathoracic Between rib & thoracic cavity
e) Retroperitoneal Behind kidney
2. POSTERIOR :
a) Subacromial Below acromion
b) Subglenoid Below & posterior to glenoid
c) Subspinous Medial to acromion & inferior to spine
KLASIFIKASI DISLOKASI BAHU
LOCATION POSITION OF HUMERAL HEAD
3. INFERIOR (luxatio erecta) Below glenoid
4. SUPERIOR Above level of acromion
CIRI-CIRI KLINIKAL
SAKIT TERUK PADA SENDI BAHU› APABILA DIGERAKKAN
TENDERNESS LEBAM SETEMPAT PARAESTHESIA ABNORMAL / DEFOMITI
› TULANG YANG TERLIBAT KEHILANGAN FUNGSI SENDI
INVESTIGASI
PEMERIKSAAN FIZIKAL
PENGAMBILAN SEJARAH PESAKIT
PEMERIKSAAN X-RAY
PEMERIKSAAN MRI
RAWATAN & PENGURUSAN NON-OPERATIVE (Reduction of the
shoulder joint); METHOD TECHNIQUE
1) HIPPROCRATIC METHOD Placed foot on chest wall below shoulder- Applies traction to abducted arm.
2) STIMSON’S TECHNIQUE Patient prone on table with arm over side. Gentle internal/external humeral rotation may be applied.
3) MILCH TECHNIQUE Arm abducted & externally rotated. Pushes humeral head into glenoid.
4) EXTERNAL ROTATION METHOD
Patient is in a supine position on the bed. The affected arm is adducted and flexed to 90° at the elbow. The arm is then slowly externally rotated.
5) KOCHER TECHNIQUE Arm externally rotated & adducted gradual internal rotation.
SURGICAL TREATMENT ;
a) Putti Platt Operation
b) Bankart’s Operation
c) Bristostocos Operation
d) Arthroscopic Bankart’s Repair
KOMPLIKASI
REDISLOCATION KECEDERAAN SARAF KECEDERAAN VASKULAR NEKROSIS AVASKULAR KEKAKUAN SENDI SUPRASPINATUS TENDONITIS ROTATOR CUFF INJURY
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