Joint dislocation CLB Y Khoa Trẻ ĐH Y Khoa Vinh

Bs CKI.CTCH.Trần Văn Thuyên Trưởng Khoa CTCH Phone:0983969491 Mail: thuyentranvan@gmail.com Page Facebook:Bs Thuyên Chấn thương chỉnh hình - xương khớp bv Quốc tế Vinh INDICATIONS FOR OPEN REDUCTION If anatomical, concentric reduction cannot be achieved by gentle, closed techniques with the patient under general anesthesia Interposed soft tissues or osteochondral fragments may contribute to the irreducibility  If a stable reduction cannot be maintained Articular fractures often are unstable and must be reduced and fixed to ensure stability of the reduction  If careful evaluation before closed reduction reveals normal neurological function and, after reduction, a definite complete motor and sensory nerve deficit becomes evident  If circulatory impairment distal to the injury is well documented before reduction and persists after reduction Further assessment of the circulation is essential and should include arteriography  If ischemia is persistent Surgical exploration with appropriate management of the vascular injury is indicated  Anatomy  Shoulder Dislocation Anterior Shoulder Dislocation Inferior (Luxatio Erecta) Rare Arm locked overhead 110-160 deg abduction, hand resting on head AP radiograph: spine parallel to humerus Shoulder Dislocation Posterior 2-4% of shoulder dislocations Arm held across chest Adducted Internally rotated Flat and squared of HIP The hip joint is inherently stable, and hip dislocations generally are produced by high energy trauma  Posterior dislocations occur much more frequently than anterior dislocations  posterior hip dislocation present with hip flexion, adduction, internal rotation, and a shortened extremity  Anterior dislocations cause the leg to be held in a position of abduction and external rotation  ... Posterior dislocations occur much more frequently than anterior dislocations  posterior hip dislocation present with hip flexion, adduction, internal rotation, and a shortened extremity  Anterior dislocations... Dislocation Posterior 2-4% of shoulder dislocations Arm held across chest Adducted Internally rotated Flat and squared of HIP The hip joint is inherently stable, and hip dislocations generally are produced... Shoulder Dislocation Anterior Shoulder Dislocation Inferior (Luxatio Erecta) Rare Arm locked overhead 110-160 deg abduction, hand resting on head AP radiograph: spine parallel to humerus Shoulder Dislocation