KONDISI TRAUMATIK

SUBJEK ORTOPEDIK
KOD MOR 2323

DISLOKASI SENDI

Dislokasi sendi
Definisi:
Peralihan/tersasar tulang dari posisi
yang membentuk sendi

Mekanisma penyebab
1.
2.

Kongenital
Kecederaan - hentakan

Jenis-jenis dislokasi
Acromioclavicular joint

Pengendalian
Subloksasi

Dislokasi

-Arm sling (1 week)

-Padding and strapping

-shoulder exercise

-Screw

2. Sendi sternoclavicular

Sternoclavicular dislocation

CT scan (anterior dislocation)

Pengendalian
Anterior dislocation closed reduction
Posterior dislocation open reduction

3. Dislokasi bahu (shoulder)

Anterior dislocation
-Closed reduction
-Open reduction (pembedahan)
Posterior dislocation
-Closed reduction

Kochers method

4. Dislokasi elbow

Posterolateral dislocation
-Closed reduction
-Pembedahan jika terdapat kepatahan dan
dislokasi

5. Dislokasi pangkal paha

Posteroir dislocation

Pengendalian
- Closed reduction

Traction

Open reduction

Internal fixation
Fragments - removed

Anterior dislocation

6. Dislokasi lutut
Pengendalian
- Closed reduction
- Open reduction

Ligament sutured
Capsule repaired

Dislokasi patella
Pengendalian
- Closed reduction
- Open reduction

Osteochondral fragment removed

Medial Capsule repaired

Pengendalian
- Closed reduction

Plaster cast

Open reduction

Ligament repaired
Kirschers wires
Fixed with screw

Tarso metatarsal dislocation

Midtarsal dislocation

Dislokasi pergelangan kaki

Peritalar dislocation

7.

8.

Dislokasi interfalangeal

Pengendalian
- Closed reduction

Splinted with grater

strapping 2-3 week

Ciri-ciri klinikal
1.
2.
3.
4.
5.
6.

Kesakitan
Bengkak
Lebam setempat
Tender
Keabnormalan posisi bahagian terlibat
Kehilangan fungsi sendi

Rawatan dan pengurusan

1.
2.
3.
4.

Redaksi segera
Larang gerak
Simptomatik
Pembedahan

Komplikasi
1.
2.
3.
4.
5.
6.
7.

Kecederaan vaskular
Kecederaan saraf
Nekrosis avaskular
Kekakuan sendi
Dislokasi berulang
Jangkitan (dislokasi terbuka)
Osteoartritis (kerosakkan rawan)