Fraktur:

Terputusnya/hilangnya kontinuitas
dari tulang

Struktur tulang:
Periosteum.
Kortek
.
Medul
a.

RADIOLOGIS :

MEDULLA
LEBIH

RADIOLUSE
N.

PERIOSTEUM TAK
TAMPAK .

KORTEK

LEBIH
RADIOOPAQ.

Bagian tulang:
Epifisis.
Metafisi
s.
Diafisis.
Garis
epifisis.

BAGIAN

TULANG

1.EPIFISIS ------------

(3)

2.GARIS EPIFISIS---

(5)

3.METAFISIS ---------

(6)

4.DIAFISIS-------------

(7)

FRAKTUR
Peran
Radiologi:
1. Diagnosis dan evaluasi
disloka
tipe
Monitoring hasil terapi
2. si
dan

fraktur
dan
komplika
si

Curiga fraktur

X Foto tulang.

Syarat:
Minimal 2
posisi.

2 sendi.

Melibatkan 1
Dibandingkan
dengan
atau
yang
normal.

PENILAIAN
:
2.
1.

Lokasi.

4.

Alignment

Tipe
3. Arah
garis

fraktur
. a aposis
d
n i.

Displacement.

Angulasi.

Overlapping
Rotasi.

distraction.

5. Keadaan khusus yang

menyertai
6. fraktur: fraktur dengan
kompresi,
dislokasi.
depresi.
7. Tipe
khusus: stress/
Gambaran
fraktur
khusus:
impaksi,
fraktur
pathologic
.

1. LOKAS
I
Tulan apa kanang
,
kiri. caput
tulang
Bagia trochante
:
,
dari
nsupracodile
r,
epicondile
r.
r,
Diafis 1/3 tengah
1/3
colum,

e:proksima 1/3
, distal
l,
.

Fracture is
approximately at
thirds of
junction of middle and distal
femur

supracondil
er

intraartikul

2. TIPE
komplit tida
Incomplete/tida
melal seluru penampan
:
k
k ui
h
g
tulang.
Complete/komplit:
seluru
melalui
penampan tulan
h
g
g

Incomplete:
- Bowing
- ,Torus,
Greenstic
k.

Complete
- Simple.
- cominutif

INCOMPLET
E

bowin
g

toru
s

Greenstic
k

COMPLETE

simpl
e

kominuti
f

3. ARAH FRAKTUR
Transversa
l.
Longitudin
Spir
al.
al
Obli
q.

transvers
al

obli
q

spira
l

longitudin
al

4. ALIGNMENT DAN
APOSISI
1.Displacement: Medial,
Lateral.
2.Angulasi: Apek di medial
(vagus)/ lateral (varus).

3.Rotasi: interna, eksterna.

4.Ujung fragmen: overiding

5. Fraktu denga disloka

r
n
si

6. Fraktu khusu
r
s

Compressi fractur
on
e

Compression
Fracture
L1

L2

L1
Compressi
fractur
on
e

Loss of
Bone
heigh
t

L3
L4
L5

Severe Wedge Compression Fracture

Impaction fracture
Impaction: bone ends
crushed Can be quite
togethe
r.
stable

Depressio Fractur
n
e

Usually resulting from axial

loading. Fracture results
from femoral condyles
on
tibial force
exerting
plateau

Medial Plateau is stronger

than
lateral, therefore fracture of
lateral plateau more common
(unlike that shown in picture)

Salter-Harris Classification of
Epiphyseal injury
V

II

III

IV

Type V
Crush (impaction) injury of growth plate
No specific treatment, and high incidence of
growth arrest

SalterHarris

Classificati of Epiphyse injur

on
al
y
I

Type
ITransverse fracture
growth plate
through
and cast
Treatment:
immobilization
(heals
well, closed
95% do not affect
reduction
growth)

SalterClassificati of
HarrisEpiphyse
on injur
II y
al

Type
Through
II

and
growt
plat
metaphysis
along
h
e
Treatment: closed reduction and
immobilizati
cast
on

SalterClassificati of
HarrisEpiphyse
on injur
al
IV y

Type
Through
IV
and
epiphysis anatomic
metaphysis
Treatment:
reduction by
Open
Reduction Internal Fixation

SalterClassificati of
HarrisEpiphyse
on injur
V y
al

Type
Crush
V
injury of
plat
(impaction)
growthand highe
No
specific treatment,
growth
incidence of
arrest