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FRACTURES
RP Joe Puspo : 201520401011160
Almira Yulianingrum : 201520401011121
Idza Fariha Afri : 201520401011149
BACKGROUND
ANATOMY
The Carpal Bones
ANATOMI MANUS
The Metacarpal Bones and Phalanges
UNDISPLACED FRACTURES
DISPLACED FRACTURES
COMPLICATIONS
Avascular necrosis
Nonunion
Osteoarthritis
Delayed union
Triquetrum
Avulsion of the dorsal ligaments is not uncommon; analgesics and splintage for a few
days are all that is required.; Occasionally the body is fracture; it usually heals after
46 weeks in plaster.
Hamate
They are also difficult to define on plain x-rays, carpal tunnel views and CT scan is
needed. If shows a fracture, fixation may occasionally be needed.
Trapezium
The body fracture may need open reduction and internal fixation if displaced; the
ridge
fracture usually settles with splintage for a week or two.
Capitate
The capitate is relatively protected within the carpus. However, in severe trauma the
wrist can be fractured; the distal fragment can rotate, in which case open reduction
and internal fixation is required.
Lunate
Fractures of the lunate are rare and follow a hyperextension injury to the wrist. There
is a real risk of nonunion; undisplaced fractures should be immobilized in a cast for 6
weeks; displaced fractures should be reduced and fixed with a screw.
painfull
swollen
parasthesia
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METACARPAL FRACTURES
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METACARPAL FRACTURES
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METACARPAL FRACTURES
Therapy MALLET
SPLINT
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METACARPAL FRACTURES
Boxer Fracture
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METACARPAL FRACTURES
Bennet Fracture
Therapy :
wire (percutaneus pinning)
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REVERSE BENNETTS
FRACTURE
Metacarpal base fracture IV and V
Therapy :
Reduction used K - wire and then do with a cast or splint
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Transverse (straight
across the bone)
Crush injury
Short oblique (short
diagonal) breaks
Long oblique (long
diagonal) break
Spiral break
Middle
PillonPhalanx
fractureBase
(Intra-articular)
Dorsal fracture
subluxation/dislocation
Volar fracture
dislocations
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THERAPY
Terima kasih
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