Ghcto j Kr. Jlenlc OTP OVL@HM Gl`hehj m - AMI = Armturms `m `híahs l `o ûglro Ms armturms `m `híahsl `o ûglro mprlsljtmg ugm hjeh`ëjehm `l 4% `l to`ms ms armturms l eojsthtulg 46% `ms armturms `o ûglro `o m`ucto. M gmhorhm `ms armturms `lssl thpo oeorrl lg slu tlréo gè`ho (16%), sliuh`o plcos tlréos proxhgmc (56%) l `hstmc (=6%). Mj mto gh m M `híahsl `o ûglro lstlj`l-sl pro xhgmcgljtl `l s`l m dor `m suplrhor `o gûseuc o plhtormc gmhor mtè m rlihåo suprmeoj`hchmjm `hstmcgljtl. Jo tlréo gè`ho, äjtlro-cmtlrmcgljtl, mprlsljtm-sl m tudlrosh`m`l `lctõh`l l, postlrhorgljtl m tudlrosh`m`l, lstí o suceo pmrm o jlrvo rm`hmc. O jlrvo rm`hmc vlg `lselj`o lg eurso lsphroh`mc `l gl`hmc l postlrhor pmrm cmtlrmc, slj`o protlih`o `o eojtmto `hrlto eog o ûglro jlssm rlihåo plcos gûseucos trçelps l drmquhmc. O drméo è `hvh`h`o jos eogpmrthgljtos mjtlrhor l postlrhor. Jo eogpmrthgljto mjtlrhor, lståo os gûseucos dçelp s drmquhmc, eormeodr mquhmc l drmquhmc, eog m mrtèrhm l vlhm drmquhmhs l jlrvos gl`hmjo, ucjmr l guseucoeutäjlo eursmj`o gl`hmcgljtl mo dçelps. Jo eogpmrthgljto postlrhor, lståo o gûseuco trçelps drmquhmc l o jlrvo rm`hmc. Lg slu eurso `hstmc, o jlrvo ucjmr plraurm o slpto hjtlrguseucmr gl`hmc, l o jlrvo rm`hmc amz o glsgo eog o slpto hjtlrguseucmr cmtlrmc. M méåo guseucm r `ltlrghjm o `l svho `os armigljto s jms armturms `m `híahsl `o ûglro. Jms armturms mehgm `m hjslréåo `o plhtormc gmhor, o armigljto proxhgmc lstí lg md`uéåo l rotméåo, plcm méåo `o gmjiuhto rotm`or, l o armigljto `hstmc `lsvhm gl`hmcgljtl `lvh`o æ aorém `o plhtormc gmhor. Jms armturms mdmh xo `m hjslréåo `o plhtormc gmhor l mehgm `m hjslréåo `o `lctõh`l, o armigljto proxhgmc `lsvhm pmrm gl`hmc plcm aorém `os gûseuco plhtormc gmhor, rl`oj`o gmhor l cmtçsshgo `o `orso, l o armigljto `hstmc plrgmjlel cmtlrmc, plcm méåo `o `lctõh`l. Jms armturms `hstmhs æ hjslréåo `o `lctõh`l, o armigljto proxhgmc lstí md`uzh`o, ljqumjto o armigljto `hstmc lstí trmehojm`o proxhgmcgljtl.
7
Embed
Fraturas da Diáfise do Úmero - Resumo Ortopedia Medicina
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
5/11/2018 Fraturas da Di fise do mero - Resumo Ortopedia Medicina - slidepdf.com
Nr dqn}{qnr mn m`îd`rk mi õjkqi nwqkrkl}nj {jn `lb`målb`n mk 1+ mk }imnr nr dqn}{qnr kbilr}`}{kj 17+ mnr dqn}{qnr mi õjkqi mi nm{f}i, N jn`iq`n mnr dqn}{qnr mkrrk }`wi ibiqqk kjrk{ }kqãi jàm`i (47+)& rkc{`mi wkfir }kqãir wqix`jnf (27+) k m`r}nf (>7+),
Nln}ij`nN m`îd`rk mi õjkqi kr}klmk*rk wqix`jnfjkl}k mkrmk n aiqmn r{wkq`iq mi jõrb{fiwk`}iqnf jn`iq n}à n qkc`âi r{wqnbilm`f`nln m`r}nfjkl}k, Li }kqãi jàm`i& ál}kqi*fn}kqnfjkl}k&nwqkrkl}n*rk n }{akqir`mnmk mkf}ò`mk k& wir}kq`iqjkl}k n }{akqir`mnmk& kr}î i r{fbi wnqn ilkqti qnm`nf, I lkqti qnm`nf tkj mkrbklmi kj b{qri krw`qi`mnf mk jkm`nf k wir}kq`iq wnqnfn}kqnf& rklmi wqi}kc`mi mi bil}n}i m`qk}i bij i õjkqi lkrrn qkc`âi wkfir jõrb{fir }qêbkwr kaqn~{`nf,
I aqnãi à m`t`m`mi lir bijwnq}`jkl}ir nl}kq`iq k wir}kq`iq, Li bijwnq}`jkl}i nl}kq`iq&kr}âi ir jõrb{fir aêbkwr aqn~{`nf& biqnbiaqn~{`nf k aqn~{`nf& bij n nq}àq`n k tk`n aqn~{`n`r klkqtir jkm`nli& {flnq k j{rb{fib{}álki b{qrnlmi jkm`nfjkl}k ni aêbkwr, Li
bijwnq}`jkl}i wir}kq`iq& kr}âi i jõrb{fi }qêbkwr aqn~{`nf k i lkqti qnm`nf, Kj rk{ b{qrim`r}nf& i lkqti {flnq wkqd{qn i rkw}i `l}kqj{rb{fnq jkm`nf& k i lkqti qnm`nf dnu i jkrji bij irkw}i `l}kqj{rb{fnq fn}kqnf,
N nãâi j{rb{fnq mk}kqj`ln i mkrt`i mir dqncjkl}ir lnr dqn}{qnr mn m`îd`rk mi õjkqi,Lnr dqn}{qnr nb`jn mn `lrkqãâi mi wk`}iqnf jn`iq& i dqncjkl}i wqix`jnf kr}î kj nam{ãâi kqi}nãâi& wkfn nãâi mi jnlc{`}i qi}nmiq& k i dqncjkl}i m`r}nf mkrt`n jkm`nfjkl}k mkt`mi çdiqãn mi wk`}iqnf jn`iq, Lnr dqn}{qnr nan`xi mn `lrkqãâi mi wk`}iqnf jn`iq k nb`jn mn `lrkqãâimi mkf}ò`mk& i dqncjkl}i wqix`jnf mkrt`n wnqn jkm`nf wkfn diqãn mir jõrb{fi wk`}iqnf jn`iq&qkmilmi jn`iq k fn}êrr`ji mi miqri& k i dqncjkl}i m`r}nf wkqjnlkbk fn}kqnf& wkfn nãâi mimkf}ò`mk, Lnr dqn}{qnr m`r}n`r ç `lrkqãâi mi mkf}ò`mk& i dqncjkl}i wqix`jnf kr}î nam{u`mi&kl~{nl}i i dqncjkl}i m`r}nf kr}î }qnb`ilnmi wqix`jnfjkl}k,
5/11/2018 Fraturas da Di fise do mero - Resumo Ortopedia Medicina - slidepdf.com
M`nclòr}`biLn jn`iq`n mir bnrir& n h`r}òq`n mi }qn{jn}`rji ~{k wqim{u`{ n dqn}{qn à kt`mkl}k, Ir
r`ln`r bfîrr`bir mk dqn}{qn râi miq& kmkjn& mkdiqj`mnmk& bqkw`}nãâi k jia`f`mnmk nliqjnf&~{k wimkj kr}nq }imir wqkrkl}kr& mk nbiqmi bij i }`wi mk dqn}{qn,
I kxnjk qnm`icqîd`bi mk qi}`ln mktk `lbf{`q nr `lb`målb`nr ál}kqi*wir}kq`iq (NW) k mkwkqd`f (W) mk õjkqi& kltiftklmi nr nq}`b{fnãûkr mi ijaqi k mi bi}itkfi, Krrnr qnm`icqnd`nr
mktkj rkq ia}`mnr bij i wnb`kl}k jitklmi*rk rkj qimnq i jkjaqi ndk}nlmi `rifnmnjkl}kriaqk i dibi mn dqn}{qn, Dqn}{qnr j{`}i bij`l{}`tnr wimkj qk~{kqkq qnm`icqnd`nr bij }qnãâiwnqn jkfhiq ntnf`nãâi,
N b`l}`ficqnd`n òrrkn& qkrrilálb`n jnclà}`bn k }ijicqnd`n bijw{}nmiq`unmn râi{}`f`unmnr kj r`}{nãûkr krwkb`n`r& biji li m`nclòr}`bi k kr}nm`njkl}i mnr dqn}{qnrwn}ifòc`bnr,
N kfk}qilk{qij`icqnd`n nwkln rkqn õ}`f wnqn i m`nclòr}`bi mn fkrâi lk{qifòc`bn n wnq}`qmn }kqbk`qn rkjnln mi }qn{jn? wiq}nl}i& à `jwqkrb`lmêtkf n qknf`unãâi mi kxnjk bfêl`binmk~{nmi,
]qn}njkl}i
]kj biji iaek}`ti ia}kq n {l`âi bij {j nf`lhnjkl}i nbk }̀îtkf wnqn qkr}nakfkbkq nd{lãâi wqkrkl}k nl}kq`iqjkl}k& mktklmi rkjwqk bilr`mkqnq bnqnb}kqêr}`bnr mn dqn}{qn& miwnb`kl}k& fkrûkr nrrib`nmnr& fkrâi mk }kb`mir jifkr wnqn n krbifhn mi }qn}njkl}i
]qn}njkl}i Bilrkqtnmiq
Kj wq`lbêw`i& nr dqn}{qnr mn m`îd`rk mi õjkqi râi mk }qn}njkl}i bilrkqtnmiq, Kj ckqnf&
nr dqn}{qnr lâi*mkrfibnmnr ktif{kj mk jnlk`qn rn}`rdn}òq`n& bij bhnlbkr mk bilrif`mnãâi mk07*>77+,
Wiq rkq i õjkqi {j irri akj tnrb{fnq`unmi k kltift`mi wiq tîq`ir jõrb{fir& iwqibkrri mk bilrif`mnãâi à dnb`f`}nmi, Lnr dqn}{qnr bij mkrfibnjkl}i& hî lkbkrr`mnmk mkdnukq n qkm{ãâi `lbq{kl}n& fkjaqnlmi ~{k wimk rkq nbk`}n {jn nlc{fnãâi nl}kq`iq mk >7*17µ kmk >7*27µ mk tnqi& nrr`j biji klb{q}njkl}i mk n}à 1&;bj,
Kl}qk ir m`tkqrir jà}imir mk }qn}njkl}i lâi b`qõqc`bi (w`lãn mk bildk`}k`qi& ckrriwklmkl}k& ckrri }iqnbiaqn~{`nf& `jia`f`unãâi mk Tkfwkn{)& i {ri mk òq}krkr aqn~{`n`r(rnqj`kl}i)& ~{k wkqj`}kj n bil}qnãâi mir cq{wir j{rb{fnqkr nmenbkl}kr k kr}`j{fnj nbilrif`mnãâi& à i jà}imi mk }qn}njkl}i lâi b`qõqc`bi jn`r {}`f`unmi n}{nfjkl}k,
`lm`bnmi lnr f{xnãûkr cfkli{jkqn`r (nwòr qkm{ãâi)& lnrdqn}{qnr mi bifi mi õjkqi k mn krbnw{fn,
Òq}krk mk Rnqj`kl}i (Aqnbk)Bilr`r}k ln bijwqkrrâi mir jõrb{fir ni qkmiq mi õjkqi
wiq {jn iq}krk b`qb{ldkqklb`nf dk`}n ria jkm`mn ~{k wkqj`}k njit`jkl}nãâi mnr nq}`b{fnãûkr mi ijaqi k bi}itkfi,
I nwnqkfhi d{lb`iln bij i wq`lb`w`i mk bil}qnãâi j{rb{fnqn}`tn biqq`c`lmi qi}nãâi k nlc{fnãâi& `r}i ibiqqk wkfi kdk }̀ibijwqkrr`ti ‖h`mqî{f`bi‚ mir }kb`mir jifkr k wkfn diqãn mncqnt`mnmk& ~{k kj bile{l}i ne{mnj li nf`lhnjkl}i mirdqncjkl}ir mn dqn}{qn,
Kr}î `lm`bnmn biji bil}`l{nãâi mi }qn}njkl}i& kj dnrkrkb{lmîq`n& nwòr i {ri mk i{}qi `jia`f`unãâi jn`r qêc`mn k kj~{k eî kx`r}k jklir jia`f`mnmk li dibi mn dqn}{qn k jkliqkmkjn& `rri bir}{jn nbil}kbkq nwòr 2*= rkjnlnr, Wiqàj
nfc{lr n{}iqkr wqkbil`unj rk{ {ri eî li `lêb`i mi }qn}njkl}i,
]qn}njkl}i B`qõqc`bi
N qkm{ãâi nakq}n bij d`xnãâi à `lm`bnmn wnqndqn}{qn kj ~{k lâi di` ia}`mn qkm{ãâi dkbhnmnrn}`rdn}òq`n& i ~{k liqjnfjkl}k nbil}kbk lnr dqn}{qnrrkcjkl}nqkr, I }qn}njkl}i b`qõqc`bi }njaàj à `lm`bnmi
lnr dqn}{qnr iafê~{nr mi }kqãi m`r}nf mi õjkqi& lnr ~{n`ri lkqti qnm`nf wnrrn e{l}i ni dibi mn dqn}{qn k kj ~{k&ln }kl}n}`tn mk qkm{ãâi dkbhnmn& wimk ibiqqkq fkrâilkqtirn,
Lnr dqn}{qnr bij fkrâi tnrb{fnq nrrib`nmn& mktkhntkq kr}na`f`unãâi mn dqn}{qn }nl}i wkfn jnl`w{fnãâiwòr*iwkqn}òq`n ~{nl}i wkfn wqi}kãâi mi wqibkm`jkl}itnrb{fnq,
5/11/2018 Fraturas da Di fise do mero - Resumo Ortopedia Medicina - slidepdf.com
N kx}klrâi mnr nq}`b{fnãûkr `l}kqdnfálc`bnr wqix`jn`r mir mkmir kr}î wqkrkl}k kjfkrûkr mi lkqti qnm`nf& wi`r à qknf`unmn wkfir `l}qêlrkbir `lkqtnmir wkfi jkm`nli k {flnq, Kjfkrûkr mi lkqti qnm`nf li }kqãi `ldkq`iq mi õjkqi& i kltift`jkl}i wimk rkq nwklnr mi lkqti`l}kqòrrki wir}kq`iq& jnl}klmi*rk n kx}klrâi mi w{lhi wkfi kx}klriq qnm`nf mi bnqwi,
I kr}{mi kfk}qij`icqîd`bi k mn tkfib`mnmk mk bilm{ãâi lkqtirn wimk n{x`f`nq linbijwnlhnjkl}i n wnq}`q mk& li jêl`ji 2 rkjnlnr mk fkrâi,
Rk i wnb`kl}k nwqkrkl}nq wnqnf̀ r`n mktk rkq iq`kl}nmi n {}̀ f`unãâi mk `jia`f`unãâi wnqnjnl}kq i w{lhi kj kx}klrâi k dnukq jit`jkl}nãâi wnrr`tn mi w{lhi k mir mkmir wnqn kt`}nqbil}qn}{qn kj dfkxâi
Iarkqtnq ~{nf~{kq r`lnf mk qkb{wkqnãâi mi lkqti ckqnfjkl}k li jõrb{fir m`r}n`r nfkrâi& biji li aqn~{`iqqnm`nf& kx}klriq qnm`nf b{q}i k filci mi bnqwi& rklâi ibiqqkq lklh{jr`lnf mk qkb{wkqnãâi kj 2 i{ = jkrkr& kxwfiqnãâi mi lkqti à `lm`bnmn& eî ~{k krrk }kjwirkq`n r{d`b`kl}k wnqn n qkb{wkqnãâi mn lk{qiwqnx`n i{ nxili}jkrk,
N `lm`bnãâi mk kxwfiqnãâi b`qõqc`bn mi lkqti qnm`nf à nwklnr kj fkrâi mi lkqtinrrib`nmn ç dqn}{qn kxwir}n,
Bilrif`mnãâi t`b`irn N bilrif`mnãâi t`b`irn wi{bnr tkukr à {j wqiafkjn wòr*dqn}{qn mk m`îd`rk {jkqnf,
Biji b`}nmi nl}kq`iqjkl}k& mkrt`ir nlc{fnqkr mk 17*27µ wimkj rkq nbk`}ir& riaqk}{mi kjwkrrinr iakrnr, N cqnlmk jia`f`mnmk nq}`b{fnq mi ijaqi wimk bijwklrnq mkrt`ir qi}nb`iln`rmk n}à >;µ, Klb{q}njkl}i mk n}à 1&;bj lâi bn{rnj wqke{êuir d{lb`iln`r, Kj bnrir mkmkrt`ir jn`r kx}qkjir bij wkqmn d{lb`ilnf& ir}ki}ij`n biqqk}`tn bij wfnbn k wnqnd{rir kr}î`lm`bnmn,
Wrk{mi*nq}qirk Nr dqn}{qnr m`nd`rîq`nr mi õjkqi bilrif`mnj& kj jàm`n n}à ~{n}qi jkrkr, Nwòr 4*8
jkrkr rkj bilrif`mnãâi& kr}nakfkbk*rk wrk{mi*nq}qirk, Krrn bilm`ãâi ibiqqk bij
`lb`målb`n mk n}à >7+ bij }qn}njkl}i bilrkqtnmiq k mk n}à 2>+ bij naiqmnckj b`qõqc`bn,N wrk{mi*nq}qirk kr}î qkfnb`ilnmn m`nak}kr& iakr`mnmk jòqa`mn& cqnlmk nlc{fnãâi mn
dqn}{qn& `lm`têm{ir bij `mnmk ntnlãnmn& ria {ri mk biq}`bir}kqò`mkr i{ mk nl}`binc{fnl}kr kwnb`kl}kr bij q`c`mku mk ijaqi i{ bi}itkfi wiq bifibnqkj jn`iq kr}qkrrk ria i dibi mkdqn}{qn,
I }qn}njkl}i bilrkqtnmiq kd`bnu à qknf`unmi bij wfnbnr k wnqnd{rir i{ hnr}k`l}qnjkm{fnq& njanr nbijwnlhnmnr mk klxkq}`n òrrkn biq}`bikrwileirn& kxbk}i lir bnrirkj ~{k n wrk{mi*nq}qirk à mi }`wi h`wkq}qòd`bn i{ h`wkqtnrb{fnq k lkbkrr`}n nwklnr mkkr}na`f`unãâi òrrkn wnqn bilrif`mnãâi,