Top Banner

of 6

HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

Apr 06, 2018

Download

Documents

HSBCalidad
Welcome message from author
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
  • 8/2/2019 HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

    1/6

    zz555555c555555555x%5%5%x5xxxx5555555z5555555h

    x,t"']~gt06?t]gekh Jklgyoz

    EOHC@K DC IZOMTSZO]DC LO C^GIG]G] DG]TOL

    DCL BSEC ZK O@((MOL>4O EOWKZi%%%%%%%%%%%%%%!%%%%%%%%%%%% DC JKFKTO D(M(BK]^GTOLGPOMGKH

    KZTK^CDGO

    Mkdgqk0 B]^%FS%?7>M%>:=

    g Ycz}gkh0 `G

    TOJLO DC MKHTCHGDK

    ?( @S]TGIGMOMGKH:( KJ@CTGYK]=( ^ZKIC]GKHOLC] O _SGCHC] YO DGZGFGDK4( ^KJLOMGKH DGOHO G CRMC^M/KHC]3( ECTKDKLKFGO9( OMTGYGDODC] >^ZKMCDGEGCHTK]6( OLFKZGTEK DC OMTSOMGKH2( GHDGMODKZC] DC CYOLSOMGKH7( FLK]OZGK G DCIGHGMGKHC]?>(JGJLGKFZOIGO??(ZCFG]TZK]?:(OHCRK]

    CLOJKZK0

    ^oqgho ? Dc 9

  • 8/2/2019 HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

    2/6

    zG

    /EOHC@K DC IZOMTSZO] / M9dgfk0 B]^%FS%?7>M%>:=DC LO C GIG]G] DG]TOL /DCL BSECZK Og ( (MOLKMO EOYKZBk}~gtox x%%%%%%%%%%%%z%%%%%%%%%%? DCx?OD(M]gekh Jklgyoz BK]^GTOLGPOMGKH g xk&x*&e(**&(&*(KZTK^CDGO G Ycz}g9h0 ?

    ?( @S]TGIGMOMGKHLo} izomtszo} dc lo C~gig}g} Dg}to/ dcl Bseczk c} sho dc lo} ~zghmg~olc} mos}o} dcghmo~omgdod w ektgyc dc mkh}slt} o lk} }czygmgk} dc Szfchmgo} dc Mklkejgo(:( KJ@CTGYK]Dg}czgoz sho fsio dc eohc`k mlihgmk jo}odo ch lo ec`kz cygdchmgo dg}~khgjlc}kjzc cl eohc`k dc lo} izomtszo} dc ? : ? C~lig}g} Dg}tol dcl Bszhczk dc sho eohczolkqgmo, }cmschmgol w kzdchodo dc omsczdk o lo ~zc}chtomgkh mlihgmo dc modo~omgchtc(=( ^ZKIC]GKHOLC] O _SGCHC] YO DGZGFGDK

    Ecdgmk} kztk~cdg}to}Ecdgmk} dcl }czygmgk dc szfchmgo}

    4( ^KJLOMGKH DGOHO G CRMC^MGKHC]^kjlomgkh odslto qsc mkh}slto ol }czygmgk dc szfchmgo} dcl Bk}~gtol ]gekh Jklgyozmkh Izomtszo} dc lo C~iig}g} Dg}tol dcl Bszhczk(3( ECTKDKLKFgOHk o~lgmo(9( OMTGYGDODC] > ^ZKMCDGEGCHTK]

    CTGKLKFgO]kh izomtszo} qsc kmszzch ~kz mocz o~kwohdk lo ~shto dcl mkdk, ~czk }kh dgiczchtc}lk} ~otzkhc} izomtszozgk} ch cl bkejzc `kych w }oho mke~ozohdk, mkh lo es`czohmgoho, dcjgl w k}tck~kzktgmo(Lo} dcikzegdodc} ohfslozc} ch crtch}gkh, ~zkdsmch izomtszo} c~gmkhdilco}, }cohecdgolc} w lotczolc} w lo} izomtszc} mkzh~lc`o} mkheghsto} }cyczoechtcdc}~lopodo}, }kh cl zc}sltodk dc tzoseo} dc olto chczfgo, ch fchczol ~kz moido} dcfzoh oltszo > mogdo} dc jgmgmlcto ektkmgmlcto w tzoseo ycbgmsloz(Ch cl odsltk `kych }kh lc}gkhc} dc~kztgyo} o}kmgodo} o lsrkizomtszo dcl mkdk(

    ^ofgho : dc 9

  • 8/2/2019 HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

    3/6

    G G G G GEOHC@K DC IZOMTSZO]&tm&* (B]^ FS ?7>** >:=DC LO C^GIG]G] DG]TOL G kKlfk((( % % y%

    KZTK^CDGO g cz]GKgW,L[[[ [[ [ [ [ ` [ [C^GDCEGKLKFGOCG fzodk dc lo izomtszo dc~chdc dcl tg~k w dc lo chczfgo dcl tzoseo( Hk bow eowkzdgiczchmgo dc ~zcyolchmgo chtzc bkejzc} w es`czc}, lo cdod c} sh ~zkjlceo qscce~ckzo cl ~zkhk}tgmk ~kz cl fzodk dc k}tck~kzk}g}(Ch fchczol }kh izomtszo} dc ~zkhm}tgmk zc}czyodk ch lo ecdgdo dc }s}mke~lgmomgkhc} hcszkyo}mslozc} ~zgzhozgo} w oqsclgo} }cmshdozgo} ol eohc`k wtzotoegchtk ghyo}gyc ~sdgchdk cyklsmgkhoz mkh zgqgdcp ~k}t qsgzszqgmo, molmgigmomgkhc}bctczktk~gmo} w }ghdzkec }ge~otgmk zcilcUk, mkh zc}sltodk} ishmgkholc} ~kjzc} o~c}oz dc lo zc}tgtsmgkh ohotkegc} dc lo izomtszoMLO]GIGMOMGKH0Bow mkhtzkycz}go dc lo stglgdod dc lo} mlo}ztmomgkhc} ohotkzhgmo} ~oz c`ce~lk lozcmkechdodo dcl fzs~k OK, qsc bomc zciczchmgo o/ mke~khchtc ohotkzhgmk w }smkhzhghsmgkh }gh c}tojlcmcz sh ~zkhk}tgmk c}~cmiigmk( Ch mkh}cmschmgo c}~zciczgjlc tchcz ch mschto cl iomtkz dc ~zkhk}tgmk ishmgkhol w dc c}to eohczo }cmkh}gdczoh ch }ge~lc} w mke~gc`o}(Lo izomtszo }ge~lc dc c~gtzkmlco w c~gmkhdglk og}/odo} > lo izomtszo }s~zomkhdglco hkdc}~lopodo }kh dc iomzl eohc`k mkh ~zkhk}tgmk ishmgkhol crmclchtc(Lo} izomtszo} mke~lc`o} mkheghsto} dc}~lopodo}, ojgczto} w mkh ~czdgdo k}co tgchchsh ~c}gek ~zkhk}tgmk o ~c}oz dc }s zc}tgtsmgkh ohotkegc}(O]^CMTK MLGHGMK0Lo mozomtczg}tgmo mlihgmo c} sho dcikzegdod o}kmgodo o dklkz wcdceo, oltczomgkhishmgkhol mke~lcto, ~scdc ycz}c o}kmgodk ch sh =># o lc}gkhc} hcszktkqgmo} dc lk}hczygk} msjgtol zodgol w ecdgohk w ch echkz fzodk lc}gkh oztczgkychk}o w }ihdzkecmke~ozotgechtol( CG doho c}tzsmtszo0 fchczol dcikzegdod ohfsloz w zktomgkhol}cyczo}( _sc c} hcmc}ozgk mkzzcqgz ch ikzeo ~zkyg}gkhol mkh sho jschoghekyglgpomlkh omklmbodo dc iczslo dc wc}k ~ozo cygtoz lo} mke~lgmomgkhc} sltczgkzc}(OHOLG]G] ZODGKFZOIGMK]c ghdgmo dc chtzodo sh }ct mkhychmgkhol o~ w lotczgol dc ZR dcl mkdk ~ozoc}tojlcmcz, hk sho mlo}gilmomgkh ohot9egmo }ghk ~ozo dctczeghoz cl tzopk izomtszozgk,~glozc} mke~zkectgdk}, fzodk dc mkhzhghsmgkh w dc}~lopoegchtk , mke~zkeg}koztgmsloz w ~zc}chmgo dc izofechtk} k}tckmkhdzolc} ghtoztgmslozc}(Ohtc lo mke~lc`gdod izomtszozgo w cl dgiimgl oholg}g} ch lo zodgklkfio }ge~lc, }c ge~khclo hcmc}gdod dc sh TOF w dc sh ZHE, qsc hk} ~czegtc sh ec`kz oholg}g}tzgdgech}gkhol dcl mo}k w sho ec`kz yolkzomgkh dc/ dohk oztgmsloz w o}l ~kdcek}bomcz cl ~lohcoegchtk dc lo mgzsfio(Crozhchc} odgmgkholc} dc oztczgkfzoiio, dk~gcz oztczgkychk}k, }c ghdgmoh ch lk} mo}k}lc}gkh yo}msloz o}kmgodo(

    ^cfgho = dc 9

  • 8/2/2019 HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

    4/6

    Bk}~gti?/]gekh Jklgyoz

    /GG M9dgfk0 B]^%FS%?7>M%>:=G xEOWKZi%%%%%%%%%%%%!%%%%%%%%%%%%% DCJKFKTOk((m($,0x,O(&K

    xxxyxex(x(((k*G ( g 8 1 ' < ( , [ ( (

    EOHC@K DC IZOMTSZO]DC LO C GIG]G] DG]TOLDCL BSECZKBK]^GTOLGPOMGKHKZTK^CDGO G Ycz}gkh0

    EOHC@K KZTK^CDGMK0Ghdgmodk ~ozo tzotoegchtk dc izomtszo} echkzc} dc : izofechtk} }gh dc}~lopoegchtkhg dcikzegdod ohfsloz o}kmgodo, }c eohc`ozoh mkh iczsgo > wc}k ojem r 4%9}ceoho} }cfsgegchtk zcdgkfzoigmk w ig}gktczo~go(EOHC@K _SGZSZFGMK0Ghdgmodk ~ozo izomtszo} dc eo} dc : izofechtk} dc}~lopodo} w fzoh mke~khchtcoztgmsloz mkh izofechtk} lgjzc} ghtzotgmslozc} o}kmgodk o lsromg9h dcl mkdk(]c zcmkegchdo ~k}gmg9h ~zkho mkh cl }k~kztc c}~cmgmk ~ozo cl mkdk, dc toleohczoqsc c}tc o 7> fzodk( CG ojkzdo`c ecdgo/ > lotczol ~ozo lo} izomtszo} c~gtzkmlcozc} >c~gmkhdglco} w cl ojkzdo`c ~k}tczgkz oe~lgodk mkh k}tcktkego klcmzohcoho ghgmgohdkmkh sho zcdsmmg9h ohot9egmo w ig`omgkh ~zkyg}gkhol moh mloyk} dc agz}mbhhcz w dc}tcgeoh, zc}tgtswchdk ~zgkzgtozgoechtc lo }s~czilmgc oztgmsloz mkh ig`omg9h dc tkzhgllk}c}~kh`k}k} dc 4 ee w }cmshdozgoechtc lo ig`omg9h ectodgoig}gozgo mkh dk} ~lomo} dczcmkh}tzsmmg9h dc =(3 ~kz ~k}tczgkz ol ~gloz ecdgol w lotczol, stglgpomg9h dc gh`cztk} chlo ectoig}g} msohdk bow fzoh mklo~}k > ~czdgdo 9}co(Ghekyglgpomg9h mkzto : o = }ceoho} w ekyglgpomg9h omtgyo tce~kzol(Lo} izomtszo} ojgczto} mkheghstgyo}, zcqsgczch k}tck}ghtc}g} eghgeo w ig`omg9hcrtczho tzo}oztgmsloz mkh zktslo dc ekyglgdod dc ilcrgkh w crtch}g9h ~ozo zcms~czomg9hishmgkhol zo~gdo dszohtc 2 o ?> }ceoho}(CG eohc`k dc lo} mke~lgmomgkhc} yo}mslozc} }c bomc ch mkh`shtk mkh cl }czygmgk dcmgzsfgo yo}msloz w cl eohc`k dc io}mgktkeio} dc}mke~zc}kzo} mkh cl }czygmgk dcmgzsfio ~lo}tgmo(Msohdk }c ~zkdsmc sho ghicmmg9h ghtzok~czotkzgo }c }gfsc lo dgzcmtzgp dc eohc`k dcizomtszo} ojgczto} ghicmtodo} mkh ohjgktgmk c}~cmgigmk }cqsh fczech og}lodk w loyodkqssszqgmk mkh dc}jgdoegchtk crtch}k w mszomgkhc} ~czg9dgmo} jo`k ohc}tc}godc`ohdk ojgczto lo bczgdo bo}to cl mkhtzkl dcighgtgyc dc lo ghicmmgkh ~ozo mgczzc ~kz}cfshdo ghtchmg9h > ~kz gh`cztk lgjzc > mklfo`k egkmstohck(

    eohk(GHICMMGFH ]s~czigmgoll~zkishdo%dzcho`c loyodk mszomgkhc} ohtgjgktgmktczo~go

    EOHC@K DC MKE^LGMOMGKHC] EO] IZCMSCHTC](YO]MSLOZ Oztczgkfzoigol cr~tkzomgkh Gtzkejcmtkegol zoigo ~zgeozgol g`cztkGio}mgktkegoHCSZKLKFGMO Kj}czyomg9h 4 }ceoho}, cr~gkzomg9h lGgjczomg9h+zoigo+gh`cztk]gHDZKEC MKE^OZTGECHTOL Iomgktkego ohtczgkz oe~lgo dcl jzopk bo}to lo

    ^ofgho 4 dc 9

  • 8/2/2019 HSP-GU-190C-023 Manejo de Fracturas de la Epifisis Distal del Humero

    5/6

    GgEOHC@K DC IZOM zSZO] GDC LO C^gIG]G] DG]TOL G M9dgfm0 B] %FS%?7>M%>:=DCL BSECZK OG((MOSlGO EOWKZ

    D%CJKFKTO D,M(x*gx(,"'xx (((**, tx(,(',(, ( ( (? < \ 8 1 (? 0 ( JGJLGKFZOIGOTMBOTPACZ+ TGLC+ ESLLCZ

    Hk o~lgco(??(ZCFG]TZK]

    ?:(OHCRK]C}to fsgo hk fchczo ohcrk}(

    ^ofgz0o "' dc 9