Ppt Dislok Elbow

Ni Made Febri

Supervisor :Letkol Ckm dr. Basuki Widodo, Sp.OT

he lived at Dsn Beseran I RT 2/RW 1 Kel. Beseran Kec. Kaliangkrik, Kabupaten Magelang

Chief complaints: The patient came to the clinic with chief complaints of pain at the left elbow area, and there is lacerated wound at the left elbow area that had been hecting

History of present illness: Friday, October 26, 2012 fall down from the bike

Sangkal Putung Soeroto hospital to hecting the wound and took radiological examination.

Because the pain did not go away, the patient came to the clinic on Monday, October 29, 2012.

Blood presurre : 110/70 mmHgPulse : 82x/ minuteTemperature : 36 CRespiratory : 24 x/ minute

HEADEye : CA -/- , SI -/-Pupil isocor : 2 milimetresHead Shape : MesochepalTHORAX

Cor : SI dan SII normal regularPulmo : vesicular, ronkhi -/- , wheezing -/-

ABDOMENBowel sound (+) N, timpani, liver and spleen

no palpable enlarged

EXTREMITAS

a/r CUBITI SINISTRA

Look : deformity (+), oedem (+), there is a lacerated wound that had been hecting

Feel : oedem (+), tenderness (+), pulse (+)

Movement : limited ROM, pain when move

X-RAY LABORATORY

Hb : 13,3 g/dlHematokrit : 38,6CT/BT : 4’ / 3 30’

POSTERIOR DISLOCATION OF ELBOW SINISTRA (NEGLECTED)

Infus RLPycin 750 mg

Repositioning Of Elbow Joint Dislocation

Operation report :Patient supine with general anesthesia (GA)Desinfection of the area operationDo the repositioning and debridementPut on the backslab above the elbow with a

position angle of more than 90 degreesAttach armslingThe operation completed

Infus RL : D5 = 2 : 1 (20 – 30 dpm)Injection Ketorolac 3 x 30 mgInjection Pycin 2 x 750 mgMobilization with armsling

Blood presurre : 120/90 mmHg

Pulse : 82x/ minute

Temperature : 36 C Respiratory : 22 x/ minute

Complaint: Dizziness (-), weak (-), nausea and vomiting (-), the movement of the left elbow joint area is still limited, tingling in IV and V left hand fingers.

a/r CUBITI SINISTRA

Look : covered with backslab and tensocrepe

Feel : tenderness (+), pulse(+)Movement : limited ROM

Therapy and actions:medications injuryadvanced therapy

Blood presurre : 120/70 mmHg

Pulse : 82x/ minute

Temperature : 36 C Respiratory : 24 x/ minute

Complaint: Dizziness (-), weak (-), nausea and vomiting (-), the movement of the left elbow joint area is still limited, tingling in IV and V left hand fingers.

a/r CUBITI SINISTRA

Look : covered with backslab and tensocrepe

Feel : tenderness (+), pulse(+)Movement : limited ROM

Therapy and actions:Change the bandage and aff hectingOral switch therapy:

Ciprofloxacin 2 x 50 mgMefenamic acid 2 x 50 mgVitamin C 3 x 200 mg

patient is allowed to go home

• Non-operatif

• Operatif

Loss of the ability to move the jointneurological disordersInjury to blood vesselscompartment syndromemyositis ossifikans