Citation preview
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Tehnoredactare
conrffieriz'arEreiafice
$ mperta:'
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CUPRINS
L
Fracturile
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395
430
:u'
521
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Cuvdnt
inainte,
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10
VASIIE
LUPESCU
Figura
3:
Fractura
pe
os
patologic
se
produce
pe
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TMUMATOLOGTE
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12
folte
liniare
de
sens
opus
{or[e
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TMUMATOLOGIE
SI
ORTOPEDIE-CURSPilITRU
STUDWTI
13
Figura
13:
Fractura
prin
infundare
Survine
cAnd
o
parte
din
corticala
osului
este
impinsl
sub
nivelul
osului
din
jur.
Cel
mai
des
se
produc
la
crinig.
Se
-'i
vindectr
repede;
icafiile
depind
de
localizare.
Figuralffira
tr'tgura
17:
trbactura
ln
lemn
verde
Survine
mai
ales
la
copil,
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14
astfel
fluture"
(Figura
20),
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TMUMATOLOGTE
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16
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TMUMATOLOGIE
mp
I
exe,
Dt
in
asociex
ea,
mecani
$rrclor
sefilnalate.
sau
intero-extern)
tll
freo
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I8
VASIIELUPESCU
Figura
25:
Deplasarea
axiali
a.
Se
produce
cAnd
un
fragment
se
rote$te
in
jurul
axei
longitudinale,
insofit
sau
nu
de
angulare
silu
translare;
b.
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)O
VASIIELUPESCU
Criterii
de
clasificare:
1.
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2.
TRAUMATOLOGIESIORTOPED,IE-CURSPENTRU
STUDENN
2I
3.
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)7
UASILELUPESCU
.L
Se
face
De
baza
semnelor
clinice
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a::::
TMUMATOLOGIE
SI
ORTOPEDIE_CURSPENTRU
STUDENTI
23
membrul
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Se
poate
fblosi
.
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TMUMATOLOGIE
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)6
VASIIEWPESCU
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TRAUMATOLOGIE
SI
ORTOPEDIE.
CURS
PENTRU
STUDENTI
N
Actua ,
indicapiile
sunt
mai
nuanfate:
o
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TMUMATOLOGIE
SI
ORTOPEDIE-CURS
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?O
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4.
TMUMATOLOGIE
SI
ORTOPEDIE_CURS
PENTRU
STUDENN
3I
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32
YASILELUPESCU
Gradul
l
reprezinti
o
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TMUMATOLOGIE
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34
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TMUMATOLOGIE
SI
ORTOPEDIE
ciacatriciale.
este
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36
VASILE
LUPESCU
Diagrosticul
clinic
este
ugor,
dar
aprecierea
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TMUMATOLOGIE
SI
ORTOPEDIE
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38
vtYrcruPncu
o
primul
gest
constii
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TMUMATOLOGIE
SI
ORTOPEDIE_CTJRS
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TRAUMATOLOGIESIORTOPEDIE
CURSPENTRUSTUDENTI
4I
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42
VASIIELUPESCU
(1)
Clinici
Se
caracterizeazn
pin
existurfa
unui
interval
liber
intre
traumatism
qi
primele
semne
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TRAUMATOLOGIE
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LL
VASIIELUPESCU
Dupi
cauze
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TMUMATOI.OGIE
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4(r
VASIIE
LUPESCU
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TMUMATOIAGIE
SI
ORTOPEDIE
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48
VASILELUPESCU
l2l
Tratament
Este
dificil
gi
indelungat.
Se
folosesc:
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TRAUMATOLOGIE
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5.l
VASILELUPESCL:
o
antibiotice
la
sosirea
intr-un
centru
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TMU,TATOLOGIE
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pot
apare:
A)
preoperator;
B)
postoperator.
5?
VASIIELUPESCU
l.
Legate
de
folosirea
garoului.
Pericolele
garoului
sunt
mecanice
gi
ischemice.
at orii
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TMUMATOLOGIE
SI
ORTOPEDIE
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74
'ASILL
I.UPESCU
d
intdrziereo
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TRAUMATOLOGIE
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56
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TRAUMATOLOGIE
SI
ORTOPEDIE
mici
consolidarea
se
produce:
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58
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TMULLATOLOGIE
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60
VASIIELUPESCU
capitul
distal
al
tendonului
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TRAUMATOLOGIE
SI
ORTOPEDIE
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6)
tTlslLE
L('IPESCL:
reparalie
(Potis).
in
cflteva
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TRA(AIATOLOGIE
SI
ORTOPEDIE-CURSPfr,ITRU
STWENN
63
Acest
rispuns
este
denumit
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VASILELUPESCU
rl
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TMUMATOLOGIE
SI
ORTOPEDIE-CURS
PENTRU
STUDENN
65
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osului.
Friedenstein
joaci
gi
un
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Factorii
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TMUALATOLOGTE
SI
ORTOPEDIE
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Concepfa
actuali
asupra
consolidirii
fracturilor
(Figura
in
punte
unitiv
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TRAUMATOLOGIE
SI
ORTOPEDIE_CURS
PENTRU
periostale
qi
participi
la
diferenlierea
autospecifici.
Aceasta
in
substanla
osteoidi.
Acest
lesut
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VASIIELUPESCL'
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TRAUMATOLOGIE
SI
ORTOPEDIE
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L'ASII.F
I-TIPFSCI
originale.
El
este
contemporan
cu
fenomenul
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TMUMATOLOGIE
SI
ORTOPEDIE
musculatura zonei,
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viloziti,ti fine
fesut
elastic
gi
rezistent
care
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Inerva(ia
ligamentelor
este
foarte
bogati,
confin
aceiagi
receptori
ca
qi
capsula
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TRAUMATOLOGIE
SI
ORTOPEDIE
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I,ASILE
LUPESCU
il:
::,::.:t:C;6'iiiU2ii1e,,,,,,,
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IRAIIMATOLOGIE
SI
ORTOPEDIE
(revdrsatul
sero-limfatic
Morel-Lm'allie)
,ffi
moale,
turtiti,
ErI
crepitalii,
la
puncfie
tulburdri ale
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82
VASILELUPESCU
Q.
accidentului.
localizati
in
regiunea
traumatizati
deseori
(uneori
eairadiazA).
Deseori,
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TRAUMATOLOGIE
EI
ORTOPEDIE
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84
VASILELAPESCU
(1)
Tulburlrilevaso-motorii
Pot
apare
fie
dupi
o
simpli
elongafie
sau
dupi
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TRAUMATOLOGIE
SI
ORTOPEDIE
funclie
de
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86
VASILE
I"U?ESCL
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TMUMATOIDGIE
SI
ORTOPEDIE
intervenfii
chirurgicale
pentru
a
rezolva
entorsele
recidivante.
a)
anumite
"pozilii
sp@ifice",
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88
VASIIELUPESCU
c)
rluxafiile
articulafiilor
sinitoase
in
care
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TRAUMATOLOGIE
SI
ORTOPEDIE
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9)
VASTI,E
I,TIPESC(]
e)
a
reconstrucfia
teirdinos;
r
indirect
plicaturarea
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VASILE
LUPESCU
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TRAUMATOLOGIE
SI
ORTOPEDIE
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a)
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posturile,
fo4ci
grupelor
musculare
antagoniste.
Redoarea
articulorii
trebuie
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98
VASII-ELUPESCU
YI.
LEZIUNILE
TRAUMATICE
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(retropulsie)
gi
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t02
VASILELUPESCU
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la tineri
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se
reduce
-
La virstnici,
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106
VASII,E
I-IIPESCI;
Sportul
defrne
un
loc
preponderent
cici
primul
dureri
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TMUMATOI,OGIE
SI
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lui
Jobe
(Figura
s0)
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TRAUMATOLOGIE
SI
ORTOPEDIE.
CURS
PENTRU
STUDENTI
IO9
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llo
'ASILE
LUPESCL:
anco$a
humeralI
in
cazurile
de
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TRAUMATOIAGIE
sunt
capabili
s6-gi
subluxeze
capul
humeral
*
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II)
VASIIELUPESCU
(1)
lndicafiiterapeutice
Interventia
chirurgicall
se
indici
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TRAUMATOIDGIE
ST
ancoqe
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II4
VASIIELA?ESCIL
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TRAUMATOI,OGIE
SI
ORTOPEDIE
Ei
de
examinator.
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I15
prin
manevre
blAnde
qi
progresive,
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TRAUMATOLOGIE
SI
http://slidepdf.com/reader/full/ortopedie-si-traumatologie-vasile-lupescupdf
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il8
VASN,F
I-IIPFSCT]
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TMTJMATOIOGIE
SI
ORTOPEDIE.
CURS
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in sus. Aceste fracturi se reduc ugor dar se menfin
greu.
Imobilizarea
se
face
prin
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TRAUMATOLOGIE
SI
ORTOPEDIE.
(l/3
din
circumferinlS),
cu
diametrul
qi
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l))
VASIIELUPESCU
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(reprezinti
70%
dn
fracturile
colului
chirurgical).
Angrenarea
poate
predomina
in
afar6,
inluntru
sau
inapoi:
a
cend
angrenorea
predomind
tn
ofard,
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128
I,ASIIE
LUPESCU
o
Fracturile
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TRAUMATOI,OGIE
SI
ORTOPEDIE
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130
produce
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TRAUMATOIOGIE
SI
ORTOPEDIE.
H
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132
VASII,E
I,IIPF-SCI]
In
fracturile
luxafie regreseazi
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7.
TRAUMATOLOGIE
SI
ORTOPEDTE_CURS
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280/607
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282
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XNAUMATOINGIE
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VASIIELW6EU
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292/607
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293/607
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VASIIELUPNCU
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298/607
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299/607
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YASILELWErcU
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TRAUMAToLoGIE
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TRAUMATOIAGIE
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TMUITATOLOGIE
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1?4
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TRAUMATOTAGIE
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336
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VASIIELUPESCU
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survin
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TRAUMATQWTE
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344
VASII-ELWESCU
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344/607
TMUIvUTOIOGIESIORTOPEDIE-CURS
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7L6
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B,
TMUMATOLOGIE
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15o
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TMUMATOLOGIESI
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WVMAPL0GiIESIORI0PEDIE-CURSPEryfuUSraDEN$.
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in
miqcarea
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inversiune
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354
IASIIELUPESCU
Nivelul
pilonului
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TRALMATOI,OGIE
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ORTOPEDIE
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356
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TMUMATOI0GIE
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358/607
TMIJMATOLOGIESI
QRTOPFDIE.
CURS
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360
cu
traiect
orizontal,
figura
235
care
se
reduce
numai
chirurgical.
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362,
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TRAUMATOLUiIE
SI
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363/607
?,6L
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TMLMATOI,OCIESI
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ST'UDfrIN
fis
XVI.
Lf,ZIUNILE
TRAUMATICE
ALE
PICIORULUI
1.
rrptffi
Sunt
rare,
adesea
asociate
cu
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365/607
7,4A
I'ASILELUPESCU.
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366/607
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367/607
368
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368/607
TRAUMATOLOGTE
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369/607
370
wsn'stwzrcu
tip
II,
600lo
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fracturile
tip
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90%
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totale
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f-recvenp
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TRAUIi/UTOLOGIE
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371/607
172
vASIIELUPESCU
o
greutatea
corpului,
transmisi
prin
astragal
la
partea
antero-intemi
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rczistenla
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care'
se
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TMUMATOI,OGIESI
ORTOPEDIE-CURSPENTRU
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suprafafa
talamicn
orizontalizata
cu
Rnstrarea
paralelismului
astragalo-talamic
(Figura
2a8).
3.
Fracturile
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TRAtuvArOlOcIE
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TMUMATOIDGIE
SI
ORIOPEDIE-CURSPEIITRU
STUDENN
,377
Se
produc
fie
prin
mecanism.direct,
fie
prin
cideri
pe
piciorul
in
flexie
plantari.
kziunile
produse
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378
VASWLWESCU
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TRILUMATOLOGIE
la
nivelul
metatarsieNrelor:
Cel
mai
des
se
observl
pe
metatarsienele
medii,
p
diafrzA
sau
gflt,
dupi
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380/607
TRAUMATOLOGIE
SI
ORTOPEDIE_CURSPENTRU
SruDEAITI
3EI
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381/607
3E2
VASIIELWESCU
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382/607
TRAUMATOI,@IE
insearnni
pierderea
raporturilor
anatomice
dintre
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384/607
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387/607
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388/607
IRALIvII4IOLOGIE
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3gO
vasfrElwwcu
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leziuni
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tronrboze,
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391/607
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TRALItuItIIOIPGESIORTOPDIE-CURS?EilRU
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TMUMATOLAGIESI
ORTOPEDIE-CURSPENTRU
STUDilTN
395
XVII.
POLITRAUMATISME
Politraumatismul
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396
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397/607
398
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4N
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401/607
4O2
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TMUMATOI,OGIESIORTOPEDIE_CURSPENTRU
SruDENN
403
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cuprinde
leziunile
anatomice
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404
VASNELUPESCU
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TRAUMATOI0GIE
SI
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406
VASIIELUPESCU
Tratamentul
politraumatizalilor
este
complex,
medicochirurgical
care
se
desfirgoari
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de obicei
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T?AUMATOLOGIE
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celelalte
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devine
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Malignitatea
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CS
localizate
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TRAUMATOLOGIE
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-
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554
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556
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prin:
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I'MUtutAIOIOGIESIORIOPT
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559/607
560
VASILELUPESCU
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IRAIITTUTOLOCLIE
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Tratamentul
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Localizatea
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TRAILL,ATOLOGIE
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VASILE
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TRAUI,I/4IOLOGESIORMDE-CURSPfr,TIRUSTUDfr,ITI
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567
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VASILE
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570
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TRATJMATOIOGIE
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572
VASILELUPNCU
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TMUMATOLOGIE
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PENTRU
STUDENTI
573
Figura
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Osteosarcom
periostal
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a)
stromi
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cu
nucleu
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cu
aspecte
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?'RAULATOIOGIE
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VASIIELUPESCU
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truwt4zotaengoaropmre-cvnspnt.rnusntontu
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TRAU
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VASII.ELUP$CU
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din
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TRAUMATOLOGIE
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|'RAUI4ATOLTIESIORTOPEDIE-CURSPENIRU
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596
VASNELUPESCU
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TMUMATOLOGIE
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598
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TMUWIQI,OGIE
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craniului.
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imp
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gi
a
e'onsti
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debut
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