DISLOKASI BAHU

PRESENTER :

ZAITITA & SHAEIMA

JENIS-JENIS KECEDERAAN BAHU

DISLOCATED SHOULDER SEPARATED SHOULDER STERNOCLAVICULAR SEPARATION TENDONITIS, BURSITIS, & IMPINGEMENT

SYNDROME ROTATOR CUFF TEAR FRACTURE ARTHRITIS OF THE SHOULDER (GLENOHUMERAL

JOINT) OSTEOLYSIS OF THE ACROMIOCLAVICULAR JOINT

DEFINISI

DISLOKASI- PERALIHAN ATAU TULANG TERSESAR DARI POSISI PERMUKAAN YANG MEMBENTUK SENDI.

DISLOKASI BAHU- PERALIHAN ‘BALL’ YANG BERADA DI SENDI BAHU (HUMERUS) DARI SOKET SENDI (LEKUK GLENOID WING BONE @ SKAPULA)

FAKTOR PENYEBAB

KECEDERAAN SUKAN

TRAUMA (MVA)

JATUH, TERSADUNG

KLASIFIKASI DISLOKASI BAHU

LOCATION POSITION OF HUMERAL HEAD

1. ANTERIOR :

a) Subcoracoid Below coracoid process

b) Subglenoid Below & anterior to glenoid

c) Subclavicular Medial to coracoid process

d) Intrathoracic Between rib & thoracic cavity

e) Retroperitoneal Behind kidney

2. POSTERIOR :

a) Subacromial Below acromion

b) Subglenoid Below & posterior to glenoid

c) Subspinous Medial to acromion & inferior to spine

KLASIFIKASI DISLOKASI BAHU

LOCATION POSITION OF HUMERAL HEAD

3. INFERIOR (luxatio erecta) Below glenoid

4. SUPERIOR Above level of acromion

CIRI-CIRI KLINIKAL

SAKIT TERUK PADA SENDI BAHU› APABILA DIGERAKKAN

TENDERNESS LEBAM SETEMPAT PARAESTHESIA ABNORMAL / DEFOMITI

› TULANG YANG TERLIBAT KEHILANGAN FUNGSI SENDI

INVESTIGASI

PEMERIKSAAN FIZIKAL

PENGAMBILAN SEJARAH PESAKIT

PEMERIKSAAN X-RAY

PEMERIKSAAN MRI

RAWATAN & PENGURUSAN NON-OPERATIVE (Reduction of the

shoulder joint); METHOD TECHNIQUE

1) HIPPROCRATIC METHOD Placed foot on chest wall below shoulder- Applies traction to abducted arm.

2) STIMSON’S TECHNIQUE Patient prone on table with arm over side. Gentle internal/external humeral rotation may be applied.

3) MILCH TECHNIQUE Arm abducted & externally rotated. Pushes humeral head into glenoid.

4) EXTERNAL ROTATION METHOD

Patient is in a supine position on the bed. The affected arm is adducted and flexed to 90° at the elbow. The arm is then slowly externally rotated.

5) KOCHER TECHNIQUE Arm externally rotated & adducted gradual internal rotation.

SURGICAL TREATMENT ;

a) Putti Platt Operation

b) Bankart’s Operation

c) Bristostocos Operation

d) Arthroscopic Bankart’s Repair

KOMPLIKASI

REDISLOCATION KECEDERAAN SARAF KECEDERAAN VASKULAR NEKROSIS AVASKULAR KEKAKUAN SENDI SUPRASPINATUS TENDONITIS ROTATOR CUFF INJURY