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CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICSAND TRAUMATOLOGY TRAUMATOLOGY “

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Presentation on theme: "CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICSAND TRAUMATOLOGY TRAUMATOLOGY “"— Presentation transcript:

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2 CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICSAND TRAUMATOLOGY TRAUMATOLOGY “

3 DIAGNOSTIC AND THERAPEUTIC METHODS IN ORTHOPEDICS Medical Faculty Novi Sad Clinic of ortopaedic surgery and traumatology

4 DIAGNOSTIC METHODS IN ORTHOPEDICS I ANAMNESIS  IDENTIFICATION AND DEMOGRAPHICS  CHIEF COMPLAINT  HISTORY OF PRESENT ILLNESS  PAST MEDICAL HISTORY  FAMILY DISEASES  ANAMNESTIC CONCLUSION

5 DIAGNOSTIC METHODS IN ORTHOPEDICS 1. PHYSICAL EXAMINATION  STATUS PRAESENS  STATUS LOCALIS ( STATUS ORTHOPAEDICUS) ( STATUS ORTHOPAEDICUS) - SPINE - SPINE - PELVIS - PELVIS - UPPER LIMB - UPPER LIMB - LOWER LIMB - LOWER LIMB

6 DIAGNOSTIC METHODS IN ORTHOPEDICS 1. INSPECTION 2. PALPATION 3. PERCUSSION 4. AUSCULTATION 5. ORTHOPEDIC EXAMINATION 6. VASCULAR EXAMINATION 7. NEUROLOGICAL INVESTIGATION 8. FUNCTIONAL STATE REWIEV 9. SPECIFIC TESTS

7 DIAGNOSTIC METHODS IN ORTHOPEDICS INSPECTION - POSITION -POSTURE (ANTALGIC) -PART OF THE BODY CONFIGURATION -SKIN

8 PHYSICAL EXAMINATION INSPECTIONINSPECTION

9 INSPECTIONINSPECTION

10 PAT_OAKR0398 PHYSICAL EXAMINATION

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20 DIAGNOSTIC METHODS IN ORTHOPEDICS PALPATION-SUPERFICIAL-DEEP -REST AND MOTION -PUNCTUM MAX OF PAIN -TUMEFACTION -BLOOD VESSELS -LYMPH NODES

21 DIAGNOSTIC METHODS IN ORTHOPEDICS PERCUSSION-DIRECT-INDIRECTAUSCULTATION

22 ORTHOPEDIC MEASUREMENTS -ORIENTATION POINTS -STRECHED POSITION AND FLACCID MUSCLES 1.SCOPE2.LENGTH3.AXIS 4.JOINT MOBILITY 5.DIMENSIONS OF PATHOLOGIC CHANGES

23 DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF VASCULAR STATUS SKIN-VARICOSE VEINS TEMPERATURE CAPILLARY NAIL REFILL TEST PERIPHERAL ARTERIES

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26 DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF NEUROLOGICAL STATUS CMN-PMN TENDON REFLEXES SENSORY EXAMINATION VEGETATIVE FUNCTIONS

27 DIAGNOSTIC METHODS IN ORTHOPEDICS SPECIFIC TESTS EXAMINATION

28 PHYSICAL EXAMINATION JOINT INSTABILITY SIGNS

29 PHYSICAL EXAMINATION INSTABILITY

30 SPECIAL TESTS EXAMINATION

31 DIAGNOSTIC METHODS IN ORTHOPEDICS FUNCTIONAL STATE REWIEV HAND ( FEEDING, TOILET, DRESSING, WRITING ) HAND ( FEEDING, TOILET, DRESSING, WRITING ) CLOTHESPEG-TWEEZERS-FIST-HOOK CLOTHESPEG-TWEEZERS-FIST-HOOK LEG (STANDING-SUPPORT, GAIT) LEG (STANDING-SUPPORT, GAIT)

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33 DIAGNOSTIC METHODS IN ORTHOPEDICS 2. ADDITIONAL DIJAGNOSTIC METHODS RADIOGRAPHYULTRASONOGRAPHYSCINTIGRAPHYCTEMGMRIARTROSCOPY

34 RADIOGRAPHY PLAIN(AP,LL) SPECIAL POSITION(OBLIQUE, TUNEL,STRESS..) SPECIAL RTG METHODS CONTRAST RTG METHODS

35 RADIOGRAPHY

36 RADIOGRAPHY

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39 NUCLEAR MAGNETIC RESONANCE

40 DIAGNOSTIC METHODS IN ORTHOPEDICS LABORATORY TESTS HEMATOLOGY (Se, CBC with diferential...) CLINICAL BIOCHEMISTRY (urine, glucose, crp...) IMMUNOLOGY (asto, rf, hla...) BACTERIOLOGYCYTOPATHOLOGY

41 Treatment – PLASTER IMMOBILIZATION PRINCIPLES : Physiological position Initially sets the splint Two adjacent joints Decubitus prevention Control of limb epyphises Principles of reduction PLASTER MAKER !

42 PLASTER IMMOBILIZATION

43 ORTHOTICS

44 ORTHOTICS

45 SKELETAL PIN TRACTION

46 SKIN TRACTION

47 CRANIAL TRACTION

48 Treatment – prosthetic surgery

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50 Treatment – knee ligamentoplasty

51 Treatment – Spinal surgery

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53 Treatment – long bones osteosynthesis

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55 Internal fixation - principles

56 Tension band and wires ( “zuggutrung”)

57 Internal fixation - principles Intramedullary fixation

58 Internal fixation - principles “Hybrid” Fixation

59 Treatment - amputation


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