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Fraktur:
Terputusnya/hilangnya kontinuitas
dari tulang
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Struktur tulang:
Periosteum.
Kortek.
Medula.
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Bagian tulang:
Epifise.
Metafise.
Diafise.
aris epifise.
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BAGIAN TULANGBAGIAN TULANG
1.EPIFISIS ------------1.EPIFISIS ------------ (3)(3)
2.GARIS EPIFISIS---2.GARIS EPIFISIS--- (5)(5)
3.METAFISIS ---------3.METAFISIS --------- (6)(6)
4.DIAFISIS-------------4.DIAFISIS------------- ((7)7)
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!uriga fraktur " Foto tulang.
Syarat:
Minimal # posisi.
Meli$atkan %/# sendi.
Di$andingkan dengan yang
normal.
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" Foto tulang:
&da fraktur/tidak.
'okasi.
Tipe dan garis fraktur.
Kedudukan antar fragmen:aposisi( allignment( torsi(
displa)ement.
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Struktur tulang: normal,atolog!k.
"!la #$kat #$ngan $r%$n#!an:
#!%loka%!, &raktur $!'%$,$l$aran %$la %$n#!.
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1. )*+ASI1. )*+ASI
Tulang aa, kanan-k!r!. Tulang aa, kanan-k!r!.
"ag!an #ar! tulang: aut,"ag!an #ar! tulang: aut,
olum, troant$r,olum, troant$r,
%urao#!l$r, $!on#!l$r.%urao#!l$r, $!on#!l$r.
D!a'%$: 13 t$nga, 13D!a'%$: 13 t$nga, 13rok%!mal, 13 #!%tal.rok%!mal, 13 #!%tal.
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Fratur$ !% aro/!mat$l0 at unt!on o& m!##l$ an# #!%talt!r#% o& &$mur
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%uraon#!l$r $!on#!l$r
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2. TIPE
Inoml$t$t!#ak koml!t:t!#ak m$lalu! %$luru
$namang tulang.oml$t$koml!t: m$lalu!
%$luru $namang tulang
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I*MP)ETE
bowing torus Greenstick
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*MP)ETE
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T*PE
Berdasar +umlah garis raktur
simple kominutif
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Ma)am garis fraktur:
Trans,ersal.
'ongitudinal.
Spiral/o$li-.
Epifise dengan separasi.
*mpresi( linier( diastasis.
Kompresi.
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transversal
obliq spiral longitudinal
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Se,ere edge !ompression Fra)ture
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linier
impresi
diastasis
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Salter0arris !lassifi)ation ofSalter0arris !lassifi)ation of
Epiphyseal in+uryEpiphyseal in+ury
1
* ** *** *1
Type 1!rush 2impa)tion3 in+ury of gro4th plate
5o spe)ifi) treatment( and high in)iden)e of
gro4th arrest
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A.A. Ao%!%! a!k,Ao%!%! a!k,
aalll!gnm$ntl!gnm$nt
$l$k. $l$k.
"". Ao%!%! a!k,. Ao%!%! a!k,alalll!g!gnnm$ntm$nt
a!k.a!k.
3. +EDD+A ATAR
FRAGME
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. Ao%!%! #an a. Ao%!%! #an alll!gnm$nt $l$kl!gnm$nt $l$k
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ADA DISP)AEMETTIDA+
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ADA AG)ASITIDA+
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&D& 67T&S*/T*D&K
INTERNAL ROTATION EXTERNAL ROTATION
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FRA+TR DA DIS)*+ASI
FRA!"R $%&!'GGA
FRA!"R GA'A*
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FRA!"R +%',- FRA!"R ,$!.