BEWEGINGSSTELSEL:
TRAUMATOLOGIE
WILLEN-JAN METSEMAKERS
Lesmateriaal: blokwijzer + slides
,Inhoudsopgave
H1: BASISBEGRIPPEN.....................................................................................5
H2: WONDHELING..........................................................................................6
Fases van wondheling.................................................................................................. 6
Vertraagde wondheling................................................................................................ 6
H3: FRACTUURHELING....................................................................................7
Directe fractuurheling.................................................................................................. 7
Indirecte fractuurheling................................................................................................ 7
BELANG VAN BLOEDVOORZIENING............................................................................................ 8
BIOMECHANICA EN FRACTUURHELING........................................................................................ 8
METHODEN VAN FRACTUURFIXATIE........................................................................................... 9
BASISPRINCIPES VAN OPERATIEVE FRACTUURFIXATIE..................................................................10
H4: POLYTRAUMA PATIËNT...........................................................................10
ATLS-CONCEPT................................................................................................................. 10
DAMAGE CONTROL SURGERY................................................................................................. 11
THORAXTRAUMA................................................................................................................. 13
Acuut levensbedreigend letsel...................................................................................13
Potentieel levensbedreigend letsel.............................................................................14
ribfracturen en fractuur sternum................................................................................15
ABDOMINAAL TRAUMA......................................................................................................... 15
diafragmaletsel.......................................................................................................... 16
Miltletsel..................................................................................................................... 16
Leverletsel.................................................................................................................. 16
Maag, duodenum en pancreasletsel...........................................................................17
Dunne darm, colon en rectum letsel..........................................................................17
Abdominaal compartiment syndroom........................................................................18
H5: OPEN FRACTUREN..................................................................................18
CLASSIFICATIE.................................................................................................................... 18
BEHANDELING.................................................................................................................... 19
H6: BOVENSTE LIDMAAT LETSELS..................................................................21
CLAVICULAFRACTUREN......................................................................................................... 21
Diagnose.................................................................................................................... 21
Behandeling............................................................................................................... 22
SCAPULAFRACTUREN........................................................................................................... 23
Diagnose.................................................................................................................... 23
Behandeling............................................................................................................... 23
PROXIMALE HUMERUSFRACTUREN.......................................................................................... 23
Diagnose.................................................................................................................... 23
Behandeling............................................................................................................... 24
HUMERUSSCHAFTFRACTUREN................................................................................................ 24
Diagnose.................................................................................................................... 25
Behandeling............................................................................................................... 25
DISTALE HUMERUSFRACTUREN.............................................................................................. 26
Diagnose.................................................................................................................... 26
Behandeling............................................................................................................... 26
OLERANONFRACTUREN........................................................................................................ 26
, Diagnose.................................................................................................................... 26
Behandeling............................................................................................................... 27
RADIUSKOPFRACTUREN........................................................................................................ 27
Diagnose.................................................................................................................... 27
Behandeling............................................................................................................... 27
DISTALE BICEPSPEESRUPTUUR............................................................................................... 28
Diagnose.................................................................................................................... 28
Behandeling............................................................................................................... 28
FRACTUREN VAN RADIUS- EN OF/ ULNASCHAFT.........................................................................28
Diagnose.................................................................................................................... 28
Behandeling............................................................................................................... 29
DISTALE RADIUSFRACTUREN.................................................................................................. 29
Diagnose.................................................................................................................... 29
Behandeling............................................................................................................... 29
H7: BEKKENFRACTUREN................................................................................30
FRACTUREN BEKKENRING..................................................................................................... 30
Diagnose.................................................................................................................... 30
Behandeling............................................................................................................... 30
FRACTUREN ACETABULUM.................................................................................................... 30
Diagnose.................................................................................................................... 31
behandeling............................................................................................................... 31
H8: ONDERSTE LIDMAATLETSELS..................................................................32
HEUPFRACTUREN................................................................................................................ 32
Diagnose.................................................................................................................... 32
Classificatie:............................................................................................................... 32
Behandeling............................................................................................................... 33
FEMURSCHAFTFRACTUREN.................................................................................................... 34
Diagnose.................................................................................................................... 34
behandeling............................................................................................................... 34
DISTALE FEMURFRACTUREN.................................................................................................. 34
Diagnose.................................................................................................................... 34
Behandeling............................................................................................................... 35
QUADRICEPSPEESRUPTUUR................................................................................................... 35
diagnose..................................................................................................................... 35
behandeling............................................................................................................... 36
PATELLAFRACTUREN............................................................................................................ 36
Diagnose.................................................................................................................... 36
Behandeling............................................................................................................... 36
PATELLAPEESRUPTUUR......................................................................................................... 37
Diagnose.................................................................................................................... 37
Behandeling............................................................................................................... 37
PROXIMALE TIBIAFRACTUUR.................................................................................................. 37
Diagnose.................................................................................................................... 37
behandeling............................................................................................................... 38
TIBIASCHAFTFRACTUREN...................................................................................................... 38
Diagnose.................................................................................................................... 38
Behandeling............................................................................................................... 38
DISTALE TIBIAFRACTUREN..................................................................................................... 39
Diagnose.................................................................................................................... 39
behandeling............................................................................................................... 39
, ENKELFRACTUREN............................................................................................................... 40
diagnose..................................................................................................................... 40
behandeling............................................................................................................... 41
RUPTUUR SYNDESMOSIS TIBIOFIBULARIS..................................................................................41
Diagnose.................................................................................................................... 41
Behandeling............................................................................................................... 42
ACHILLESPEESRUPTUUR....................................................................................................... 42
Diagnose.................................................................................................................... 42
Behandeling............................................................................................................... 42
FRACTUUR TALUS............................................................................................................... 43
Diagnose.................................................................................................................... 43
Behandeling............................................................................................................... 43
FRACTUUR CALCANEUS........................................................................................................ 44
Diagnose.................................................................................................................... 44
Behandeling............................................................................................................... 44
FRACTUR METATARSALEN..................................................................................................... 44
Diagnose.................................................................................................................... 44
Behandeling............................................................................................................... 45
VOORBEELDVRAGEN............................................................................................................ 45
H9: FRACTUREN VAN HET GROEIENDE SKELET (KINDEREN).............................50
INLEIDING......................................................................................................................... 50
DIAGNOSE........................................................................................................................ 50
BEHANDELING.................................................................................................................... 51
H10: FRACTUREN VAN HET OSTEOPOROTISCHE SKELET..................................52
INLEIDING......................................................................................................................... 52
DIAGNOSE........................................................................................................................ 52
BEHANDELING.................................................................................................................... 52
H11: POSTTRAUMATISCHE COMPLICATIES......................................................54
NON-UNION....................................................................................................................... 54
Diagnose.................................................................................................................... 55
Behandeling............................................................................................................... 55
MALUNION........................................................................................................................ 55
diagnose..................................................................................................................... 55
Behandeling............................................................................................................... 56
FRACTUURGERELATEERDE INFECTIE........................................................................................56
Diagnose.................................................................................................................... 56
Behandeling............................................................................................................... 57
COMPARTIMENTSYNDROOM................................................................................................... 58
Inleiding..................................................................................................................... 58
Diagnose.................................................................................................................... 58
behandeling............................................................................................................... 59
EXAMENVRAGEN..........................................................................................60
TRAUMATOLOGIE
WILLEN-JAN METSEMAKERS
Lesmateriaal: blokwijzer + slides
,Inhoudsopgave
H1: BASISBEGRIPPEN.....................................................................................5
H2: WONDHELING..........................................................................................6
Fases van wondheling.................................................................................................. 6
Vertraagde wondheling................................................................................................ 6
H3: FRACTUURHELING....................................................................................7
Directe fractuurheling.................................................................................................. 7
Indirecte fractuurheling................................................................................................ 7
BELANG VAN BLOEDVOORZIENING............................................................................................ 8
BIOMECHANICA EN FRACTUURHELING........................................................................................ 8
METHODEN VAN FRACTUURFIXATIE........................................................................................... 9
BASISPRINCIPES VAN OPERATIEVE FRACTUURFIXATIE..................................................................10
H4: POLYTRAUMA PATIËNT...........................................................................10
ATLS-CONCEPT................................................................................................................. 10
DAMAGE CONTROL SURGERY................................................................................................. 11
THORAXTRAUMA................................................................................................................. 13
Acuut levensbedreigend letsel...................................................................................13
Potentieel levensbedreigend letsel.............................................................................14
ribfracturen en fractuur sternum................................................................................15
ABDOMINAAL TRAUMA......................................................................................................... 15
diafragmaletsel.......................................................................................................... 16
Miltletsel..................................................................................................................... 16
Leverletsel.................................................................................................................. 16
Maag, duodenum en pancreasletsel...........................................................................17
Dunne darm, colon en rectum letsel..........................................................................17
Abdominaal compartiment syndroom........................................................................18
H5: OPEN FRACTUREN..................................................................................18
CLASSIFICATIE.................................................................................................................... 18
BEHANDELING.................................................................................................................... 19
H6: BOVENSTE LIDMAAT LETSELS..................................................................21
CLAVICULAFRACTUREN......................................................................................................... 21
Diagnose.................................................................................................................... 21
Behandeling............................................................................................................... 22
SCAPULAFRACTUREN........................................................................................................... 23
Diagnose.................................................................................................................... 23
Behandeling............................................................................................................... 23
PROXIMALE HUMERUSFRACTUREN.......................................................................................... 23
Diagnose.................................................................................................................... 23
Behandeling............................................................................................................... 24
HUMERUSSCHAFTFRACTUREN................................................................................................ 24
Diagnose.................................................................................................................... 25
Behandeling............................................................................................................... 25
DISTALE HUMERUSFRACTUREN.............................................................................................. 26
Diagnose.................................................................................................................... 26
Behandeling............................................................................................................... 26
OLERANONFRACTUREN........................................................................................................ 26
, Diagnose.................................................................................................................... 26
Behandeling............................................................................................................... 27
RADIUSKOPFRACTUREN........................................................................................................ 27
Diagnose.................................................................................................................... 27
Behandeling............................................................................................................... 27
DISTALE BICEPSPEESRUPTUUR............................................................................................... 28
Diagnose.................................................................................................................... 28
Behandeling............................................................................................................... 28
FRACTUREN VAN RADIUS- EN OF/ ULNASCHAFT.........................................................................28
Diagnose.................................................................................................................... 28
Behandeling............................................................................................................... 29
DISTALE RADIUSFRACTUREN.................................................................................................. 29
Diagnose.................................................................................................................... 29
Behandeling............................................................................................................... 29
H7: BEKKENFRACTUREN................................................................................30
FRACTUREN BEKKENRING..................................................................................................... 30
Diagnose.................................................................................................................... 30
Behandeling............................................................................................................... 30
FRACTUREN ACETABULUM.................................................................................................... 30
Diagnose.................................................................................................................... 31
behandeling............................................................................................................... 31
H8: ONDERSTE LIDMAATLETSELS..................................................................32
HEUPFRACTUREN................................................................................................................ 32
Diagnose.................................................................................................................... 32
Classificatie:............................................................................................................... 32
Behandeling............................................................................................................... 33
FEMURSCHAFTFRACTUREN.................................................................................................... 34
Diagnose.................................................................................................................... 34
behandeling............................................................................................................... 34
DISTALE FEMURFRACTUREN.................................................................................................. 34
Diagnose.................................................................................................................... 34
Behandeling............................................................................................................... 35
QUADRICEPSPEESRUPTUUR................................................................................................... 35
diagnose..................................................................................................................... 35
behandeling............................................................................................................... 36
PATELLAFRACTUREN............................................................................................................ 36
Diagnose.................................................................................................................... 36
Behandeling............................................................................................................... 36
PATELLAPEESRUPTUUR......................................................................................................... 37
Diagnose.................................................................................................................... 37
Behandeling............................................................................................................... 37
PROXIMALE TIBIAFRACTUUR.................................................................................................. 37
Diagnose.................................................................................................................... 37
behandeling............................................................................................................... 38
TIBIASCHAFTFRACTUREN...................................................................................................... 38
Diagnose.................................................................................................................... 38
Behandeling............................................................................................................... 38
DISTALE TIBIAFRACTUREN..................................................................................................... 39
Diagnose.................................................................................................................... 39
behandeling............................................................................................................... 39
, ENKELFRACTUREN............................................................................................................... 40
diagnose..................................................................................................................... 40
behandeling............................................................................................................... 41
RUPTUUR SYNDESMOSIS TIBIOFIBULARIS..................................................................................41
Diagnose.................................................................................................................... 41
Behandeling............................................................................................................... 42
ACHILLESPEESRUPTUUR....................................................................................................... 42
Diagnose.................................................................................................................... 42
Behandeling............................................................................................................... 42
FRACTUUR TALUS............................................................................................................... 43
Diagnose.................................................................................................................... 43
Behandeling............................................................................................................... 43
FRACTUUR CALCANEUS........................................................................................................ 44
Diagnose.................................................................................................................... 44
Behandeling............................................................................................................... 44
FRACTUR METATARSALEN..................................................................................................... 44
Diagnose.................................................................................................................... 44
Behandeling............................................................................................................... 45
VOORBEELDVRAGEN............................................................................................................ 45
H9: FRACTUREN VAN HET GROEIENDE SKELET (KINDEREN).............................50
INLEIDING......................................................................................................................... 50
DIAGNOSE........................................................................................................................ 50
BEHANDELING.................................................................................................................... 51
H10: FRACTUREN VAN HET OSTEOPOROTISCHE SKELET..................................52
INLEIDING......................................................................................................................... 52
DIAGNOSE........................................................................................................................ 52
BEHANDELING.................................................................................................................... 52
H11: POSTTRAUMATISCHE COMPLICATIES......................................................54
NON-UNION....................................................................................................................... 54
Diagnose.................................................................................................................... 55
Behandeling............................................................................................................... 55
MALUNION........................................................................................................................ 55
diagnose..................................................................................................................... 55
Behandeling............................................................................................................... 56
FRACTUURGERELATEERDE INFECTIE........................................................................................56
Diagnose.................................................................................................................... 56
Behandeling............................................................................................................... 57
COMPARTIMENTSYNDROOM................................................................................................... 58
Inleiding..................................................................................................................... 58
Diagnose.................................................................................................................... 58
behandeling............................................................................................................... 59
EXAMENVRAGEN..........................................................................................60
