10 luxacion congenita decadera
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Transcript of 10 luxacion congenita decadera
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1. MALFORMACIÓN
LUXANTE DE LA CADERA
2. DISPLASIA LUXANTE DE LA CADERA
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DISPLASIA DEL DESARROLLO DE LACADERA
DISPLASIA CONGÉNITA DE CADERA
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DEL GRIEGO DYS, QUE SIGNIFICA MAL, PLÁSSEIN, MODELAR)
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ES UNA ALTERACIÓN DEL DESARROLLO
ESTRUCTURAL DE LA CABEZA FEMORAL Y/O EL
ACETÁBULO QUE OCURRE EN EL PERIODO
INTRAUTERINO, RN O LACTANTE, QUE
PROGRESIVAMENTE PRODUCE LUXACIÓN DE LA
CADERA.
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2. + MUJERES 4:1
3. UNILATERAL + BILATERAL
1. 1: 1.000 N.V
4. LADO 1:3
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5. + JAPONESES, ITALIA, FRANCIA6. + PRIMOGÉNITOS7. + BLANCOS
PUEDE ASOCIARSE
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LAXITUD ANORMAL
CROMOSOMA X POSICIÓN DE BREECH
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OLIGOHIDROAMINIOSEMBARAZOS PROLONGADOSMACROSOMIA FETAL
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EMBRIONARIA FETAL
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EMBRIONARIA
ARTROGRIPOSIS
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FETAL
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CHATA
ALTURA
METAFISIARIA
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SIGNO DE BOCCHI:
ABDUCCIÓN
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90º
SIGNO DE ORTOLANI
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MANIOBRA BARLOW
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SIGNO DE PETER BADE
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SIGNO DE CHARIER
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SIGNO DE SAVARIAUD
SIGNO DE GALIAZZI
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METODO DE VON ROSEN Y ANDREN
JORGE E VALIS ORTOPEDIA Y TRAUMATOLOGIA TECEA EDICIÓN
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JORGE E VALIS ORTOPEDIA Y TRAUMATOLOGIA TECEA EDICIÓN
METODO DE VON ROSEN Y ANDREN
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MÉTODO DE CHIODIN RIVAROLA
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0-2 años
HIGGELREINER
15º-18º
Nn 27-29º6m 23º12m 20º3a 15º10a 10º
27-29º
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Lance- ombrédanne
ETAPAS
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TRÍADA RADIOLÓGICA DE PUTTI
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• LA ECOGRAFÍA PERMITE EXAMINAR EL CENTRO DE OSIFICACIÓN DE LA CADERA DEL PACIENTE Y PERMITE LA IDENTIFICACIÓN DEL NÚCLEO OSIFICADO ANTES DE QUE PUEDA SER VISUALIZADO RADIOGRÁFICAMENTE.
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DEMORA DEAMBULACIÓN
ADUCCIÓN
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LINEA DE NELATON ROSER
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TRIANGULO DE BRYANT
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ABDUCCIÓN
ACORTAMIENTO
Flexión conservada
Abducción y rotación externa limitada
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HIPERLORDOSIS
SALIENTES
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NEOCOTILODIÁFISIS FEMORAL DELGADA E HIPOTRÓFICA
shenton
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ABDUCTORES
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ALMOHADA DE FREJKA
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RADIOGRAFÍA CON LA ORTESIS PARA VERIFICAR LA REDUCCIÓN
TÉCNICA DE PAVLICK•4 A 6 SEMANAS.
100 A 110º
•ABDUCCIÓN DE 25 A 50º
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FERULA VON ROSEN
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1. TRACCIÓN CUTANEA
2. TENOTOMIA DE LOS ADUCTORES
3. REDUCIÓN CERRADA
4. ARTROGRAFIA
REDUCCIÓN
ABIERTA
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ROTACIÓN EXTERNA Y ABDUCCIÓN
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USO DE ARTROGRAFÍA
40º-45ºº ABD
95º
3-4 MESES
•CAMBIO DE YESO C/4 SEM.
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ESPINA ILIACA ANTERO-SUPERIOR
1 CMS
ABORDAJE ANTERIOR
CAMPBELL CIRUGIA ORTOPEDICA 10 EDICIÓN
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ESPINA ILIACA ANTERO-SUPERIOR
PENROSE
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INSICIÓN
TENOTOMÍA PSOAS ILIACO
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TRACCIÓN
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LIBERACION DEL LAMBRUM
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RAFIA
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95º
40º-45ºº ABD
10-12 SEMANAS
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ABORDAJE MEDIAL
FERGUSONCAMPBELL CIRUGIA ORTOPEDICA 10 EDICIÓN
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TENOTOMIA DE ADUCTORES
CAMPBELL CIRUGIA ORTOPEDICA 10 EDICIÓN
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95º
40º-45ºº ABD
6 SEMANAS
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ACORTAMIENTO FEMORAL
2 INSICIONES
CAMPBELL CIRUGIA ORTOPEDICA 10 EDICIÓN
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MEDICIÓN DE LA OSTEOTOMIA
SE COLOCA EL TORNILLO
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DESINSERTAR
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REINSERTAR
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FULCRUMCAMPBELL CIRUGIA ORTOPEDICA 10 EDICIÓN
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� LA NECROSIS ISQUÉMICA
� LA INCIDENCIA DESCRITA HA LLEGADO AL 73% Y PUEDE OCURRIR EN LA CADERA NORMAL CONTRA LATERAL CUANDO AMBAS CADERAS ESTÁN INMOVILIZADAS.
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1. ENFERMEDADES INFLAMATORIAS - ARTRITIS PIÓGENA - TUBERCULOSIS.
2. ENFERMEDADES-NEUROMUSCULARES MIELOMENINGOCELE.
3. EPIFISIOLISIS.
-
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4. COXA VARA CONGÉNITA
5. LAXITUD ARTICULAR ANORMAL S.DOWN. EHLERS DANLOS
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EPIFISIOLISIS DE LA CADERA
COXA VARA DEL ADOLESCENTE.
EPIFISIOLISIS FEMORAL
EPIFISIOLISIS FEMORAL CAPITAL
JAIME ACOSTA MONTOYA CIRUGIA ORTOPEDIA Y TRAUMATOLOGÍA 1era EDICIÓN
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DESLIZAMIENTO PROGRESIVO DE LA
CABEZA FEMORAL HACIA ABAJO,
ADENTRO Y ATRÁS.
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1 2* 100.000 NIÑOS
2 + VARONES Y ADOLESCENTES3 + SOBREPESO.4 CON RETARDO EN LA EDAD ÓSEA Y
CRONOLÓGICA
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+ LADO IZQUIERDO. Y BILATERAL
EN NIÑAS ANTES DE LA MENARQUIA.
MÁS FRECUENTE EN RAZA NEGRA.
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1. SOBREPESO.
2. TRAUMATISMO PREVIO.
3. ACTIVIDAD FÍSICA.
4. ACELERACIÓN DEL CRECIMIENTO DEL HUESO.
5. DESNUTRICIÓN.
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6 TRANSTORNO ENDÓCRINO
7. HIPOGONADISMO
8. GH EXÓGENA
9. QUIMIOTERAPIA.
10.DISPLASIA CONGÉNITA DE CADERA.
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1. SIGNOS SINOVITIS
2. FISIS AMPLEA E IRREGULAR
3. FX * LA CAPA HIPERTRÓFICA
4. DESLIZAMIENTO DE LA CABEZA HACIA ATRÁS, ADENTRO Y ABAJO.
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1. INICIO LENTO.
• DOLOR REFERIDO A LA RODILLA O LA INGLE.
• MARCHA ANTÁLGICA • MARCHA DE TRENDELEMBURG. • ROTACIÓN EXTERNA.
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ROTACIÓN INTERNA Y DE ABDUCCIÓN LIMITADASIGNO DE HOWORTH (ROTACIÓN EXTERNA A LA FLEXIÓN PASIVA). DISCREPANCIA EN LA LONGITUD RIGIDEZ EN FLEXIÓN.
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2. INICIO SÚBITO.
• DOLOR INTENSO, INCAPACITANTE. • LIMITACIÓN FUNCIONAL• ARTICULACIÓN EN ROTACIÓN
EXTERNA, FLEXIÓN Y ABDUCCIÓN.
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• FALTA DE COINCIDENCIA ENTRE CUELLO Y CABEZA FEMORALES. SEPARACIÓN COMPLETA. SI ES AGUDA ESTABLE, NO SE OBSERVAN DATOS EN NINGUNA PROYECCIÓN.
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•BORDE METAFISIARIO MAL DELIMITADO. •DISCO EPIFISIARIO ENSANCHADO.
JAIME ACOSTA MONTOYA CIRUGIA ORTOPEDIA Y TRAUMATOLOGÍA 1era EDICIÓN
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RADIOGRAFÍAS AP Y AP EN RANA
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LÍNEA DE KLEIN
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ANGULO DE SOUTHWICK
30º
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1. PREDESLIZAMIENTO: FISIS ANCHA, IRREGULAR 1. MINIMO: DESLIZAMIENTO < DE UN
TERCIO DEL DIÁMETRO2. MODERADA: > DE 1 CENTIMETRO,
PERO< DE LA MITAD DEL DIAMETRO3. SEVERA > DE LA MITAD DEL DIAMETRO
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ELIMINAR EL DOLOR.
EVITAR EL DESLIZAMIENTO ADICIONAL. EVITAR LAS COMPLICACIONES.
RECUPERAR LA ANATOMÍA Y FUNCIÓN NORMALES.
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FIJACIÓN "IN SITU": CON CLAVOS DE KNOWLES (TRES) O CON TORNILLOS CANULADO
EPIFISIODESIS ABIERTA: POR INCISIÓN ANTEROLATERAL, SE ABRE UNA VENTANA ANTERO-SUPERIOR EN EL CUELLO FEMORAL Y SE EXTRAE UN CILINDRO ÓSEO. CURETAJE DE LA FISIS E INTRODUCCIÓN DE INJERTOS CORTICO-ESPONJOSOS DE HUESO ILÍACO.
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SEGUIMIENTO:
HASTA LA FUSIÓN EPIFISIARIA ( 18 AÑOS).∼ SEGUIR LA CABEZA CONTRALATERAL.
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NECROSIS DE LA CABEZA FEMORAL
ARTROSIS. DEFORMIDAD.
FALLA DE CRECIMIENTO. REMODELACIÓN EN VARO. ACORTAMIENTO DEL CUELLO.
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