ANATOMIA FUNCIONAL DE CADERA (CRISTINA)
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Transcript of ANATOMIA FUNCIONAL DE CADERA (CRISTINA)
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ANATOMIA FUNCIONAL DE CADERA
MA CRISTINA RAMOS S
ORTOPEDIA Y TRAUMATOLOGIA
RESIDENTE II AÑO
HOMIC
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ARTICULACION DE LA CADERA
• Enartrosis (Sinovial)
• Movimientos en 3 planos
• Acetábulo• Fémur Proximal
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ACETABULO
• Hemiesfera o Copa• Ileon, isquión y
pubis• Cartílago
trirradiado• Herradura
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ACETABULO
• Abajo y adelante• Cubrimiento• Techo: Carga
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RODETE COTILOIDEO
• Fibrocartílago• Profundidad• Borde acetabular• Ligamento
transverso
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FEMUR PROXIMAL
CABEZA FEMORAL• 2/3 esfera• Cartílago Hialino• Fóvea
CUELLO FEMORAL• Arriba, adentro y
adelante• Angulo CD• Anteversión
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FEMUR PROXIMAL
REGION TROCANTERICA
• Línea intertrocantérica
• Cresta intertrocantérica
REGION SUBTROCANTÉRICA
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CAPSULA ARTICULAR
LIGAMENTOS• Iliofemoral• Pubofemoral• Isquifemoral• Redondo
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GRUPOS MUSCULARES
GRUPO ANTERIOR• Anterior y externa• Extensión de la
rodilla• Sartorio• Cuadriceps• N Femoral
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GRUPO ADUCTOR• Medial• Gracilis• Aductor magnus,• Obturador externo• Pectíneo• N Obturador
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GRUPO POSTERIOR
• Flexores rodilla• Extensores cadera• Semitendinoso• Semimembranoso• Biceps femoral• N Ciático
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IRRIGACION
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PLANO FRONTAL
ADD: 20° 30• Pectineo• Aductores• Obturador ext
ABD: 45° 50°
• Glúteo medio• Glúteo menor
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PLANO SAGITAL
FLEXION 130• Psoasiliaco
EXTENSION 30°•Sartorio•Recto femoral•Glúteo mayor
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PLANO TRANSVERSALROTACION INT 45
ROTACION EXT 45•Fascia lata•Piramidal•Obturador int.•Geminos•Cuadrado fem
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ABORDAJE ANTERIOR
• Smith Peterson• Sartorio • Tensor Fascia lata• Recto Femoral• Glúteo medio
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ABORDAJE ANTERIOR
• Peligros:– N. Cutáneo Femoral Lateral ( Sobre el
Sartorio )– N. Femoral (anterior a la Art Cadera)– Rama ascendente de la A. Circunfleja
femoral lateral (Tensor F. Lata y Sartorio)
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ABORDAJE ANTEROLATERAL
PELIGROS• Paquete femoral• Fractura diáfisis femoral
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ABORDAJE POSTERIOR
Posterior Trocanter Mayor
Glúteo Mayor
N Ciático
A Glútea Inferior
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CONCLUSIONES
• BASE FUNDAMENTAL PARA UN CIRUJANO
• ENTENDIMIENTO BIOMECANICA• DIFERENTES VIAS DIFERENTES
OPCIONES
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GRACIAS