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CASO 4B

CASO 4B

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Published by: api-3700467 on Oct 18, 2008
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03/18/2014

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CASO 4B \u2013 PRONA\u00c7AO DOLOROSA (SUBLUXA\u00c7AO DA CABE\u00c7A DO
R\u00c1DIO)
1)Estabilizadores \u00f3sseos da articula\u00e7\u00e3o do cotovelo e r\u00e1dio-ulnar

proximal:
*\u00famero (tr\u00f3clea e cap\u00edtulo)
*r\u00e1dio (cabe\u00e7a)
*ulna (incisura troclear)

2)Ligamentos da articula\u00e7\u00e3o do cotovelo e r\u00e1dio-ulnar proximal

*c\u00e1psula fibrosa
*membrana sinovial (produz liquido sinovial)
*ligamento colateral radial
*ligamento colateral ulnar anterior (mais forte), posterior e obliquo

3)Classifica\u00e7\u00e3o da articula\u00e7\u00e3o r\u00e1dio-ulnar proximal:

\u00c9 sinovial (c\u00e1psula, cavidade, membrana sinovial, cartilagem e liquido sinovial), g\u00ednglimo, com articula\u00e7\u00e3o umeroulnar e umeroradial. O ligamento anular da cabe\u00e7a do r\u00e1dio mant\u00e9m a cabe\u00e7a do r\u00e1dio na posi\u00e7\u00e3o ideal.

4)Movimentos da articula\u00e7\u00e3o do cotovelo
*flex\u00e3o / extens\u00e3o
5) Varo e Valgo :
*Varo: membro desviado medialmente.
*Valgo: membro desviado lateralmente. O \u00e2ngulo interno \u00e9 aumentado.
6)\u00c2ngulo de transporte:

O \u00e2ngulo formado entre o eixo longo da ulna estendida e o eixo longo do \u00famero. H\u00e1 deslocamento lateral do antebra\u00e7o que \u00e9 alinhado na flex\u00e3o. S\u00f3 ocorre em extens\u00e3o e supina\u00e7\u00e3o

7)Restritores de varo e valgo:
*valgo: prim\u00e1rio \u2013 ligamento colateral ulnar (anterior)
secund\u00e1rio \u2013 ligamento colateral radial

*varo: prim\u00e1rio \u2013 articula\u00e7\u00e3o umeroulnar
secund\u00e1rio \u2013 ligamento colateral radial
feixe lateral do colateral ulnar

8)Nessa s\u00edndrome:

H\u00e1 acometimento do ligamento anular da cabe\u00e7a do r\u00e1dio. A cabe\u00e7a fica frouxa e h\u00e1 prona\u00e7\u00e3o do r\u00e1dio. Na volta, o ligamento fica comprometido com o cap\u00edtulo.

9)Tratamento:

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