Py aberd artoor eau poster Fagen acta facie fate gr ecurla tp = raducarsa séngeranda « lsael gi tallzarea ca sub Fagen Fret esto uneeneceser® perk eetizso opal oi de oie = frais de Wo ~ care ov 0 deplasare de peste § mm au, oups Goes (8) indcafa chin (ead. Pisi-o nldo datopectorl prongs tn Sus se abordeazhcancornt ecu 9 ila congiawal suspensir (acura acomenull, a dau, hua} sconiocavulrd). Se tooo ra lene! Cu un guru detache neds Ge ‘us fa J06 86 roxas corcortont al eine compan = fesse de pV ~ cx mare roti. trae onhgiea ms! alas cac8 tagmertul ipa ela Wanll enlem {1} (osecsineas 8 su acid tp V = ptf operate combining lode da hare be Cos i tpl IWaa2. FRACTURILE CLAVICULE! ou lan npc iu nupena S28. Mceal acrotarea oes tontorm clea ors ani cea ar fun 08 secundar penny noe ma i brut super fh evceres acest fpeeze ple teazs tlrana fnojonald bund a deel tole sau a lpselcongontal a davies). Sa inal ots cP acete crounstaye, eaceres aba foe masters wm ‘el important fn uncle rari sigeion Din punct de vedere wauriie. of praia cbt partly cofe ste Dina ta usin raj, Panicle $2 Tee 1 nce, forms, sivafa gl resto plesel osose, Ee ce pol erurera alle Clavie esta sngurl of pn membre! superior sa leap de rch are forma cura: este stuzt-msset sub igement gl 58 desl da agit. On ares mote, ractue Ciaviede inregteard 9 essen} co 70-12% dn ule Schell gf S34, ain recudle umMecenismul de producere a fractur ‘ecensmul prclpal do producers a tractor ops eat nares 20% de care. Comgrosunea avis ie amon gf manson sta avand a amare exagerarn cubutlrfaclogce ala os3- il woes epari raul, Cis, aceasta com ‘resune oie consecnja une cher 6 spin pe fait en eo, dar sunt autor (7,13) cae Tomares ep eB do cle mal rue cr (4%) osu mpacr hd oe ape ee ner « unSuhi Este cozul sccfentlor do trafic sau a sprtror de contact {5} fr 20% a cazun face aro un ail mecansm ‘i redcore, Se aoieazi ebegaia bru eu ‘adtosrea cry, aumallse coc, facia invautine, obstoticals ole. In sgt, exist 9 socalled unor fact ataunatioe aun cine ‘eruperea contayt esoase apare Io zone ‘e038 prio lerlune osteo. Clasiticare gi anatomie patolog orn adepia clasisarea ‘ui Allman (*} care impate factiie davell tn toi grupe Gaps | ~ facta in anos mas ~ Gps Y= faci din wares el (extemal rapa I rat: dn trelmea itor ajoralea fst 20% (1) s0u:76% (6) ih au sodn porurea mict'a sui stad ta inser Igarentlrcoracoclaviulr a igamen- tub seo, Frooventacracutt 2 ractrlor acest sedis ose exlcats ay Taringion 9} cata (5) El ang la concuss cB porunea mijo- 2 2 oul osio mal pun rest’. In access ond daveus suport you inelee axa, fo. arile sau forse dala fp cent "vlog echimba forma, davening, pa seca angversad, di primates, tri I. vormea ‘etic ph ete eo Tak verse oct Go oo: I, ar ceaclersie est-taecal oBlo, In, Teka nr. Aunal ond teprnénisla ae do Daseer, hich este cepesarea’sub forma atau Daj ewocs, Angus. fraars un veg desc In jos, Fun gi Indra iar Tnclacrea Pragmenile a prosaca pac dianié 30 1-2 om, Fragman, rida pen aciunea mugchi storneceo-mastision, ar obec prin achunea Selladuni, marek pectoral, dar gi Satorta prsuiag ear, sunt Sypor acas: Seplasin. Conaa fruscler® determing rea To 15% (1) 8 21% (6) dee eat igh aw seb Tp pores extern a osutl,deimlats de ‘ula avomio-savoulas, exer inser} ‘anantooroxracoclveulre (CO). Rear fot B entomtatoa exterd a clavcuel este soicar 22th la apoiza coracoich orn dou games: Ton shier-axtein pow quae dp trapezoid fio orga mpl, soa harm supeck one tame flxoss6 inst Inve fafa inferioara a cave ‘ual 9 porjunea onzental a procasuul corer dae paslr fa de seasia, onal len frontal, 39 ofsepe 0 2 dua lamé fiross3 tur rela’, Igarerl conoid cara so aserd cu baza De ovious ¢ vir pe eovacic. Ugarentio ‘pun deplasirlor edvemitali ene 2 cavcut shit pe pn Font cit sagtl (@). Fracurlo cy soos say pol ir. dopiasare say cv veptasare i tina do sed aceslore dar gi de ines sau rap gamer, Panica aaste moive ese rneoesarécunoaslorea -clsficarlr Neer sau Reckvees gi Green (8) cate impart Racunie ot vremea oil “Tp | nedeplsate, cid alec do Fact = plsiyle [a fora igemenlaor Cc, i acecten fort neg fig. 8) = Tpill — A ~ doplaaie, cind toe do frachra'se piseste iniuntul igamenteor CC, ooeooa sus inogs fg.) a " 4 = Fig, WAS = Frctct nent dle 9 ev The fd Retoato GAAPIRATULALOCONTOR ‘aa fe smut hem fae ce tyanere CO Urey se et grey pecan rv dpa ap Recent eel negara Fae. A. = Tp i= radplacas, invoarulr, intro ovat spate ricularsoxtares a dest oplanate, ofr tala dota so iar Agamaniu cored esta i, WAS ~ So 8 envi st ve ty ‘idea eo tas eb hem wpa pram i un a Ren este da opto cscudolal" a dala! erro cavicire (V4.3, "Ip V—0 fact épiasts, dan pd savin es Hage dar fepmenl ease avieular pe eae so ers eso acta cominat, flpl penta care acura 26 dglagesea oe ih ‘pul Sd rs rt ra tate doc aceasta, Fraclue cy sil Jn tele intend 28. sunt rate, 2% (0) $38 (8) ta doplesa'e ce ‘umare 2 leg Prior mal Egemantee oslo ‘avtar tamertaietr). ‘A fost desrce pia acum feinls casane Cis ae ou de a lees semen vascuioe ‘peroena fs voce tv pen delle! eratacaicler |jofe un oc de nse 2 mugen Insp. fn Trecuie Caveuie. pe Wagh ernie aanese so Fis, WAS Fac acm ts © el ao Gk Pace) ot podice dn punct de vedare natomopéteogs, lel! alo prior moi. Atl tacluto cominu- ‘ie ein vemes no cau po esa ese subavgulare sau Ecce prinare ae pleat ‘rail fa reals acests compiz sun ao ali, torts eal ge gepiasar a agree doy 2 proecel ote acestora'do much sutca tule. Fracture cic se ot acess exoca cu ‘eau glawro-pumanare, Cuca ci com ul F prima coal st Ta veces focal, e+ rea plow pumonard pare a f de ane ste foxo, i fata cy intonialea teuratisrats tora gi me pun o coplcae a facut Orca 2 f, rexnouyiaea acecol pose eee oe regeser In ore pel eating Siva euper- Testb a osu expind eparja uno leur gu rent (rect aeschis} 14.23, Tabiout clinic Taco cin’ er dup so rack xi fens sau ss 2 depaciri, 3 Fogmantelor @ Gxe- or Sau abwera lecunler asoite. Bohne na reload crouratnile oocidntu (eddore ou phn pa fle erla. undid) i ce omare oxoce aparila dare sl inpoena! hnojones & inde Le ingpacps vorn conta © studing spectcd tauratsmelar din rege, studies de ‘Onin, car insunaazd tel seme ncinciescau de pars Yotnavs raul Wit do tora 0 etebrab fetal sufout cx mina Sindioass test somnele ine sunt mine te basunis epee. Descapervea uno” puncte. crease f= [od unde #2 gieyte fecura inatvenze Id cals ‘de-auaminare radornfod. gn aoest fo > choad diogrosieal Un tebiou cino.careceisic ne ovis oft ds racbira dopissat cu sel fo Sarna mack, races! az zach omer Sin fal descopers delaras regs. Se cbsen imatint dunt aoaident.oyengulale a frsgmentsoe vil aniraeupoor, Rares tagmont in fem. a. cel sxramsate dam bomboa28, sub Piola cobosrea coldaxten sunt clone caro ota, dtermsres, La iepocfa Bolsa! dh spate s2 posla ess Indepidare a arta ‘inale & omplal2ui ce ia anoeslorstnaase, fe car de fll osu este nel a trablacaa, ragmentelor 1 seutaiea oi Pabprea.cescoperd 0 dere, vio In punct fx, atc Gxrraataa evar a tsgmert ar sib pe, dors fall Is apt nol exit 0 ‘rend a somes! oe, a! aly ser sare este moscall de edo si seme facta ‘tevin rai pul, evioni, Yn Sib 3 face apa ciiza cate e8 nnd in Taso cup. sob dave. Peru a auntie tnsieceren og Imonzlor gum mécuia fo gtr de astern MoM, contalind cd sie mal mice Set 0 Patsa sarsioasd, ts. dsianjs dinve marge Spinal ‘a copa 9 Ui! median cont nd es me mine 3 pressions. So er rota 1a ina miringa emaionuld, sea vera 2s nate le ve ral supra evar ali spr regs, W324 2 Examenul-radiografic, “examen radograke Vi lncdors standard tals fsufetot in facturo. sivas in, poriunea milo. Deck este neceseréo analzso reece de Peclu8 seu ofrerea legnostov! de rota lgementer in fect ci tenes exe, atc va frat fede rategrata tr ncn oblee {6% caine cri ats}, Pri desc perce facutotraatcdar ale exter" 50 ‘cil his CT etna cnc ext serve ce acumen a ‘scott sors, Arlo unde seta gaz sate ine 68 9 nage @ rca glo radograta lean, 42.5. Diagnosticul pozitiv Siegnostcul pac este uneor usor de etbit fale, aieon chi, eadogree slender vs fo Zeazi dala ponte un diagnnsbo compli vor fi isticla evar eupmetar, Fenty & 6 oon lt, Stagroston? tobuie 53 ince gi compiatiia. au laziete,anacata-unoot incl una ot vaumatsn, 14.2.6. Diagnostical diferential Cente regu poate # ovacat cine &s 0 frat fBck deplasers, lar hxs}2 umatb frsclste deplosne la roim externa, Fracture ‘ul slindios Seu a cb Bonar este pos Aeranjat rural po taza antecedent fend ‘vst coraoreia cu un examen vases de ala aan Evolufie 9f prognostic Fraciura consoidoaah do rogu Stn Wows! 462 ulin cob gd edptdmt a eau. gona propiosisu esta deal toatl. Lennie pero Rol cn vechatat sai taumtsmul terace po Inlunseaprogpoetelinediat ston sot vindeeare eu sechale @ wer comet dns, Compleat Evia i tecture clevos! pastatea ep ‘ill wear complica lnedte (rect planh bral valor subcialars Indi “pleopumanas' asclats, car secaSoa zon meno oucemense soveptte fn so0e cata ‘hire compliaite tarde vem tain primal rind clus! ioe, Calis vies reprexind 0 ‘Hovalile fcron de ydecare © maioro dts ‘rectieia cave tate conservator, Pecistonia tie’ angualreidvle sau 9 south cane Ws (58 eqnseane funofosia. Boivul va 20vza cal rat Inconvenienla-evteiee. Calusul pert is opi do ice! se remodeled sural rar singe 52, doling comestun ala fomnajunor an "svat in lan pracic wet cea 2 peousartoaao, a fe ca vom oor in capo pcr ratament “Featament Frectate recente ale davidl eo taloand de regultroreera, Ext ceah parca pony ‘ttemant chiagial goa nena “olsen! eandervatr a rar lr 20 are consti sears mdblizar (14 2a op gi 24 le a ad).op aor urw banda. cade op, fs cal auc cepasato vem proonda dup scone doses: reeuooe, motlbare, reduere FRedvoorea cepiasinior so obfne i princi prt ‘ezaee fpmonil exer fr coninuoroe ea nem i sceasté manow este posibla dac8 rexgic 58 1 embiizdm pe Ca exter a dees “napalm evs gin ates, Recveera mu ete ma gure sonioieats, ovpaate arecule chiar bos te adoptaren pone ce reph De obit th rogd esle aces care procedeaas ‘a. racunea, or fees Asus gl afr, np 68 Ge chil, esi serie ew omega ghee Tora. Ps eat de upon este acuere, pot de dai va € everea tla admis pent monfsere reduearl este faacea unaeler ium bance) aed fe io, Band ee paste cntaejona pe fe say fs poate procara din‘comer} xi eave foo veniewe ale acsot tied de a prooese pe care ‘eaciou vobuio 8 lo canons get abiga a comunine pacer Brana vine acestea ete Sandel compres la rive sl Compresiones 0 nies eda ap oneacponeres baa ‘rh op lav momboorsuptonrspat Faroe a pub! la 20 parse eprcieea Erajeor reapare fa abducfo. Souja ein una nguet garam frocitan baat exalt, ne sonprsi.AGet os pie fan pin aie area do valve axel -onsionrea noc a foe. Un doen caver ot ‘apt des knguparoaol do ibiza, pa dln ese noosa of pseza pon de cobs darsal 24 coo fra pad. Ino lea tind tebe supaveghonts lansines' tend, Yor: ines teewae3 rouin la Bono saparnal Gar ge do cbt OF aro eenzaja delonscni cela, Dura de nota ad a8 8 SSotinda. Dupa seas! lent éle-pucent ca orien 38 peat © errd Pei ined ¢ se ‘nt ‘confuse se Tempe dbices pbaut co recupefare ca wna toloa elomant tat rent conservator. foto vor raule 8 Sot kl do deco rogaine haem a ris dig ct acura i gece ai, er rezutateincfonle vor tacts (8) ae coe cosrstce acepas. icf atranth chill taco toca remain ral fs writs st ‘Seietate (esos pin e‘peal), comacayio vastus, netoees gues, ecu ate ‘ao, (octte daplaal i poliauatea. fle deplete geotiteny Rac x mare, dete sere 8 urghuhdsupargextrh ot omopla ent facie cepesoe dy ramen exp & classi ns int un sean, sour ind caer tratamontdd cieied, stot Papert. ( paar pana Year chia! mojriion frecturor cu aceasit letzte, Bruner feo, (4) seecooed pony lament cipal mural Frode cglsao cu rota Sgarenaier oeac- fovea ip IA 1 8)ler Nadas ea {10 ced ce rez tame consent Su, costnt-fayorabie. gm conseon ate tall ae! ni sel ai raza Cea Atutel cd se ops, eu, pet no ‘je cherie n fcture cava alegrea 8 do acard oo peru emon-se het conse Asati dao abi par peter 28 ctsmete ote longusinale. Prt mila: cele fae fogmenilr, poste acute a fr certo. feea cecomslas. Se: pa erie —~tol-ilmer i erenonmceaelfer toares conromedr’ cu brag gioesd de 320m. “Tehnise de lnvodunera esto cea de fo vn (ia, 14.10) dace brogle fiat me Bunt alate ‘uel copa lor exer se fndos's peau a ‘en! migra, Ate riloace de fixer a tna f jaca Irgurubal, cae est bro 38 49 fiesta In Feewdarvo, ler Reatul axle, cod tehrca Sosaish de Schuind i clan. (1), va, 8 ceaiat ‘autor destise ff. 411). Perey fre a2 ‘wior dn toes axioms se profes do aeeanen csieosnoza-ou trop, dar In unele ils art clare (34) pulem ‘lest inlace to Tt 14.1 banda de tortie (a. 14.15) seu guru bul eavccresoln dup Bosworth (1). AYO ~ Osan cant Ts oat “Fags crest i feoma a egmerigor este apa complica tara, peaud artoaa ra ales. Pr inde. corsct © mi loculu 66 ostesintsr’ von fndrpt spa "iis nck de 100% a faci de, caves seat, ofa cur epoca un ut (3,15 17) In sig, ratamentlfuneonal ae eept in 2 asus eave care sare po in anime Yeon (oan, tara) sau" eluie! Ge fran ce sole cu un Fauna teres inpetant E} fPATOLOOKAPARATULA LOCOMOTOR 142.10. Tratamentul complicafilor ‘ralamen complain imedate™ ummeans prindpite de trtament ae tac deschise, le- unlor nervoase sau vasovare, Dine complicate tardive so pare 8 pseu artoza fc unele probleme trapouica. Se considers 8. lagnesteul do psoutartacs to sigue decd up un intel do 648 lun (8) do la producerea actu evs toate aspects cco 9) faloaie care sus acest agnostic. Nu toate pseudartzalo ay vole de tratamnk ‘er f selegonate perry alarent pseudsco- ‘ele la care evat una sau mal mute dn umd- tbatele some einice: dtormtal, crepe, re, ‘scddorea foro ig! compres vasclene. ‘voace, moblitle snormal i for Rasograa confi (inddenfle obs, tomo- afc, CT) psa corso. Inintea interven er sole fo recor tere w cece aller cila 2p apreciazd scurtarea osoast prin compares dsahjt dive aeons ‘Stuy cinngicald ar putea rzumaté asl: pi bord focal, Woerarea gi progres fog- ‘mento, oslesineza cenvomedulard overtual os ‘ofa felato Hagi)'sau-ostecsintza cy plac sunt solgile de ume i Najaclates autortor @, 8, 6) pte ce mic ie fiare paca Ingurvbat sub forma une pc de recenstuthe de 35 mm. in peeuderezes hips vasclare decotcarea poate f far pei Pseudarozgle avascular sau In coal Ipsel do ‘subslanfS osoasi, pent refacsrea gin, gr ‘onal ae iteclat est necesars bate In aoest fale metode cur ef clldecoria (oenate Wee Sr muna or ag Ste Pestana tote tom a obi oleae dupe aosbosl pingp,.Ceoa oo dir arf mifooele de fae are deBoaosl dat vor fence col dem- Inte etree ecole ce aoa lester, ‘Al cinpleai cio, ca af fc per trots ictepabl eset, bone, 0” ara zone, [conproshnio “nowernosere (es ‘alo tpetofc, au ca molt de rxavre tere porjl a vein med, elec, tro: Zone Gohl, exceed ome, cla “tayeorsubdeveer sau semen 10. act ©. Zgaror L, Ravan Mar ‘ise sipdbogensa ope eb peste de, As Oop ul ab, 2, 18. Grlg EV.” Promos of Gavi. Reed, CA an SRE Sone abet Sone seine reir cons Sees Se sefocca tee ow Shahar ; agin Shoo neat aera orm owe mas roan pea ae mise ‘en " ‘Sebel Panter Ate 9 c= es ‘nthe afer wich ‘in ft Sp aT A "