Ortopedie

Mezodermala
'
sist musculoskeletal =

t conjunctival origine
- . .

pat .
muscatseneletale

presentation
'

↳a Cea Mai 0 cauza a 1a medic

dorsal main cauzci de absenteeism de la
gia → Cea
-

mioiuide muncci-idizab-iutateapa.cl#--aui ! !
Fracturile
-

dasificaleimfungtie.de tip ,
localizer ,
grad de
de
plasare giangulgtie
Toole fracture le

sinecesitatratamentdeur-gI.EE
•
desanise sunt contaminate
ñÑÑniTñ segtia pentru .

fractured in regimea epifizei extensia intra antic - .

a tractorii.ae producera

armEEeipost-lzmat-osulmetatizarlsponge.@pede]
es
1.!
→ se vindeed destill de
-
traiectul
cantitateadeenergiecimeticaabs.de
→

our ur n -
as

energi eredu⑨
•
transversala- traumatism
→
at

( Loire directa- peas lung / andsie ligan ) .

pdktegic.spiroidelo-bk.ee
→
fn.de stress / pees

delete tensive 11
→
traumatism /
↳
autendim.tadedfptasnarelscur-t-areduparedu-E.ie
co-minutiva-imaripadetlutu-reyoegment-ara.fr
•
⑦ fragment

atoi
•

actura impact
imetafizar-tr.cn energie
↳ Mosul rediesa
mm mm
=

•
fracture prince rmpresie
↳
estrncharhspo-ngioszeslecviB.to
vertebrate
iap are

adeseatmco-npur.de
•
fracture in ÑmÑierdTmm
↳ la
atpii ,
cease mai elastic gi mai
peytin fragile
1. Deptasarea se maisoand atatim planurile :

•
media later ale
-

( coronale)
• antero -

post agitate
.
Is →
dire takraw
deptasareafragm.D-aestedenumi
-

aport fragmental proximal

cu
toitmto-tdea-ma.l.mu
-

anguiatia
=
reaxiwm_g atfragmenting
distal giant at celui
proximal
lung
directiaspreareed-edeplasat-fn.de stat
1.
-

a. sediulangulgtieifracturii
-
varus voirful
=
angulation directie op⑤a fatade
6-Mia medianat

valgus =
vñr#atié estop limia medicina
 CHA Siti AREA SALTER HARRIS

fracture eiau ceamrai mare incidentoiatulb.de

cregtere.dacaonusuntco-rectal e-toalefr.la
iitrebui-eimvestigateradio-graf.cat
cop pytin
⑨ ¥alTsm-
-

de

Evaluate
- durerea , tumefaction deformarea
durere la
palpare
}
•

semnedecerti udiuemtf.de/-ormarea-aseimspectaloziune
•
crepitgtia

a
circumferential pentru a
pan-ctiformeI-imlegritaleavasculareineurological
gi.si
deala lot iuni
-

area
 •
②incidente If § ILL !! →

• atart
proximala- eat si
artie .
distal a- cea

• Rx dead oanei latgticulepiunifaa.ae ! !

→

ociatoicutr.ae/egenunchiu1uiPnimcipi detratament
luxqtie gold
• → as

÷:÷÷÷÷:÷:*
"

a. InHannatie
,
si proliferate ahdarei ④@ sñpt )
- .

3.
T-o-urmareacalusuluimo.ae/2zi1e-6sapt-)

formareas imLÑTiÉEE
-

b. Fit umrareacatusutui dur 110 zile → 4 Luni )

• consolidate .
transf osfibrmamelar
.

5. Remodelare d-stash 12-24 luni )

• remodelarea giresorbtiacalusutui.eu recon stit .

cavitqtii medalare
- montarea wnei ate6
previne miscared tmfocarul
limiteda'
de fracture ,
singerarea , pre vine durerea
-

imdb.atoitarttugt-ias-uproa.amtacdtsiaa-
Subiaanta

at ie osul proximal + distal se imob

tux →
reduced
-
toale fracture tedeschi se contaminate
a

bziwneexpl . •
sing urei data , pansament
 stout , extremitseimo-b.im atea-
vaccine anti tetanic +
profitax AB
-
-
.

1
•
Cefalo sp gon -

Metronidazole
AG -2 §i
•

deb ridarea i
/ intraoperator sub
rig area →

arresterie -

general a-
1. REDUCE REA
-
imchisa →
manipular prion opticarea wneitragtiuni
im
segmental distal pt .
a
separa fragmentele
impactate forJoi care
asigureineducerea-deschis.ci
+

fragmenleoso-asemanipula1edirect@2i.ME
Chirurgical
↳
,

REDUCE Rii
NIJINEREA
-
ti pul de irmobilizare de
pinole €-7 fracture1am
Sau de Misael de de plasare
•

aparatgipsat protegeata- mentime alinierea

→
+

traction continua trans osos /prin gravitate → -

↳
transtegwmentar eopiimici : la
→ transits☒asa-
segmental distal defocar
:
brag a- tm

→
f.pewine terminate tibiae forgot director
, , →

f. numerate greatateamb. superior tract

~
→ .

•
comp lioatii legate de gips :
tub circulatorii acute Lse fat
- . .

initial ate as poina

Tweedemeet memite
 -

prea strains
→ trebuie
rapid tmlaturat
exasiva defected consolidate gi
-

tract . testani
de nervi
periferia
-

ulceratii ,
e scare

musculara-
-
redoare article larégiatrotie

drtereigcari
fwngtiomaleomaiatestmfracturileumarulI.mn
•

pre Cece ate artie , men ,ti moind redeemed

-

fracture elect camp resiv

•
gTaÑvimdecarag area

disp.de tix are in terma

these surumnburi pLEi,t e centromere ! !

→

↳ ,
,

→
mention pozitia fragmented-0 r piana la vindec are
→
simp la present
a- ② garanteazavimdecare complete
-
-

→
④ mobile2-area precise
→
deepa- tmdepartare ,
Asal se poale fracture
re la niv .

n
orificial Ui guruburritor
mm mm

→
fix area externa
•
minim in varziva

campicatii intestine
• →

→
tmtarzierea consolidatei

3. Rest
abilireafunctiei
-

meombru i mobilization potitie functionala- It redoarea)

-

exerci.tiiizomemin.ecviEa)
?⃝
-
exera
;tii dermiscare a artie adiacenle
.

depindedera-tamgicalita-ea-lvimdeca-riifrad-wu.br
-
viler a de-

recuperate

vice
-

-
:

a clinica- →
③Mai exista- Aurore la
palpare
• Rx → trabecula so aÑÑÑÉcare traverseanti
tractorii
1
☒
Comp lioatii locate
-

pseudo artroza →
vimdecareicmpeta.ae fractureii
decalajuldimtrefragm.de/ractfibres
uraesleae-mphetatdetesul-
→

→ Tm .

imkrp-z.de Yes mode

fr prim separate ,
.
,

rmigcari excessive tmfocarul de fracture ,

rH-a.tk#atasaui-nte-stie- !
→ cakes vices → vindecarea wnei fracture pyintr o
-

difor imitate inestetica + alterare funst .

rum

•
→
produce scentarea ,
angel area si ratafia fragm .

• → mede*xgtie pentru a restabili

atiniereagifunctiaosoasei
② de
→ necro
za
avasculara-
→ • asele act
penile peo sup rat
cartilajgioasele
run
care au#ligmrusaar
⑧ representat
→

cap terminal senatorial statuses

.
!! !
1. 0
parte dim cart de .

creslereafectat
↳
diformitate angular a-
-
scentare > 2cm

↳
fwziunea plñciidecreglere contralaterale
lepifiziodeza)
-

artroza
post -
traumatic
↳
fracture intra articular aedeplasa€
.

→
apare indirect tmurrmauneidiformitqti
aware
-

angel
→
ñparent
Subluxatia si luxatia

subluxqtia =
fernomen tranzitoriu (
partial separate)

sipacientuleritoimigcareaarticulfi6z⑦ gtiei-po-zitiec.ca
-

luxatia supraf.@ mai sunt

= in contact

-
-

structwrite neurovascular pot

eratuarewvh.fi#toi-Rxtmpo-zi,tiadeuexqtie-poate
fideschis a- ltmchisa
TI :
traction
• In otomal
a-
'
redware deschis inter daca se
fragmented pun
a

pointi moi
soase Sau de

+ Rx past -
reduced
Fractura osului scafoid

aset-ucarpieue.ca fracture he •
-
cea Mai Odinthe
derepummel flex ai moi ma tm hi ext
per , TM ie
-

dorsala- gi derriere radiata

-
vase . + fixare big . limitat a- necroza a vase
-
.

,
cakes
-
-

s
pseudoartro-za-fdradeplasare-satelaaeanlebr.im
,

externsie

si policele tmabductie
-

cudeplasare → Chi ru fixare

, arguing
Fractura distala de radius

cñderepemamaimhiperextensie
-

'
-

fracture cones la voirstnici / osteoporotic :

RI
comingtie dorsala- fmagm dorsal este impactatgi
:
,
.

scurtatcu
angular palmeira
prion tract longitudinal
-
reducera .a-
ulnara-
• artie .

pumnului im teexiegi deviate

'
aleta l a cat la palma
'
•

zik se Rx de control
- la 10 face
fixatan extern
deptasare
'
↳ da ca a
pare
↳ wneori
Braga Kirshner Sau bigger
'
!!
-

nerval median poale file2-at

-
sdr wmoir .
-
Maina : redo are
@rat +
degele din

cauzai-Y-ir.li pretungile
Pronatia dureroasa a cotului
I -4 Ani I
-

copii

lig.CH#iradialTR-:tuxiaugo-areiaco-tuluigisupingti
-
letarea

a mrdimii
inelar
Cee
ieepozitionarea lig .

Fractura supracondilara a humerusului

ani
Capri i 5-10
-

coiderecumramaniperextimsagico-tulextr.ms
fragment distal dep Iasat posterior
a

riscdeuzarea@t.brawa6giaHf1radialO-caur-adesdr.de
-

compartment prin is chemie

promhmpntang are
cubro-goi-isc-E-xalectareireversibila-gial~hiperwkfm-i-glebina.tt
o-mplic.si
17 : reducer

stemice )
Luxatia umarului
-
artie .
luxataamaifrecvent

÷÷e
tosagienoidacuperiaetpt.arteraginervutaxilar.se
• •%
-

produce prim ratafia externa forIata a brgtului

tmabdugtie

iagradualaawmaruluigitragtiatunei-ae-ntratragt.br
prin abduct
-

reducer

uexqtia post rata la

:
epileptic electro cutare
sevraj
-

, ,
,
 ↳
brat im notat ii☒maiO③p ate fi e-

notat extern
-
peslelimitapo-zij-ieineu.ve
Fracturile diafizei femurale
=
d)÷?aenj-
-

diafiza = at mai resistant •

traumatism de mare
energie Cadore de la imagine
- →

pierderidesgc.am#eC1-3U)-osteosimter-a-cutijoi ntrameaul
-

aroizavoxita.de
Fracturile diafizei tibiale si fibulare
④main deceit Cele ate diafizei femurale

oaescnisesia.IN?t-aud-#
•

artro-zaimtarzieritmorisctdesdr.d e
•
vascularization b pseudo

compartment
dureredispro-portionatacuimtensit.traurmat@H.o
↳

osleosimt.pe/qocartmchiin-Band
stghips.fixareimlernoidebrief
ltijoi
stabile
fr .

)+
•
tix are egg alternative
→

Leziunile gleznei
-

frecvemte la timeri
- atatt e-a-she cant gi ligamentle
-
traiect transversal traction saw avulsie
•
mateda mediala- → abductie (eversion)
 •
mateo la laterala- →
addugtie (inversion
-

fr .
bimateetare 0 , wneori trimated are

→ reducer articulated +
tennicafixarii interne !
Sindromul de compartiment
-

tpresiuniitmco.mn parti mentee fasciate

flux capital# aeaparitiaacidozei locate ,

edemuluz-mentar-wneorimecr-za-musculareig.ir
Wti union
celularegi a
nerve as a-

deg④smm
um

rat
agra
-

dasie , Cee

evokeare
urgenta-
-

pestemmHg
30 mimecraze

gipssauoriasursadecompresielfasciotomimmHg
pointare
edeschi
) sa.GL
TB :-
Tmde

30-4-0
 Leziuni asociate activitatilor sportive

1. TRAUNRILE DE SORES

kfiuni dasi ce de solicitare

supra
-

primulmetatarsian@P.o
•

femur
fr.de Mars
,
tibia
,
→

,
calcanei , metatars
we ru n
→
alergoitori
=
• humerus → arunceitori
• coast → vastas i

pumn ⑤⑦
gim-nasti-stresulzepeti-tviv.su#rTnaxi@supraso-
•

licitaosul

protegtiefa@tadestr-e_s1.Rxareo-ratade70i
tr repairs +

.a
:

fats negative !!
m
ref
- ~
.
-

u m
-
.

Radioizoleepipebar-oideT@stadiipre_a_tce2e.Epi,
conduita laterala- Ccatul toni somenului ) -

m.extenso-niaipeemnuuu.ca#UMERkfni
Data velulorigini
,
supra solicitare a
-

Ken de
peepicondilul at
hwmerllsllllli

TR.ir#a4dura,AiNS,exeruj ti detmtindereaextensorilor
gidetmtarire flex a outor
-

f. ran →
pt.nexka.to#Luindegrzgtie~
dimitaco-afeiro-tatoril-n-artic.gl
3. Ten

emo -
humeral a- → cea mai !
-
4
mug Chi
: •

subscapular
supra spines
•

•
intraspines
orotund mic
-

cñndbratul este petitionat deasupra capului

acrormial
↳
contractie sub are atrace -

→
comp rimare + iritatie mec. a
caafei

subacromialaseimflameaza-dfor.la
→ bursa

natalie de externa a wmoiruhei frnuptwma) !

Dg artro-grafiaurmarului.ee sale
: IRM

b. Fasceita
plantar a-
-
0
iaakrgatori
-

fascia plantareiimveleglecapelele metatarsiendor

imtlamgtiedureno-asa poi-exo-sto-za.g #nyadetrasti

-

une sub

forma unuipinlenot.es
IR : -

repairs

mail.t.adecvata-suportcanhnanean.EE
- medicat ie -

fascia plantare cazuri

'

Chira : Eli b. →

metespensive
 5- Sdr durer-0s
.

patel ar

durerearegiuniiatalaliniatoianorrmal
anterioareagenunchiului-pale.la
-

solicit

Ismael RMN arthroscopic) ,

agrarata de urcatlcoboratscari ghemuire ridecare

-

, ,

depescaunsaugederepreknrgita-m.atrofia
cvadricepsse.pe
ate
~
11
Tk : -
evitareactiv .

agr
avante "

AiN8-ortepeuotaliene@texerci.ti
-

deimtarireacvadriapsului
6. tindromrul de stores tibial
-

dureridegambdimtensif.im tirmpulexercitiukei
•
recreqt
compartment anterior
. →

•
pnofi compartment posterior
→

sdr.de
compartment de exerajtii
d
-

pres pet creglecupñna la Emm Hg

-
.

•
II. conservator
-

lfascitomia
Entorsele

lefiune ligamentand :
-

tmcarcareae
greatate
•

• tntimdere exasivai
sensib.ligamentaraYr@semodif.stabilitaleaartic.us
GRADI let
microscopic
→ :
,
.

GRAD I :-#
fas-mtregide-igamo-nl.lt
continentate
macroscopical - ,
dear tmtins
partial wept
-

Sau
-

4axitTaearara
→ GRAD II tig rupt total cupierderea stab articular
-

. -

-
-

• DE GLEZNÑ
main aled-ate
Cele
tig dim
coup
-

- .
.

• takefibular anterior
1-
posterior
• catcameo -

fibular →
ABDUCIIE !
rmigcareexageratadeeversiune-ieligprimed
.ta1o-fibulWyat
arlf@t.e
-

He
-

translation excesivoiapicio-ruku.pe gamb a-

TB gheata drenaj postural
: -

bandage cempresiv
, ,

gimobilizarepreco-ce-chi
f. rurg.ie nar

exercitii de
propria cepj-ielmaiates.la reactive)
-

• DE GEN UN Uti
-
2
rig cot aterall → se opunmigcarilor varus gi valgus
-

2 lig.imCrucisate → - it ant .

/ past .
-

LIA :
ra-sucirecugenunchiultmhiperext.tn ipertlexie
↳ intrasino vial he rmartroza 170%7
→ 50%
asociafagi let Morris Cale
.

i-A-lig.ca#dial:traurmacufogtarevn-LGUSm
↳
capsular gisimoviala sunt alectale
normala-
! Test de taxitale
comparati e parted
→ ca

! ! Tested sertarului anterior →

pt.liA 1 la 450)

! ! ! Test Lachman → 20° , laxitateanjoara.lt .

TI :

- lot .

lig.at#ED-gipscarepro-tejear-a de
valgus
-

Chi ru timeri
[ instabiletale

Leziunea meniscala
- Tm ontostatism , Morris cell distribute ko -60% dim

greatate carnival articular

ginutritiacartilajuluihialiu-sedepl.
leebrifierea articulation
COM
-

pemeisureicegenunohiul - -

este fleetat

ratsucire-cugonumchiflectat-erupturaI.mgitudi#aµ
lavdrstmicfl-dureregison-a-b.la
rupture orizontate
• →

mind articular
 bio care intermittenta- Cele
rupture deplasabile gi
-

Exiting
in manner de
goileata
www.pierdereaexlensiei
complete Cblocaj )
• sonsib . local izata a liniei articular
'

test de bite
•
prove care
pt rupture deptas a
.

Test
McMurray !
→

mm ~

IR :

rupture din 113 post .

se vimdeca Dime

-
meniscectomia - rear

excizia paytiala menisalkei A

rtro-sco-pic-variqti ateder-valtari rmusculo-sc.net

-

a →

Patologie pediatrica

tale
- Cele mai comune diformitqti rotationale pot fi
atnibuite :

femurului e ,
retroversion)

tibielrotgtieimternoigiex-unay.am/ametatarsi→eon
epicio-ulandkgT-i
•

)
m -
☒
-
cot ul
femoral este deviat-de diafizatmplancarmal
rotatr-I-lanlerio-r-1-lamagtere.am/eversi arrk0)
anleversie
femoral a- °
→

scadetmprimiiosaui (
! See valueatra Mai bine cu
co-pilot in
promagtie
.

→ rat interna-
.
a
fem@deñt an lever sie
 →
ratafia externa excesiva retro-vo-sie.BA = >

-
✗ coapsoi-pici-rperrmiteevaluareauatgtiei-tib.ae

interne vs . extern e

margina Lat a
piciorului convexa- sale airbata's
pre
-
.

interior
ada metatarsiendon

Genu varum si valgum

-

diforrmitati angul are ale mem butter

sugarii
la 18 lumi
→ venu varun cu $

citratecette
tibia femurat
(
de2①D
$ se 7°
valgus scheleta
n
→ ,

::÷:÷:::÷:Ii:÷÷•
Piciorul plat
-

• arak
piciorului este absent sail plat imortostatisom

÷÷÷÷÷:÷
prior

:* rigid
-

→
migcare pasivalimitata
tarsiene
unirea
congenitala-a easelon
→

para lizie cerebrala-

-
are accentual at
heard
picioruluicpescavuscudegele.ie
1mg
co-nsecin.taneuropatiilorperifericjlb.it
)
ata Charcot-Marie-Tooth
Displazia de dezvoltare a soldului
-
1.5 la 1000 de NN &
-

TM 113 dim cazuri este bilateral

asimetriaabdugtieico-apsei.se
limitarea
• sail

Ortolan i
rmmul luxafiei redeemed
}prime
→
Mai ales im
•Barlow luxqtie
seminal →
e 2

sa-pt.tk
prim
: Ortolani gi mobilize
reducers manevra i are

aego-lduriletmtr-opozjtiedeftexioegiabdust.ie
cuajutonul Hamului Pavlik

deepa- 1 tuna :

•
limit area abductiei coapsei I
asimetriaditntremmiwu.co
•

telesaepareafemuruuiftexat
- - -

1 unilateral )
-
cand
merge mersschiopatat
omersda-timat.hiperl-rdo-ticlbilat.IR
:
ati•

atungiti progreso
mugchii contract sunt prin
tractiunesauudaxare
• reducer China +
aparatgip sat
Boala Legg Calve Perthes
- • Heo meat 2-a
f@aI1 a
capii 4-8ani②
-
009 A- : = 88 : I

territorial de at nerval ui obturator

-
acure in
innervate
-
limit area ac-eisian-ta.lieiimlerne
mersTrendelemburg_evolutieu@tataimtreasi4aniRxi.o
-

sleeporOz a- de
e- irmobi bizarre

•
Icing irea spatial ui articular
• 08 dons ,
sclerotic

tragtiuneamembrul uipt.ro/-acerearmo-bilitaY-ii-ortezece
TR : -

mb.im/erioarltmabdugtie@-chiru:osteotomipetrina
mention
efemuralasau
Epifizioliza femurala proximala

s.I chiopoitaretmado-lescenta-fracturacartilajcregtere
uhu.de proximal
-

at femurului

epifizaroifemurala-durerelaninelulgenunchiinguinal
ulu.it
dealtarea
( ran)
-

rotgtiacfmnaestelimitatagidurero-as.ci - - f-

f. ran afecteaza am be legal duri

1. Dept asare Mai evidenta- dim
Iv profit ( cap femoral

decretum
€1B
fixarea capului femoral

muUi÷buri
IR :
cu

Piciorul diform congenital

-

incident a 111000 NN s Mai 7 la 0^12×7

kia@atar-a-pacientulsa-cakfpemarginealat.EE
m33-D.dincazuri-netratatoi.fort.e
-

'

im tcdeplanta
 g1ezmaesletm1@xieplantaraleguinus7.re
•

tropicionul
pÉsuntan
calcaneum
San varus

naviadarul ante ate spre

-

• on

medial
-

-
rm . dim
compartmental posterior at
gam
bei sunt
atrofigtigi contractgti
II :
imrobiliza-righipsalecdtrmaiprea-ece.ae apli Carla
de
torte graduate pt.ae rectarea fiecareia dim
Cele diforrmitajti
3 .

Scolioza
-
curbarea cotoanei vertebrate
¥ÉÉib f
fixa structural a' vertebra ta
Scotiaza di
for imitate
-
→
,

Motatira ,
ce⑥nu
patti
coredata
postural
-a
cutia-celcongenital
maieF-aaaplecarea-mai-nle-sco-h.az
a Ñ →
anomralii de
for mare
mm
vertebra .

curb are scotiatica neuromusculara-

cotoanei vertebrate
/ tmtreaga lungi me
↳ a

rezultatul
-

alectarii m .

paraSpinale ( poliomietita ,

atrofiam.spimatioparalfieabeala.de#rotii
muscular

PIE!
nedurero-asoiacoto-aneitoraae-to-mrbareimadotescent.ci
i Dio
-
→
def prog resiva
.
 → de ④ mrai 0 la 9
→ car
penile vertebrate →
formoi de panel
→ coasted proermina pre partea convex
mum
a' a curb urii

TB : •
• rleze
pentru spate → Carboni mice

partake patria la finale2-area protesului

-

de
cregtere
•

coregtie Chirurgicala'giatrodezoi spinalau

Boli infectioase ale sistemului musculo-scheletal

Osteomielita

disemimarehomato-geua.ie
cel Mai O l a cop ii
ap are
-

coliform
-3 Ani → baderii

•
<3 Ani
Haemophilus influenzae
→

toate
grapele staph aureus
•
→ .

metafizele easelor
principallll sediu
lungi →

• bacteriae se
multiplied puroi la miretell f-esutului
,

metatizar aware internsa-

↳ abas ( externsie
• de
cap are periostala →
⑤ for Marea de a mall ( RD

iritabilitale crescenta
wneoriap are
septicemia febroi
-

→
, ,

starii
alter are a
generate
-

tuomefieret .
moi infectias -
a extins climate de as A
mmmm
0

henna culture , culture

Dg :
gicoto-rat.ie Gram din
aspirated de M 0 . .
 -
AB parenteral

dacoi@seametiorea-radupa_2E_h-i drenajDschisl.l
↳

.
La adult fractured
apare de obicei deepa- • deschisa-
Sau ca • complicate a imlerr.ch
irurgicale
imdepautareackikahmptekil.im/ectat
implant •
-

•
debridarea
• AB
parenteral
Artrita septica
-
invaria articulationor since Viale cudistrugerea
,

cartilajului articular
metafizaesletmglo-batatmcapsulaartic.es
-
antic .
im care

old ,
cat ,
armoire

isepro-ducprindiseminarehomato-gena.pl
-
la
adult
determinate
oigi penetrate si gonna Mai Mar ,

•
mis care articulara- limitatagidureroasa
! Aspirarealichidului articular de argentea pt Cultura .

Gram
coloration ginr.edu letter
artrogrameidupa aspirate
+

WBC
sugestiv
> sooooo
pentru infectie
→ AB
point la ref examenulai micro biologic
.

IR :

oartro-to-mieadrenajodebridarea.tesutulue.im/eotat1necro- at
•
lavajul abundant
 Fasceita necrozanta

patenIialktaI-deo-biceitmurmaaneiplagi.la
imf.atesuturilo-umroifasciale.ae
-

mirebit piciorului
3
tipuri
- :

•
I polimicrobiana.la
:
-
imunoco-mpromigl.tl
- 0

streptococp-hemouticdegr-upD-t-SL-aph.aureusm.LI
I
• :

:
baclerii marine

erikmtdurereimportantajdispro-porcrnepintngtiiaericem
edem ,

.tt/-1ictene,mecro-
2-a
pie hi ,

scouLRiNL①@
TE deb ridare
Chirurgical a- exnlinmsankrgln.tk !
: •

o AB i.v.

! Mortalita
kn2@ d.
Bolile inflamatorii
Osteoartroza
-
boat a-
degenerativearticular
-

creglecuvoirstagiFamicom
afecteaz.ae#d-ega1sexe-e--.atieiY-co-relata-cust-
n

incidenta
-

rezultatu

supraf.articulareoaliniereimadecv-ata.im#akuIate
•

articular
-

cart.artic.devinem@ae.ca suprafataanfratoasa ,

eventual culeziuni fibrilare

-

.jp?Ey.Yab-CatFiaspgtiuluiarticuiae.sderozaosului
R"

setbcondraln

•
ohisI-etmo-sulsunbd-nnd.at ! !

÷fizio-terapie.at#ana1geziceuzuale,suplim.agen.tiH-
→
TM
reports
-

crepitgtii
Trat :

- conservator : .
modif activities④ tmgreutae baston
.

i
-
Chim :

reatinierea
•

Osteotomiipt .

articulate i

Artro-p1asti paytiale@oArtroplasti to-talef.n

•

articular)
r¥ea ( fcyiunea
Artrita reumatoida
-

po-liartritacro-nicoi.si met rica ,

we distrustie aortic .

progresiva diformitgtigi deficit functional

,

-
Ot l3:1 we
bñrbatii )
-
HLA DR 4 -

•
imflamareasimo-vialeisialeciitendoane.HU
•

tumefagtie efwtiuni articular

+

injure a e-sutui gi cartilage luiadiacent

a

•
parries care de@ cart articular
.

!!

subluxareaartic.gitendoanel-Hnarxi.tumefa.li
-

a
pointit n moi

a°°~treifmec÷ocnÑZaÑYYd
•
Ingunma
e @o-uniosa sela1oculdeprindereals_ino-viaei.c
sp
. articular

oso-aseT-anchilo-za-pre.ua/terapiemedieamento-asa
hide

µ ,

1
since vectomie
e-

f-iÉim pe-it.ie toastin-law !!

exerajti demroyti keeaforfei!musu-tare-rerec.ie
-

artropiastica
-

end-oprotezare.nl ! .
 ALTE ARTRDPATII

-
artrita →
pelegiigi pustule pepalrmeltaypi
gonococci →
diplococci Gram -0
→ artie .

rmiciatemreiiniilpicioarelotl
→

cefuroximtsgivzilnic.pt.7
sauPenicipoiiartralgiemigratorie
lima10-2dMUipt.7Zile@1-boala.e ± eritom
nm
•

Lyme oIiTñmgpIaeaTzi
}
• ☐

saw
==
Amroxi
500mg p.o.la
6h 10
=
zile

- artrita → cristate sub formed deagohii monoclinic ,

,

gutoasñ _ birefringent de acari

pseudoguta- → cristate room beidate
,pazitiv@
↳ birefringent

capiro-fo-sfatdihdral-tmtreruperea limentaricusaonge.ae
-

cap terminal ,
Necroza osoasa

astragal semilunar scafoid ! !

, ,
osului

↳
acoperileaecartilajsiaupytineimse-rti.de
pa-rtimoi-cauzenetraum.rs perturbarimicrovascular
imtraosoasl
 rise t
tr.ae
gus cohort →
-
.

trombidimhemoglotbinopatiicsidemff.tl
but ele de N din ace
scafandrikee
'

-
.

depoziledeglucocerebrozidllb.br#rer) !
-
cristate dim Chtperuricemie

groimogi.pancrea-tital.ir
-
emboli

M -
ed MaisonSibi
-
osul Mort
=suer ! !
articular maimane intact
1. Initial cartilage

÷÷:÷ ÷:÷÷÷:÷÷-
→ 213 au durex de
repairseqarea nocturn

•
decampresia ¥④Ñmsul spongier)
••p@m for mete avariate
- -
-

Jazz
Coloana lombara

main suferimta
durerea lombard
joasa → cea

!!
-

musculoskeletala- la zeinsnaui
unitatea Mobil a-
'

- a at loanee :

•
2 con
puri vertebrate acoperile.eu pldci cartilage
•
1 disc intervertebral
-

miss cared vertebrala- 3 articlelqtii

odi€iÉ+2#ae articulate sinceviale

•

fatale tombare →
plan sagittal f- lexie / externsie

mclimare@atm.uo-tatofeJl-m.p
fqtetetoracice
• →

araverlebrati se tmtimdtmtre 2- vertebrate

- - ssegm -
.

cutrat.siomptomratic-s-ot.se
\
ametioreapatmzsnipI
got.
The 3 lumi

☒ CONTRA AURA LOMB Art

dupoievenimrenle mimore

• contracture fasciata
mi •

• uziuni
ligamentare minor run
•
supra solicit are
-
mai
Otatéméiiimtimpulsaudupasarciua
rareoriiradiresolved
afoidimmeto-de-gonwnchij-80t.se
-

TM 6 Koni de la debut

☒ SPON DriLOLIZA gi SPON Dik LISTEN

caird cabana este im hiperextensie
-

fqtetek articular ,

ang agate
sunt

laminasepoalefractura@fnsfracturacaudaldefaIetasup.l
fort.ci rotationala'
↳

pans interarticular g)
.

spondilotislesis.DK
bitat
→
fracture = >

HERNIA DE Disc
-
extruzi a nude ului pulpas prim i metal fibres
-

adult i 30-50 Ani ,

Mai 0 : • L 4- LJ
LT
•
Ls -51 S1
-
im
procesul de Timbatramire ,
imetal
fibres T.si pierde
elasticitatea uncle este
,
mai ales
posterior ,
maisubtire

cupunctdepl e carel a ni v. s pal e l u i s aual fesei s i r adi a s. a m

• durere several
rmb
inferior
gipicior.ae
.

~ ~
-

distribute radicaloral

www.accentuata-la#tmgezutsautuse =
La ⑤ I
segue
•

• Dorsiflexi a gieznei accontueafadurerea , flexia

plant-a-ra-Dnuo-imflue-ntear.fi
= =

• sloibiciune muscat and Metairie , pareslozii ,

trot

irmdeco-6-anahembosacratoie.de ekgtie
- Miel
gratia → door
daca-irmnusepo-ateeled.ua
STENOA SPINALE

tmgustarea etui ④sole citaI fqteleote

-

-
.

articular d si apor oleo file

-

sp
.

marginate
cudarea
lig galbone posterior
}
imvad-fp-in-al.osleofile~hipertr.am/erio-rtrsteno-zade
•
.

canal
spinal
gidemb.im/eri-r6dupa-ortostatisrmpretungit1mers
durere de
-

spate

seamelioreafatmut-ldealbetide
bitw-lgeneration
aceizgs-cne.a!e!
→
Is :
deae-mpresiamsgiara-dacine.tn
Coloana cervicala

Protruzia de disc cervical

-

cen.tacauzatoidevarsta-tstresanormal.com
degeneres
primate lig long posterior rigiditale dureride
-
. → +

gait
• material discal cu protrusion P - L →
devere radicaland ,

amoyteala.slabiciune.mn#-oriefocalagidRdT
⑤

µg
hipoestoziefqta LATERAVI brat
-

-
stabiciune
dated tnbifepss
-

⑧ reflex# cipital
⑥
hipoestoziefgta ANTEBRTI si
/
-

-
-

P•_IY¥
Stabia extension

@ reflex brathiradial
pumn £µ
④
get 3
hipoesler.ie de
-

Hoibireextensiedegelegi triceps
di
-

a reflex tricipital
⑧
hipoestgiefqtamt-DIAU-AB.si
-

deget⑤
- Stabine
flexi edegete
- -
tooooo
Mietopatie
-
slñbire defused ,
tonus ④ rigiditale
^ ~
-

hiperreflexie on clonus

sermon Hoffmann gi Babinski ⑦

-

I CG G-
'

G- CG
- Cele Mai
rupture dis cate : -

,
-

Td :
repairs
ale cervical
• irmobi bizarre
cuguler me

• Caldeira
•
AtNS
-
tractiuneacranianoi
,
-

deaempresie chirurgicalaide urgentI

Spondiloza cervicala
discal sit forIelorexercitale pefqtelele
- im
gust
go area .

articulate gipe artie Lusaka .

•steatite
•
pe margined past a discului .

-
com
prionarea Ms / raida'cirri peri feria
-

aparitiasimpt .
este
graduala-
TI : •
conservator
•
ÑÑaEÑ=
mm
> discectormia
la pecaleantoioara
cufoziune
Artrita reumatoida cervicala
-

articulgtiilesinovialeakaeto-aneicervic.ae
imstabilitalesauatmpresienervoasa
1.)
lnflamdintreatlaslcsy tmtindeligstabilizatortr
.

>

siprocesul odontoid a

babylon.tIaatlanto-axialaya.cz?=&gQanalmedular=
> compresiaresde
coitred.im/eledep1asatpo-st
-

simovitaero-.2L-Iiv?oiid:?inItnnedatprotatseiruazi-eiaheiprpi.-ot:*
adont
i o.LI oidpo-ale
2.)

←
fieramenmragnumr
co=mprimams_h ! !
3.) Simovitafa.to/el-rartiakarllsubC2)-subluxaIiesubaxiala
-

imcapdeinstabilitale →
tutiunechirurgicaloi
Osteoporoza
-

0-sut-mimeralinerti-matriceorgane.ca
• mineral :

casiplhidroxiapatit.ci ) → seopunet -

70%
decompression
omatricealo-sleoiduD.maialescolagonti.pt
30%
lrezistrmarelatragtiune)
→
tmdoiregirasucire
 rezistentaosoasa componenta mi unit de
-
→
.

- -

volume
-
-
mineral Osos [ 2 DS
l ra dimtre mineral a
'
/ matric org normal
port comp
.
.

afiecaruiaestesca-zuta-o-smaipu.im
dar rat absolute .

predinspundafraczri !! dens
,

-
cel Mai 0 :

fr prince rmpresiealecorpilor vertebrali

.

•
fr femur ului proximal humrerusuluigiradiusului
.

distal
densitalea mineraloiosoasa
Dg :

TI : bifosfonqti calcitonin a ,

•
ex.fi 7-ice catmalimontgtie.suplimentecuvit.is
,

Osteomalacia
-

deficit mineral
Matri ce norma#
- cantitateadematriceosoas.ci normal a' ,
dar

matricea existentat este insert .

calcificata-
• zone
o-steoidllargideosnemimeratiz.at
•

rap .
dimtre
camp minerala- / matric scaizut
.
=

aport nutritivnecoresp.de Ca ,
✓it D. malabs Gi , .

deficit de Connersie enzimaticeiavit.to saw

utilizarea ataa can gi Ikeda

banddderarefiereosoasa-fr.de
* Zona looser =

stress in ours devindecare

 -
cot femoral sauramuripubie.me
Rahitism → AD ,
cartilage de
cregterelargile .

nipofosfatemic metafize im forMei de apai

mineralizale,
→ oase
lungi moi , inself -

wneoritmcurbate-resorbt.ie
Boala Paget

exasivagi formare as e-asa nereg

•so asa-
'
.

far-apreco-celo-steoliti.ca) soil se poale fracture ltmcurba

: •

↳ fas-ao-steosdero-tic.ci : oasdese mates

limgroasa
fracture predispose la
lips a de consolidate
-

-
FA 1^1^9

osneregulat.ae aspect de mazaic dinos matter/imatur

! Oase
lungi →
fr cutraiect transversal Cao
map
.

fisuroipeparl eaco-nvexao-11.
generade
malign pt → osteosarcoma

Td : calcitonina' , bifosfongti
Neoplasme
-
metastare de la Sein , prostate ptarman , ,
miniChi,

tiroida
↳ mai ates la mirebel cotoanei coaster , craniu ,
,

bazimgimetatizeleoase.tn lungi
 → meta cc.de sain /prostate [ ☒ sleotitice
osleo sclerotia
-

cearmaiotuprimarao-so-asa-mielo.mu 1 I
Sinti cute 99 metastazekM
'

at
screening
- →

↳ ① Tm mi etm

- a- : imvazie cortical a' + atte detaliiimtraosoase

- IRM :
- extimdere imtramedulara
I structwrite vascutomervoase
relqtiacu
Angie gratia loti unite vascular care pot fi ulterior
- :

emboli2-ate
Bio find
psia inch is a- Icu are
-
→

→ deschisa :
longitudinal at
im axul e-sului ,

deasupraformgtiwniitu.se evita
disectia musculara- extimsa si se

asigura-ohemostaza-minytioasaITratament.tn
benign → excizie locala
'

imtegritalea
'
↳ daca se
camp ramie ran fans area
on
grete limp lanturi
-
meta staze : iradiere locator
-

¢ > 50% dim as

fracture patotogica
rise de

- tu
malign →
rezestielargitasau radicala-
→ CT
adj + RT adj
→ tehniciderecenstr .
 BENiG_NE
☒ OSTEOM OSTEOID
-
durere care cedearta la
aspirin a-
-

<3oaui⑥
-
FEMUR ,
TIBI E

transp imcemjuratoi
'
-
zona radio .

de ozonaidensoisd erotica

☒ DSTEO CONDRON
tumefpalpabila
po-ateimterferacufumgtiatendomului-adotescen.la
-

_METAFi2AOASEl0RLUN
-

excrescentoiosoasasesiloisau
pediculata
-
durereasauttmdim .
=
degenerate
Tmaligna
- -

☒ EN CONDRON ( fond ☒m )
tumref.ldurere.fr.pe
o-spatot-gic-o-ricerdrstaf-metatizaoase.tn
-

tubular
lboala Ollier)
marcatacu
-
radio
transp bine
arii de calcificare
tr malign a- im cartel lot .

- .
 ☒ Fi BROM NEOSIFIANT FEMUR
-

asimpt.ifr.pe -0s
pate logic
☐
• →
radio
_L3Oani@ transp .

corticala metal distal

Ff Tinie
- -

femur / tibie
radio bine marcata
transp
-

!!!
.

multi hee .

Cafta
rmaturiz scheletala
-
se
osifica Cee area

☒ TU Al CELULE GIGANTE ( OSTEOAASTOM )

durerettumef articular

a-ao-uoamif.tlluigi
-
.

epifiza distal a' a femme

radiusuluisau prox atibiei .

-
arie euextindere ex centrica

epifi yard
-

deseoriagresira
¥1 OSTEOSARCOM
-

masa-tumo-ale.durereaeagrav.m-oct.mn
-
BIMODAL : 230 gi >50

rmetafiza 50% femur dist, tibia prox

: .

leg meregulati e- steobl + e-steolitice

.

,
.

form periostaloi spicule

'

1-
neo .

, peas
ca ratele de stare

main la
 CONDROSARCOM
'
-
Masci turn cregtere ,
durere sur da
-

40-60 Ani
-

Zone centrale : bazin + amah

-

lez transp
-

permeative
radio .

, cuÑdense
- dimtr un -

enaemdromlosteocondr .

FIBRO SARUM

uctivadureroasa-C-fta.adullungit anf.me
-

lez distr .

tatizaoasdor
-

leg slab delimitate destructive

.

, ,
radio
transp .

8 ARAM EWING
-

tesut motile , Tim volume ,dureroasoi

-
Lo -
Isami
-

diatizaCFuosi@ac.ti brie ,

÷::÷E÷÷ apai I
"
-

leg distinctive : " bulb

. de ce
.