Penatalaksanaan Fraktur Klavikula

Methods of conservative treatment of fractures clavicle: (A) Collar and cuff sling,
(B) Strapping and sling suspension, and (C) Figure of ‘8’ bandaging
• Newborn to perambulatory children: Treated symptomatically, bind
arm to the chest.
• Ambulatory stage (2-12 yr): Figure of ‘8’ bandages, tightened after
three days and later one week.
• Twelve years to maturity: Commercially available figure of ‘8’ harness.
• Surgery is rarely indicated and consists of open reduction and rigid
internal fixation.
• Methods of Internal Fixation :
• Intramedullary fixation with K-wires.
• Rigid plate and screw fixation with AO semitubular or pelvic
reconstruction plate
Indication :
• Shortening or distraction of fragments for more
than 2 cm.
• More than 100 percent displacement or fragmentation.
• Bilateral fractures.
Radiograph showing fracture clavicle plate fixation
new in the treatment of fracture clavicle
• Intramedullary compression clavicular nail
• Mckeever’s threaded IM pin
• External fixators in open clavicular fractures
Penatalaksaan dislokasi bahu

Different methods of reduction of shoulder joint dislocation: (A) Stimson’s gravity

method, (B) Kocher’s method (most preferred method, and (C) Hippocrates
method (outdated)
Kotcher’s method

Kocher’s method of reduction of anterior dislocation of shoulder. The method

consists of four important steps (mnemonic TEAM): T—traction (longitudinal),
E—external rotation, A—adduction, M—medial rotation
Patient is being administered Longitudinal traction along line of humerus Traction and counter traction continued
General anesthesia
External rotation of the arm Adduction of the arm Internal (Medial) rotation of the arm
Shoulder contour restored Checking for the post-reduction stability Cuff and collar sling being applied
Method of shoulder immobilization after reduction of ADS (failure to do this for at
least 3 weeks is the prime cause of RDS)