2. Gio adalah penyuka olahraga extreme. Pada liburannya ke
manado minggu lalu dia mencoba olahraga bungee jumping.
Dia melakukan manuver untuk menarik perhatian. Namun,
setelah melakukan loncatan, Gio merasakan sakit yang luar
biasa dibagian bahunya. Dia lalu pergi ke RSUD Kandau,
menemui dokter Djarot Sp.OT. Dari hasil X-ray ditemukan
bahwa Gio mengalami pata tulang dibagian clavicle
4. Depend on the result, the Doctor should know about :
• X- ray reading and AO Classification
• Anatomy dan soft tissue pada calvicle
• Jelas kan tentang surgical approach pada bagian clavicle dan masing2
fungsinya
• Implant synthes apa saja yang dapat digunakan untuk fracture dibagian
Clavicle, jelaskan fitur2 nya, perbedaan dan step pemasangannya
5. 1. X- ray reading and AO Classification
View : Anterior posterior
Side : Kiri
Joint : Shoulder
Bone : Clavicle , proximal humerus, rib dan scapula
Length : Memendek
Angulation :
Rotation :
Displacement : 100 %
Medial, extraarticular clavicle fracture
10. Surgical Approach in the Clavicle bone
Fracture
1. The superior approach
can be used for all lateral, medial, and diaphyseal clavicle fractures.
An oblique 8-10 cm incision is made just superiorly over the
clavicle centered over the fracture site. This incision will work
for fractures of the medial 1/3.
11. 2. The anterior approach
to the diaphyseal clavicle can be used for nearly any clavicular shaft
fractures, for both anterior and superior plating.
An oblique 8-10 cm incision is made just inferiorly to the
clavicle centered over the fracture site. In fractures of the
medial third, the incision may be curved as required depending
on chosen fixation.
12. 3. Nailing approach to the clavicle
This approach is used for intramedullary nailing of the clavicle.
A small skin incision, 1-2 cm in length, is made just lateral to
the sternoclavicular joint anteriorly. Blunt dissection to bone is
performed to expose the entry point of the nail.
13. 4.MIPO - anterior approach to the clavicle
MIPO approaches to the diaphyseal clavicle can be utilized for many
clavicular diaphysis fractures requiring anterior and superior plating.
Two skin incisions, each 2–3 cm in length, are made over the
lateral and medial ends of the clavicle corresponding in
position to the ends of the preselected plate.
16. LCP Superior Anterior Clavicle Plate.
The anatomically precontoured fixation system with angular stability for clavicle
shaft and lateral clavicle.
19. LCP Superior Anterior Clavicle Plate.
The anatomically precontoured fixation
system with angular stability for clavicle
shaft and lateral clavicle.
Indications
