Diferencia entre revisiones de «Knee dislocation»

Revisión del 20:06 13 feb 2012

Spontaneous reduction occurs in up to 50% of dislocations
- Suggestive by severely injured knee that is unstable in multiple directions
Types
- Anterior (40%)
- Posterior (33%)
- Lateral (18%)
- Medial (4%)

Reduce immediately
1. Apply longitudinal traction
2. Splint in 20 degrees of flexion
Vascular assessment
1. Assess popliteal and distal pulses
2. Measure ABIs
3. Duplex ultrasound
Disposition
1. Strong distal pulses + ABI >0.9 + normal UTZ = Admit for obs with ortho consult
  1. Otherwise, obtain vascular surgery consult and additonal study (e.g. arteriogram, CTA)

Authors:

@@ Línea 11: / Línea 11: @@
 #Reduce immediately
 ##Apply longitudinal traction
-#Splint in 20 degrees of flexion
+##Splint in 20 degrees of flexion
-#Arteriography?
+#Vascular assessment
-##Some recommend for all pts due to high incidence of popliteal artery injury (~33%)
+##Assess popliteal and distal pulses
-###Presence of normal distal pulses does not rule out injury
+##Measure ABIs
-##Some only recommend for pts w/ pulse deficit or abnormal ABIs
+##Duplex ultrasound
-#Ortho and vascular surgery consultation
+#Disposition
-#Admit
+##Strong distal pulses + ABI >0.9 + normal UTZ = Admit for obs with ortho consult
+###Otherwise, obtain vascular surgery consult and additonal study (e.g. arteriogram, CTA)
 ==Source==
 *Tintinalli
+*UpToDate
 [[Category:Ortho]]