Posljedice ozljeda lakta u djece

master's thesis

• Title (english): The complications of elbow injuries in children
• Author: Frane Bukvić
• Mentor: Tomislav Đapić (mentor)
• Committee member: Goran Bićanić (predsjednik povjerenstva)
• Committee member: Tomislav Smoljanović (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2015-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Lakat je složeni zglob koji se satoji od 3 kosti: humerusa, radijusa i ulne. Ozljede lakta izuzetno su česte kod djece, zauzimajući čak 15% svih ozljeda, a najčešće nastaju padom na ispruženu ruku ili direktnim udarcem u lakat. Dijagnoza se postavlja fizikalnim pregledom i rendgenološkom obradom, a simptomi uključuju oteknuće lakta, nemogućnost vršenja pokreta u laktu i često parestezije u podlaktici. Upravo zbog ove složenosti, najveći postotak pogrešno dijagnosticiranih prijeloma kao i posljedica ozljeda zabilježen je u području lakta (u nekim literaturama i do 77%). Posljedice ozljeda ili pogrešno dijagnosticiranih prijeloma mogu biti anatomske (estetske) i , češće, funkcionalno-anatomske. Najčešće posljedice ozljede lakta kod djece uključuju cubitus varus, cubitus valgus, Volkmann-ovu ishemičnu kontrakturu, neurološke posljedice i myositis ossificans traumatica. Iznimno je važno što prije prepoznati određene simptome mogućih posljedica kako bi što ranije počelo s liječenjem i time spriječilo daljnje napredovanje samih posljedica. Liječenje posljedica ozljeda, ovisno o njihovom stupnju težine, može biti konzervativno ili kirurško.

Abstract (english)

The elbow is one of the most complicated areas in human body. It consists of three bones which include the humerus, the ulna and the radius. Elbow fractures are one of the most common injuries in children, occurring in 15% of all injuries. In most cases, they are caused by falling on an outstretched arm or directly on an elbow or by a direct blow to the elbow. The symptoms of the fracture include swelling around the elbow, numbness in the hand and inability to stretch arm. A diagnose is made by physical examination and RTG. Because of this complexity , the highest percentage of misdiagnosed fractures as well as complications of injuries are recorded in the elbow (77%). The most common complications of elbow injuries include cubitus varus, cubitus valgus, Volkamann ishemic contracture, nerve injuries and myositis ossificans traumatica. The treatment for most of these complications includes surgical refixation of the bones but also, it can be conservative depending on severity of injury.

• Keywords: djeca; ozljede lakta; komplikacije; liječenje
• Keywords (english): children; elbow injuries; complications; treatment
• Language: croatian
• URN:NBN: urn:nbn:hr:105:471038
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-08-08 10:52:56