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Tnr: Wendesor Oliveira
*
Jose Wendesor Souza de Oliveira 1
*Físicas das Radiaçôes
Jose Wendesor Souza de Oliveira 2
Densidade de elétrons
Efeito fotoelétrico
Efeito Compton
Radiação secundária
*
+ Branco + denso +
radiopaco
+ escuro+ menos denso
= hipordensa +
radiotransparente +
radiolucnete.
+ Número Z.
*
Jose Wendesor Souza de Oliveira 3
*Densidade de tecidos
moles = músculos, tecidos
conjuntivos, cartilagem,
tendão ligamento e água.
* sempre que for feito
exames de raio x se faz
necessário duas
incidências
Jose Wendesor Souza de Oliveira 4
*
*Basicamente fratura é uma descontinuidade óssea.
*Completas ou incompletas
*Diafisaria, metafisária, epifisária (intra articular)
*Transversa, longitudinal, obliqua, espiral
*Simples, cominutiva, segmentar
*Deslocamento, angulação, rotação
*Cavalgamento, afastamento
*Impactada, deprimida (afundamento), compressiva
*Com luxação, com diástase, com avulsão
*Fratura patológica
Jose Wendesor Souza de Oliveira 5
*Fratura por estresse
*Fratura obliqua,
completa sem
deslocamento
*Duas articulações.
*
Jose Wendesor Souza de Oliveira 6
*
*AP
Jose Wendesor Souza de Oliveira 7
*Duas linhas de fraturas.
* Fio de cabelo- fratura
longitudinal.
* Fratura intra-articular
*Não Havendo
deslocamento significativo
*Fratura completa
*Transversa – levemente
obliqua.
*Diáfise da tíbia
*Deslocamento posterior
*Deslocamento, angulação ou
rotação , seguimento distal
*
Jose Wendesor Souza de Oliveira 8
*Fatura completa
*Com
deslocamento
lateral
*Cavalgamento
ósseo
*
Jose Wendesor Souza de Oliveira 9
*
Fratura completa,
Transversa
Jose Wendesor Souza de Oliveira 10
Com angulação medial do
seguimento distal
Rotação externa – comparar
as articulações
Epicôndilo – cotovelo –
rotação externa
Porção proximal – Neutra –
redonda
*
*Obliqua
*Diáfise proximal
*Fratura completa
*Com angulação em
Varo
*Cavalgamento ou
aposição óssea
Jose Wendesor Souza de Oliveira 11
*
*Fratura Completa
Jose Wendesor Souza de Oliveira 12
*Em espiral
*Diáfise proximal
*
*Fratura Completa
Jose Wendesor Souza de Oliveira 13
*Diafisaria
*Cominutiva
*Asa de Borboleta
*Fraguimentada
*Angulação em Varo
*Gesso
*
*Fratura completa no
Rádio com angulação
Jose Wendesor Souza de Oliveira 14
*Transversa
*Diáfise
*Luxação da ulna
*Galeazzi
*
*Fratura Cominutiva / Obliqua
*Segmentar, terço médio da
Diáfise da tíbia
*Fratura proximal / distal /
fragmento
*Fíbula – Completa –
Cominutiva – Obliqua
Jose Wendesor Souza de Oliveira 15
*
*Fratura completa
Jose Wendesor Souza de Oliveira 16
*Cominutivas
*Tíbia e Fíbula
*Diáfise distal
*
*Afundamento /
Depremida
Jose Wendesor Souza de Oliveira 17
*Fratura em Bola
de Ping-pong
*
*Fratura com
afundamento ósseo
Jose Wendesor Souza de Oliveira 18
*Fragmento Ósseo
deslocado
*Fratura Cominutiva
*Platô tibial – Medial
*
*Fratura impactada
*Posição distal do Rádio
*Áreas com linhas radiopacas
– somação da imagem
*Centro de ossificação não
fusionada do processo
estiloide
*Cortex .
Jose Wendesor Souza de Oliveira 19
*
*Fratura completa
Jose Wendesor Souza de Oliveira 20
*Cominutiva
*Intrar articular
*Sub luxação lateral
*
*Fratura por
Compressão/ou
compressiva
Jose Wendesor Souza de Oliveira 21
* Mais denso e
Radiopaco
*
*Fratura Parcial
*Fratura em galho verde
*Crianças
*Cortex / parte do osso
Trabecular
Jose Wendesor Souza de Oliveira 22
*
*FRATURAS EM “TORUS”
OU SUBPERIOSTEAL
Jose Wendesor Souza de Oliveira 23
*Ação compressiva,
própria da infância,
afetando o osso
metafisário.
*
*Fratura incompleta
Jose Wendesor Souza de Oliveira 24
*Galho verde
*Ulna fratura Plástica
/ Fratura Plástica
aguda
*
*Fratura por avulsão
*Deslocamento de parte do
osso onde se inseri o tensão
ou ligamento
*Margem articular proximal /
base da falange distal
*Tendão extensor do dedo –
movimento de extensão
Jose Wendesor Souza de Oliveira 25
*
Fratura Oculta
Jose Wendesor Souza de Oliveira 26
*
*Pequena fissura em um osso
causada por esforço repetitivo ou
força, muitas vezes por excesso
de uso.
*Radiografia do ante pé.
*Metatarsos
*Formação de Calo ósseo /
Cicatrização
Jose Wendesor Souza de Oliveira 27
*
Jose Wendesor Souza de Oliveira 28
*
*Atividade:
*Fratura de Colles? Imagem para melhor
identificação anatômica.
Jose Wendesor Souza de Oliveira 29
*fratura de Smith?
*Explique sobre fratura de monteggia e fratura
de galeazzi. Com imagem.

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