{"id":1424432,"date":"2024-08-19T00:00:00","date_gmt":"2024-08-18T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1424432"},"modified":"2024-08-19T00:00:00","modified_gmt":"2024-08-18T21:00:00","slug":"fracturile-oaselor-mainii","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1424432","title":{"rendered":"Fracturile oaselor m\u00e2inii"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_316060\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-316060\" loading=\"lazy\" class=\"size-medium wp-image-316060\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2026\/01\/dobre-costel-300x300-1.png\" width=\"300\" height=\"300\" title=\"dobre-costel-300x300-1\"><\/p>\n<p id=\"caption-attachment-316060\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/dobre-costel\">Dr. Costel Dobre<\/a>, medic primar Chirurgie plastic\u0103, Microchirurgie reconstructiv\u0103 \u0219i Estetic\u0103, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>Fractura oaselor m\u00e2inii reprezint\u0103 o <strong>discontinuitate osoas\u0103<\/strong> ap\u0103rut\u0103 de obicei \u00een urma unui traumatism, la nivelul celor 27 de oase ale m\u00e2inii: carpiene, metacarpiene \u0219i falange.<\/p>\n<p>Pot fi clasificate dup\u0103 mai multe criterii:<\/p>\n<ul>\n<li>fracturi \u00eenchise, c\u00e2nd tegumentul este integru, sau deschise;<\/li>\n<li>stabile, c\u00e2nd fragmentele sunt aliniate \u0219i nu prezint\u0103 risc de deplasare, sau instabile;<\/li>\n<li>cu sau f\u0103r\u0103 deplasare a fragmentelor;<\/li>\n<li>spiroide;<\/li>\n<li>extraarticulare sau intraarticulare;<\/li>\n<li>cominutive \u2013 osul este fragmentat \u00een mai multe p\u0103r\u0163i, de obicei \u00een urma aplic\u0103rii unei for\u0163e mari;<\/li>\n<li>pe os patologic, atunci c\u00e2nd osul este deja afectat, de obicei din cauza unei forma\u021biuni tumorale.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><strong>Fracturile oaselor m\u00e2inii: semne \u0219i simptome<\/strong><\/p>\n<p>Pot ap\u0103rea:<\/p>\n<ul>\n<li>durere;<\/li>\n<li>impoten\u021b\u0103 func\u021bional\u0103;<\/li>\n<li>edem local;<\/li>\n<li>echimoz\u0103;<\/li>\n<li>\u00een cazul fracturilor cu deplasare poate ap\u0103rea o deformare local\u0103, degetul implicat poate fi rotat, scurtat.<\/li>\n<\/ul>\n<p><strong>Fracturile oaselor m\u00e2inii: diagnostic \u0219i tratament<\/strong><\/p>\n<p>Medicul specialist va realiza un <strong>examen clinic<\/strong> al m\u00e2inii \u0219i va recomanda efectuarea unei <strong>radiografii.<\/strong> \u00cen cazuri particulare, cu leziuni severe, pot fi recomandate \u0219i alte investiga\u021bii: <strong>CT, IRM.<\/strong><\/p>\n<p>Tratamentul poate fi conservator sau chirurgical.<\/p>\n<p><strong>Tratamentul conservator<\/strong> se recomand\u0103 \u00een cazul fracturilor f\u0103r\u0103 deplasare sau minim deplasate \u0219i const\u0103 \u00een imobilizare pe atel\u0103\/ortez\u0103 timp de 3-6 s\u0103pt\u0103m\u00e2ni \u0219i kinetoterapie \u00een centru specializat.<\/p>\n<p><strong>Tratamentul chirurgical<\/strong> se recomand\u0103 \u00een cazul fracturilor cu deplasare sau \u00een cazul fracturilor deschise.<\/p>\n<p>Pentru fixare intern\u0103, sunt utilizate \u0219uruburi de dimensiuni reduse, diferite tipuri de pl\u0103cu\u021be cu \u0219uruburi sau osteosintez\u0103 cu bro\u0219e speciale, sub control radiologic.<\/p>\n<p>\u00cen anumite situa\u021bii, c\u00e2nd exist\u0103 defecte osoase, se utilizeaz\u0103 grefe de os, mini-fixatoare externe, diferite distractoare \u2013 \u00een cazul fracturilor complexe intraarticulare.<\/p>\n<p><strong>Majoritatea interven\u021biilor chirurgicale la m\u00e2n\u0103 se pot efectua cu pacientul con\u0219tient, f\u0103r\u0103 durere, <\/strong>prin infiltra\u021bii locale sau loco-regionale, combin\u00e2nd efectul anestezic cu cel hemostatic \u2013 \u201dWALANT\u201d (wide awake local anesthesia no tourniquet).<\/p>\n<p>\u00cen cazul fracturilor complexe asociate cu leziuni de p\u0103r\u021bi moi se utilizeaz\u0103 anestezia regional\u0103 sau anestezia general\u0103.<\/p>\n<p>Toate procedurile \u0219i interven\u021biile chirurgicale se realizeaz\u0103 \u00een siguran\u021b\u0103 la Arcadia. Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia.<\/strong><\/p>\n<p><a href=\"http:\/\/www.arcadiamedical.ro\">www.arcadiamedical.ro<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Costel Dobre, medic primar Chirurgie plastic\u0103, Microchirurgie reconstructiv\u0103 \u0219i Estetic\u0103, Arcadia Fractura oaselor m\u00e2inii reprezint\u0103 o discontinuitate osoas\u0103 ap\u0103rut\u0103 de obicei \u00een urma unui traumatism, la nivelul celor 27 de oase ale m\u00e2inii: carpiene, metacarpiene \u0219i falange. Pot fi clasificate dup\u0103 mai multe criterii: fracturi \u00eenchise, c\u00e2nd tegumentul este integru, sau deschise; stabile, c\u00e2nd [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1424432","post","type-post","status-publish","format-standard","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1424432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1424432"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1424432\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1424432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1424432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1424432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}