{"id":68,"date":"2016-09-06T15:55:13","date_gmt":"2016-09-06T15:55:13","guid":{"rendered":"http:\/\/chirurgruky.cz\/?p=68"},"modified":"2016-09-06T16:42:47","modified_gmt":"2016-09-06T16:42:47","slug":"zlomeniny-v-oblasti-dolniho-konce-predloketnich-kosti-collesova-smithova-bartonova-zlomenina","status":"publish","type":"post","link":"http:\/\/chirurgruky.cz\/?p=68","title":{"rendered":"Zlomeniny v oblasti doln\u00edho konce p\u0159edloketn\u00edch kost\u00ed"},"content":{"rendered":"<p>Nej\u010dast\u011bj\u0161\u00ed kostn\u00ed poran\u011bn\u00ed horn\u00ed kon\u010detiny, kdy doch\u00e1z\u00ed ke zlomenin\u011b jedn\u00e9 nebo obou kost\u00ed p\u0159edlokt\u00ed v bl\u00edzkosti z\u00e1p\u011bst\u00ed s posunem \u00falomk\u016f.<\/p>\n<h3>P\u0159\u00edznaky<\/h3>\n<p>Po\u00farazov\u00e9 bolesti a otok v z\u00e1p\u011bst\u00ed, omezen\u00ed hybnosti, omezen\u00ed svalov\u00e9 s\u00edly z\u00e1p\u011bst\u00ed a ruky. Bolestivost nad posti\u017eenou kosti.<\/p>\n<h3>Diagnosa a l\u00e9\u010dba<\/h3>\n<p>Klinickou diagnosu potvrzujeme RTG vy\u0161et\u0159en\u00edm event. p\u0159ed p\u0159\u00edpadnou opera\u010dn\u00ed l\u00e9\u010dbou eventu\u00e1ln\u011b prov\u00e1d\u00edme vy\u0161et\u0159en\u00ed po\u010d\u00edta\u010dovou tomografi\u00ed (CT).<\/p>\n<p>Podle typu zlomeniny fixujeme z\u00e1p\u011bst\u00ed a ruku s\u00e1drovou dlahou. Pod\u00e1v\u00e1me l\u00e9ky. P\u0159i komplikovan\u00e9 zlomenin\u011b \u010di zlomenin\u011b nestabiln\u00ed (doch\u00e1z\u00ed k posunu \u00falomk\u016f i p\u0159es fixaci) indikov\u00e1na opera\u010dn\u00ed l\u00e9\u010dba, kter\u00e1 m\u00e1 zabr\u00e1nit zhojen\u00ed v nep\u0159\u00edzniv\u00e9m postaven\u00ed a pozd\u011bj\u0161\u00ed omezen\u00ed hybnosti a svalov\u00e9 s\u00edly z\u00e1p\u011bst\u00ed a ruky.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Doln\u00ed konec v\u0159eten\u00ed kosti po \u00farazu\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Vreteni-kost\/kost_1.jpg\" alt=\"Doln\u00ed konec v\u0159eten\u00ed kosti po \u00farazu.jpg, 20kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Doln\u00ed konec v\u0159eten\u00ed kosti po repozici\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Vreteni-kost\/kost_2.jpg\" alt=\"Doln\u00ed konec v\u0159eten\u00ed kosti po repozici.jpg, 18kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Doln\u00ed konec v\u0159eten\u00ed kosti po operaci\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Vreteni-kost\/kost_3.jpg\" alt=\"Doln\u00ed konec v\u0159eten\u00ed kosti po operaci.jpg, 20kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Doln\u00ed konec v\u0159eten\u00ed kosti jizva po operaci.\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Vreteni-kost\/kost_4.jpg\" alt=\"Doln\u00ed konec v\u0159eten\u00ed kosti jizva po operaci..jpg, 37kB\" width=\"240\" height=\"180\" border=\"0\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nej\u010dast\u011bj\u0161\u00ed kostn\u00ed poran\u011bn\u00ed horn\u00ed kon\u010detiny, kdy doch\u00e1z\u00ed ke zlomenin\u011b jedn\u00e9 nebo obou kost\u00ed p\u0159edlokt\u00ed v bl\u00edzkosti z\u00e1p\u011bst\u00ed s posunem \u00falomk\u016f. P\u0159\u00edznaky Po\u00farazov\u00e9 bolesti a otok v z\u00e1p\u011bst\u00ed, omezen\u00ed hybnosti, omezen\u00ed svalov\u00e9 s\u00edly z\u00e1p\u011bst\u00ed a ruky. Bolestivost nad posti\u017eenou kosti. Diagnosa a l\u00e9\u010dba Klinickou diagnosu potvrzujeme RTG vy\u0161et\u0159en\u00edm event. p\u0159ed p\u0159\u00edpadnou opera\u010dn\u00ed l\u00e9\u010dbou eventu\u00e1ln\u011b prov\u00e1d\u00edme vy\u0161et\u0159en\u00ed po\u010d\u00edta\u010dovou tomografi\u00ed (CT). Podle typu zlomeniny fixujeme z\u00e1p\u011bst\u00ed a ruku s\u00e1drovou dlahou. Pod\u00e1v\u00e1me l\u00e9ky. P\u0159i <a class=\"read-more\" href=\"http:\/\/chirurgruky.cz\/?p=68\">\u010c\u00edst v\u00edc &#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/68"}],"collection":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=68"}],"version-history":[{"count":2,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/68\/revisions"}],"predecessor-version":[{"id":71,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/68\/revisions\/71"}],"wp:attachment":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=68"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=68"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}