{"id":88,"date":"2016-09-06T16:01:18","date_gmt":"2016-09-06T16:01:18","guid":{"rendered":"http:\/\/chirurgruky.cz\/?p=88"},"modified":"2016-09-06T16:42:06","modified_gmt":"2016-09-06T16:42:06","slug":"transpozice-pri-slachovy-rupturach-ci-nervovych-parezach","status":"publish","type":"post","link":"http:\/\/chirurgruky.cz\/?p=88","title":{"rendered":"Transpozice p\u0159i \u0161lachov\u00fd ruptur\u00e1ch \u010di nervov\u00fdch par\u00e9z\u00e1ch"},"content":{"rendered":"<p>\u0160lachy \u2013 spojen\u00ed mezi svalem a kost\u00ed, kter\u00e9 p\u0159ev\u00e1d\u00ed stah svalu na kloub a kost.<\/p>\n<p>P\u0159i poru\u0161en\u00ed \u0161lachy doch\u00e1z\u00ed k nemo\u017enosti aktivn\u00edho pohybu v ur\u010dit\u00e9m kloubu a event. k vynucen\u00e9mu postaven\u00ed vzhledem tahu protilehl\u00e9 neporu\u0161en\u00e9 \u0161lachy.<\/p>\n<h3>P\u0159\u00edznaky<\/h3>\n<p>Nemo\u017enost aktivn\u00edho pohybu v kloubu, pasivn\u00ed pohyb je zcela bez omezen\u00ed. Event. bolesti a otoky v m\u00edst\u011b ruptury \u0161lach.<\/p>\n<h3>Diagnosa a l\u00e9\u010dba<\/h3>\n<p>Klinickou diagnosu event potvrzujeme USG vy\u0161et\u0159en\u00edm. Ve valn\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je nutn\u00e1 opera\u010dn\u00ed l\u00e9\u010dba, kter\u00e1 m\u00e1 za c\u00edl se\u0161it\u00ed \u0161lachy \u010di na\u0161it\u00ed jin\u00e9 \u0161lahy na p\u016fvodn\u00ed a t\u00edm obnoven\u00ed hybnosti posti\u017een\u00e9ho kloubu.<\/p>\n<p>Nej\u010dast\u011bj\u0161\u00edm posti\u017een\u00edm v oblasti z\u00e1p\u011bst\u00ed a ruky je poran\u011bn\u00ed dlouh\u00e9ho natahova\u010de palce (extensor pollicis longus), nap\u0159. jako n\u00e1sledek zlomeniny doln\u00edho konce v\u0159etenn\u00ed kosti.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Transpozice \u0161lachy do dlouh\u00e9ho extensoru palce 1\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Transpozice\/Transpozice.jpg\" alt=\"Transpozice \u0161lachy do dlouh\u00e9ho extensoru palce, 20kB\" width=\"240\" height=\"180\" border=\"0\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"diag\" title=\"Transpozice \u0161lachy do dlouh\u00e9ho extensoru palce 2\" src=\"http:\/\/old.chirurgruky.cz\/pic\/Transpozice\/Transpozice_2.jpg\" alt=\"Transpozice \u0161lachy do dlouh\u00e9ho extensoru palce 2.jpg, 17kB\" width=\"240\" height=\"180\" border=\"0\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0160lachy \u2013 spojen\u00ed mezi svalem a kost\u00ed, kter\u00e9 p\u0159ev\u00e1d\u00ed stah svalu na kloub a kost. P\u0159i poru\u0161en\u00ed \u0161lachy doch\u00e1z\u00ed k nemo\u017enosti aktivn\u00edho pohybu v ur\u010dit\u00e9m kloubu a event. k vynucen\u00e9mu postaven\u00ed vzhledem tahu protilehl\u00e9 neporu\u0161en\u00e9 \u0161lachy. P\u0159\u00edznaky Nemo\u017enost aktivn\u00edho pohybu v kloubu, pasivn\u00ed pohyb je zcela bez omezen\u00ed. Event. bolesti a otoky v m\u00edst\u011b ruptury \u0161lach. Diagnosa a l\u00e9\u010dba Klinickou diagnosu event potvrzujeme USG vy\u0161et\u0159en\u00edm. Ve valn\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je <a class=\"read-more\" href=\"http:\/\/chirurgruky.cz\/?p=88\">\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\/88"}],"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=88"}],"version-history":[{"count":1,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/88\/revisions"}],"predecessor-version":[{"id":89,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=\/wp\/v2\/posts\/88\/revisions\/89"}],"wp:attachment":[{"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=88"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=88"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/chirurgruky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=88"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}