HSP-GU-190C-022 Manejo de la luxacion de hombro

8/2/2019 HSP-GU-190C-022 Manejo de la luxacion de hombro

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9/ AHIG\EVCG FKANV[ANEGO

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Ha~ h{tanegok~ v|a{cavena~ fkh Dgcl|g k~ {oa fk ha~ na{~a~ fk eonapanefaf ucgve}g fk ngo~{hva a hg~ ~k|}eneg~ fk [|ikonea~ fk Nghgclea/

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Fe~koa| {oa i{ea fk caokbg nheoeng la~afa ko ha ckbg| k}efkonea fe~pgoelhk~gl|k kh caokbg h{tanegok~ v|a{cavena~ fkh Dgcl|k fk {oa caok|a hgqena(~kn{koneah u g|fkoafa fk an{k|fg a ha p|k~kovanego nheoena fk nafa panekovk/

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Ckfeng~ g|vgpkfe~va~Ckfeng~ fkh ~k|}eneg fk {|ikonea~

6/ PGLHANEGO FEAOA E KTNKPNEGOK^

Pglhanego q{k ngo~{hva ah ~k|}eneg fk {|ikonea~ fkh Dg~pevah êcgo Lghe}a| ngoh{tanegok~ v|a{cavena~ fkh Dgcl|k/

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Og aphena/

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KPEFKCEGHGIEAKE dgcl|g ngo~vev{uk ha a|ven{hane=o q{k ngo ca~ m|kn{konea ~{m|k h{tanego( 1 0 n{ah~k fklk a ha acphea napanefaf fk |og}ecekovg u ha |khave}a eongoi|{konea pg| hafemk|konea fk va|oa|eg kov|k ha nalkra d{ck|ah u ha ihkogefk~/ Ha h{tanego aovk|eg|ng||k~pgofk a {o 5;+ fk hg~ na~g~( ha pg~vk|eg| a {o 6+( ha eomk|eg| a {o 0/;+ u ha~}a|ekfafk~ eov|avg|anena~ u ~{pk|eg| ~go c{u |a|a~/

Vekok {oa eonefkonea fk 19 pg| 100/000( ngo {oa fe~v|el{nego pg| ~ktg lecgfah( ngo

peng~ ko dgcl|k~ kov|k hg~ <0 u >0 aog~( u ko c{bk|k~ kov|k hg~ =1 u 40 aog~/ K~vapavghgiea k~ ca~ m|kn{kovk ko anghk~nkovk~ q{k ko oeok~( u ko aoneaog~ pg| hacaug| m|kn{konea ngo q{k k~vg~ ~k nako/

KVEGHGIeA1/ h/{tanego Aovk|eg|2 Ikok|ahckovk gn{||k ngcg ngo~kn{konea fk {oa pg~enego ko|gvanego ktvk|oa( alf{nnego u ktvko~ego/ K~vg gn{||k nao m|kn{konea ko/ af{hvg~caug|k~ q{k ~{m|ko namfa~ ngo ha caoa ko ktvko~ego/ Ha nalkra d{ck|ah k~

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mg|rafa m{k|a fk ~{ pg~enego( |g|opekofg ha nap~{ha u heiackovg aovk|eg| ~kpa|aofg~{ {oego ngo ha mg~a ihkogefka/

</ H{tanego Pg~vk|eg|2 Gn{||k fklefg a {oa m{k|ra ko |gvane=o eovk|oa u af{nnego( 10q{k ~{nkfk a ngo~kn{konea fk {oa ngo}{h~ego( khknv|gn{ne=o 0 namfa~ ngo ha caoaktvkofefa/ Va|oleko p{kfk pa~a| e{kig fk v|a{ca~ fe|knvg~ ~gl|k kh dgcl|k( 0 ~k|lehavk|ah fklefg a anve}efaf ngo}{h~e}k/

>/ h/{tanego Eomk|eg|2 Gn{||k pg| m{k|ra~ ateahk~ aphenafa~ ~gl|k kh cekcl|gamknvafg( ngcg ah nak| fk {o }kdmn{hg ko cg}ecekovg/ Pg| 10 ikok|ah ~{nkfk pg|m{k|ra~ eofe|knva~ q{k depk|alf{nko kh l|ark/ Dau |{pv{|a fk ha nap~{ha eomk|eg|( upg| 1 0 ikok|ah ~k a~gnea a ngcp|gce~g ~k}k|g fk vkbefg~ lhaof g~/

G\EKOVANEGO FEAIOG^VENA

De~vg|ea Nheoena2Ikok|ahckovk kh panekovk ngo~{hva pg| ~k}k|g fghg| ko k! dgcl|g amknvafg( a~gneafga vhcevanego pa|a hg~ cg}ecekovg~ fkh ce~cg( ngo {o aovknkfkovk nha|g fk v|a{ca/

Ktacko Me~eng2 Fkpkofk fkh vepg fk h{tanego(

H{tane=o Aovk|eg|2#KE l|arg k~ ~g~vkoefg ko alf{nne=o u !eik|a |gvanego eovk|oa/#Pk|fefa fkh ngovg|og og|cah fkh dgcl|g ko ngcpa|ane=o ah ngov|ahavk|ah/#Ha nalkra d{ck|ah ~k pahpa aovk|eg|( ko ha |kiego ~{lng|angefka/#KE panekovk ~k |k~e~vk a dank| |gvaneno ktvk|oa u af{nne=o( u og p{kfk vgna| khdgcl|g ngov|a|eg/#Fklk ktaceoa|~k kh p{h~g |afeah ngcpa|ave}ackovk( pa|a fk~na|va| hk~ego }a~n{ha|/#K}ah{a| ha~ m{onegok~ fkh ok|}eg ateha| $ngov|annego fke fk!vgefk~ u ~ko~elehefaf fk ha|kiego fkhvgefka%( ok|}eg |o{~n{hgn{vaokg u ok|}eg |afeah/

H{tane=o Pg~vk|eg|2#KE l|arg ~k kon{kov|a ko af{nne=o u |gvane=o eovk|oa/#Ha na|a aovk|eg| fkh dgcl|g ~k kon{kov|a aphaoafa( ngo p|gceokonea fkh p|gnk~gng|angefkg/

#Ha na|a pg~vk|eg| fkh dgcl|g k~va Ehkoa( ngo va nalkra d{ck|ah pahpalhk fklabg fkhan|gcego/#KE panekovk ~k |k~e~vk a ha |gvane=o ktvk|o a u a ha agf{nnego/#Ha~ ahvk|anegok~ ok{|g}a~n{ha|k~ ~go eom|kn{kovk~/

Ktacko~~ Pa|anheoeng~2#\afegi|amha fk dgcl|g2 ko p|guknnego aovk|gpg~vk|eg|( u afenegoahk~ ateha| u'gvaoikoneah fk k~nap{ha $eofe~pko~alhk%/ Ko ha h{taneno aovk|eg| ~k ap|knea {oa

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{lenane=o ~{l#ng|angefka fk ha nalkra d{ck|ah ko !a p|guknne=o AP( u ~k ngome|caha fe|knne=o fkh fk~pharacekovg ko ha~ p|guknnegok~/ Ko ha h{tane=o pg~vk|eg| p{kfkap|knea|~k og|cahefaf fkh ngovg|og fk ha nalkra d{ck|ah( a{oq{k ~{ {lenane=o ~kaao=caha( 1 0 n{ah ~k ngome|ca ngo ha~ p|guknnegok~ afenegoahk~/

#\afegi|amma~ fk dgcl|g ko p|guknne=o aovk|gpg~vk|eg| u afenegoahk~ pg~v#|kf{nne=o2pa|a ngome|ca| ha |k{lenane=o fk ha nalkra d{ck|ah u ha apa|ene=o fk o{k}a~ hk~egok~a~gneafa~ $eofe~pko~alhk%/

#Kta|okok~ fk halg|avg|eg2 og ~k |kq{ek|ko pa|a kh |oaokbg fk ha !{tane=o/

#A|vk|egi|amea ko ~g~pknda fk hk~ego }a~n{ha| u khknv|gcegi|amma pa|a fk~na|va|hk~egok~ ok|}eg~a~ $~khknve}g~%

G\EKOVANEGO VK\APK[VENA

N{efafg~ P|kdg~pevaha|eg~2#K~valeherane=o u caokbg fk gv|a~ hk~egok~ v|a{cavena~ a~gneafa~/#Ngcgfefaf fkh panekovk f{|aovk kh v|ao~pg|vk/

Caokbg eoeneah ko [|ikonea~2#Caokbg aoahqk~eng pa|a fe~ceo{e| fghg|/#Vgca fk k~v{feg~ ecaikogh=ieng~/

#^kfane=o ngo~nekovk pa|a dank| {oa |kf{nne=o ca~ vanev/#\kahera| |kf{nne=o ngo ha caoegl|a eofenafa/#Ha |kf{nne=o afkn{afa ~k glvekok n{aofg ~k k~n{nda 0 ~ekovk ha |khgnaherane=o fkha nalkra d{ck|ah( dau fe~ceo{ne=o |oa|nafa fkh fghg| u a{ckovg fk hg~ a|ng~ fkcg}ecekovg og|cah fk ha a|ven{hane=o/#Fklk eocg}ehera|~k vgfg panekovk h{kig fk ea |kf{nnego( vgca|hk |afegi|amea~ fkngov|gh u |kahera| {o ktacko ok{|g}a~n{ha| n{efafg~g/#Hg~ vepg~ fk h{tane=o ckog~ ngc{ok~ fklko ~k| |kf{nefg~ pg| {o g|vgpkfe~va/

\kf{nne=o fk ha H{tane=o Aovk|eg|2Kte~vko }a|ea~ vknoena~( ha khknne=o fk {oa fk khea~ fkpkofk fk ha ktpk|ekonea fkhckfeng v|avaovk/ Ha~ ca~ ecpg|vaovk~ ~go2

Vknoena fk ^vec~go2 ngo~e~vk ko ha aphenanego fk v|annego a oe}kh fk ha |o{okna( ngocaoegl|a~ fk |gvane=o eovk|oa u ktvk|oa ahvk|oafa~/ P{kfk vgca| fk <0 a >0ceo{vk~/

Ckvgfg fk \gvane=o Ktvk|oa2 ngo kh l|arg ko af{nnego u kh ngfa a 50° fk mhkte=o( khl|arg ~k |gva ktvk|oackovk( eecevafg pa| kv fghg|( u k2 dgcl|g ~k |kf{nk aovk~ fkhEkia| ah phaog ng|goah/ K~ {o ckvgfa manee ngo ahvg pg~elehefaf fk ktevg/



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Ckvgfg fk v|anne=o#ngov|av|anne=o2 oknk~eva fg~ au{faovk~( ~k |kahera ngo v|anne=o~gl|k kh l|arg( ngo v|anne=o ngov|a|ea aphenafa ~al|k kh v=|at nao {oa ~alaoa/P{kfko ngo~{hva|~k gv|a~ vknoena~ ua q{k ha }a|ekfaf fk pg~elehefafk~ pa|a ha|kf{nne=o fk ha h{tane=o fk dgcl|k ~go c{nda~/ Ha |kf{nne=o fk ha~ h{tanegok~ckog~ ngc{ok~ ~k dank eo}e|vekofg ha~ m{k|ra~ na{~aovk~( u ~k eo~e~vk ko ha|kaherane=o fk k~va~ caoegl|a~ pa| pa|vk fk {o g|vgpkfe~va/

Anv{ahckovk dau {oa i|ao vkofkonea a caokba| kh p|eck| kpe~gfeg v|a{|oaveng fkh{tane=o aovk|eg| fk dgcl|g ngo {oa eo|og}eheranego ko |gvanego ktvk|o a pg| v|k~~kcaoa~/ Pa|a fk k~va caok|a fe~|oeo{e| k! ahvg pg|nkovabk fk |kh{tane=o fk~p{k~fk k~vk p|eck| k}kovg/

N\EVK\EG^ FK EOI\K^G DG^PeVAHA\EG#Apa|ene=o fk ngcphenanegok~ 0 hk~egok~ a~gneafa~ ngcg faoa ok{|g}a~n{ha|(m|anv{|a~ a~gneafa~( faok a|ven{ha|/#\kq{k|ecekovg fk aok~vk~ea ikok|ah pa|a | a |kf{nnego fk ha h{tane=o/

N\EVK\EG^ FK KI\K^G DG^PEV AHA\EG#Panekovk~ ko hg~ q{k k~ pg~elhk |kahera| |kf{nne=o nk||afa ngo ngov|ghk~|afegh=ieng~ og|cahk~#Ko na~g fk {~a| ~kfane=o ~k |kahera gl~k|}ane=o pg| 1 dg|a pa|a ~k| fafg fk ahvako ng|opa|eha fk macehea| 0 pk|~goa |k~pgo~alhk/#}k|emenane=o |afegh=iena fk ~{ afkn{afa |kf{nne=o

EOFENANEGOK^ PG^VDG^PEVAHERANeGO#Ngov|gh pg| ngo~{hva ktvk|oa ko eg~ 9 a 1; fha~ pg~vk|eg|k~ a ha |kf{nne=o fk hah{tane=o/#Eofenanegok~ fk eocg}eheranego fkh |oekcl|g ~{pk|eg| amknvafa( ha n{ah ~k ~{~pkofkp|k}ea g|fko ckfena/ /#K}eva| caoegl|a~ p|g}gnave}a~ fk h{tane=o fk dg|ol|g ngcg alf{nnego u |gvane=oktvk|oa $ pg| kbkcphg pkeoa|~k% /# eocg}eherane=o ko nalk~v|ehhg pg| ># 6 ~k|oaoa~/#cg}ecekovg~ pa~e}g~ a~e~vefg~ a ha~ < ~kcaoa~/

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Ha h{tane=o fk dgcl|g ngo~e~vk ko ha pk|nefa fk ha |khanego a|ven{ha| kov|k ha nalkrad{ck|ah u ha ihkogefk~( ngo faok a hg~ vkbefg~ q{k va k~valeherao u ahvk|ane=o fk ham{one=o og|cah fk ha a|ven{hane=o |okonegoaga/

10/ LELHEGI\AMEA

H/DG]KHh[^( L/I/ A[I[^VeOE( D/ M\KFeO( 0 BGDAO^^GO( \ / OG\HEO( aof B/VDG\HhOI/P|eca|u aovk|eg| Fe~hgnavego gm vdk ^dg{hfk| eo Ug{oi Pavekov~/ A Vko# Uka|P|g~pknve}k ^v{fu/B/Lgok Bgeov ^{|i/ Ac/( Og}/ 155=: 942 1=99 # 46

n/c/ \gleo~go( C Jkhhu( aof AK/ Yajkmekhf\kfe~hgnavego gm vdk ^dg{hfk| F{oeoi vdk Me|~v êt Ykkj~ Amvk| a P|eca|u Aovk|eg|Fe~hgnavego2 \e~j Manvg|~ aof \k~{hv~ gm V|kavcko /B/ Lgok Bgeov ^{|i/ A|o/( ^kp/ <00<: 462 1;;< #1;;5

K[EEVGE( U[BE DAVAJKUACA( CAÂE8AR[ [\AUACA( \ALEOF\A H/ P\AFDAO(VAFAVG JEFG( aof JGhG ÂVGPg~evego gm Eocgleheravego Amvk| Fe~hgnavego gm vdk ^dg{hfk|( A Nafa}k|en ^v{fuB/Lgok Bgeov ^{|i/ Ac(/ Ca| 1555: 412 >4; # 50N/ Cendakh \gleo~go aof Bg~kpvd Afk|eovgPg~vk|eg| ^dg{hfk| Fe~hgnavego~ aof M|anv{|k # Fe~hgnavego~B/ Lgok Bgeov ^{|i( Ac/( Ca| <00;: 492 =>5 # =;0

\e/ âceh~go aof ] P|ekvgFe~hgnavego a|vd|gpavdu gm vdk ~dg{hfk|B/Lgok Bgeov ^{|i/ Ac/( Ap| 154>: =;2 6;= # 6=0

N\ \gyk( L ha|eo~( aof B] Ne{hhg\kn{||kov aovk|eg| fe~hgnavego gmvdk ~dg{hfk| amvk| ~{|ienah |kpae|/ Appa|kov na{~k~gm maeh{|k aof v|kavckovB/Lgok Bgeov ^{|i/ AC/( Mkl 1546: ==21;5 # )1=4

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HSP-GU-190C-022 Manejo de la luxacion de hombro