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Zlomi pri otrocih = Fractures in childrenSlemnik, Mihaela ; Čretnik, AndrejPoškodbe, še posebej pri mlajših osebah, so najpogostejši vzrok smrti in invalidnosti. Pri otrocih so zlomi specifični zaradi posebnosti otroškega skeleta, rastnih plošč in prožnosti otroških kosti. ... Kosti same lahko prenesejo celo določene večje sile kot pri odraslih, medtem ko so rastne plošče dva do trikrat bolj občutljive za poškodbe, a imajo tudi svoje prednosti: rastoča kost, ki se je deformirala, se lahko sčasoma sama izravna. Rastne plošče so iz rastnega hrustanca, ki omogoča rast kosti in ga, ko se rast zaključi (v starosti 16-20 let), nadomesti kost. Tipični zlomi, ki jih pri odraslih ne vidimo so: zlom zelene veje, zlom v obliki buckine glave in zlom rastne plošče. Zlome rastne plošče razdelimo po Salter-Harris-u v pet tipov, kjer je tip 1 najlažja oblika zloma, tip 5 pa najhujša. Zdravljenje je odvisno od tipa zloma, pomembni so čimprejšnji pričetek zdravljenja, analgezija, imobilizacija, ob (prekomernih) premikih naravnava oz. operativni poseg, rehabilitacija in spremljanje nadaljnje rasti. Približno 85 % zlomov se zaceli brez kasnih posledic. Možne posledice so: prezgodnji zastoj v rasti kosti, prekomerna rast kosti in upogib kosti in s tem deformiran ud. Kljub znanemu še vedno iščemo boljše in učinkovitejše poti v diagnostiki in pri zdravljenju poškodb rastne plošče, v želji za še boljši izid zdravljenja.Source: Medicinski mesečnik. - ISSN 1854-1313 (Letn. 4, št. 3/4, mar.-apr. 2008, str. 98-104)Type of material - article, component part ; adult, seriousPublish date - 2008Language - slovenianCOBISS.SI-ID - 2938687
Author
Slemnik, Mihaela |
Čretnik, Andrej
Topics
Growth Plate |
injuries |
Rastna plošča |
Poškodbe |
Fracture Healing |
Zlom, zdravljenje |
Epiphyses |
Epifiza |
Child |
Otrok
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Slemnik, Mihaela | ![]() |
Čretnik, Andrej | 21411 |
Source: Personal bibliographies
and: SICRIS
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