8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

1/6

LlCFJING KI HF HYQFBLGJ L B0kleg> ART#EY#63333z-WzHz3bzz

[FMHF KI BGJ[IJLKG

6* NYR[L@LBFBLGJ=* GMNI[LPGR2* T]G@IRLGJFHIR F VYLIJIR PF KL]LELKG;* TGMHFBLGJ KLFJF L IQBITBLGJIR9* CI[GKGHGELF0* FB[LPLKFKIR 4T]GBIKLCLIJ[GR5* FHEG]L[CG KI FB[YFBLGJ1* LJKLBFKG]IR KI IPFHYFBLGJ FT]GMG>

6=*FJIQGR

]IPLRG>

Jgplicm}i =466 Jgplicm}i =466W###

Tfvljf 6 ki 0

8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

2/6

CFJING KI HF HYQFBLGJ B0kleg> ART#EY#6 * > K { F CF\G]Kz-z--,EG[ F g*b*

:*# %# *8* % % * * > l> Agrtl{fhRlc0j Mghlpf}

6* NYR[L@LBFBLGJHfr Hyqfblgjir ki hf F}{lbyhfbl0j Fb}gclgbhfplbyhf} ij fkyh{gr `%R *hi hfrt}ljbltfhir bfyrfr ki ljbftfblkfk | cg{lpg ki bgjryh{r f 8#8%&lblgr kiY}eijblfr ki Bghgcmlf*

=* GMNI[LPGRKlrijf} yjf eylf ki cfjing bh`jlbg mfrfk f ij hf cing} iplk ilrtgjlmhirgm}i ih cfjing ki Hyqfblgjir ki hf F}{lbyhfbl0j Fb}g}jlgbhfplbyhf( ij Fkyh{gr kiyjf cfji}f 60elbf( ribyijblfh | g}kijfkf ki fbyi}kg f hf t}irij{r -*%?h`jlbfki bfkf tfblij{i*

2* T]G@IRLGJFHIR F VYLIJIR PF KL]LELKGCiklbgr g}{gtiklr{frCiklbgr kih ri}plblg ki y}eijblfr

;* TGMHFBLGJ KLFJF L IQBITBLGJIRTgmhfbl0j fkyh{f vyi bgjryh{f fh ri}plblg ki y}eijblfr kih (#lgrt>{>W>W*%(( * %Wghhpf}bgj Hyqfblgjir ki hf F}{lbyhfbl0j Fb}gclgbhfplbyhf}*

9* CI[GKGHGElFJg fthlbf*

0* FB[LPLKFKIR 4 T]GBIKLCLIJ[GRITLKICLGHGELFHf ljblkijblf ki ir{f hirlgjir ir ki 6*=) ij ih agcm}g* Ri af }itg} z(lB *jb*bijblfki < ij 6144 hirlgjir ki agcm}g*I[LGHGELFRgj }iryh{fkg ki `yi}~f fthlbfkf afblf fmfng ij ih fb}gclgj* I l } i > > 8 W > % ( *?R}*64 cfrbgcyj ir hf bfhkf kl}ib{f rgm}i ih agcm}g* Hf bhfplbyhf kirbfjrf r}*h*}i } f t}lci}fbgr{lhhf | hf bgr{lhhf mhgvyif ih kirthf~fclij{g afblf fmfng ki hf b%fp>z% kI % bgcg}iryh{fkg( rl hf bhfplbyhf jg ri `}fb{y}f( hgr hlefcij{gr fb}g*}y* > * 8 > * n #* - 8L}ir |bg}fbgbhfplbyhf}ir ri }gctij* Tyikij t}gkybl}ri kiref}}gr !?R * N1b?lgjirbhfplbyhf}ir kih kih{glkir | {}ftiblg( `}fb{y}fr kih fb}gclgj( bhfphbya P ?zgbfbglkir(}yt{y}f kih `lm}gbf}{lhfeg fb}gclbghfplbyhf}*

Tfvljf = ki 0

8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

3/6

AGRTL[ FHl FBLGJG][GTIKLF

LLPi}rl0j> =WH

CFJING KI HF HYQFBLGJ B0kleg> ART#EY#lRGB#%N%>FB]GCLGBHFPLBYHF]

Agrtl{fhRlc0j Mghlpf}

BL ` ` kk [rl lbfblgj i F {cfj | grrl cgkl }bf f tg}[lt Kirb}ltbl0j4L Hirl0j tf}blfh ki hlefcij{g fb}gclgbhfplbyhf}zL Hirl0j tf}blfh ki hlefcij{g fb}gclgbhfplbyhf}

L | bg}fbgbhfplbyhf}irLLL Hirl0j bgcthi{f ki hlefcij{gfb}gc lgbhfplbyhf}( | bg}fbgbhfplbyhf}ir(kirthf~fclij{g ki hf bhfplbyhf cijg} kih644)LP Hyqfbl0j tgr{i}lg} ki hf bhfplbyhf f {}fpir kih{}ftiblg*

P Hirl0j bgcthi{f ki hlefcij{gfb}gclgbhfplbyhf} bg}fbgbhfplbyhf}ir(kirthf~fclij{g ki hf bhfplbyhf kih 244)PL Hyqfbl0j lj`i}lg} kih iq{}icg lf{i}fh ki hfbhfplbyhf( bgj kirthf~fclij{g tgr{i}lg} mfnghf bg}fbglkir | ki{}fr ki hgr {ijkgjirbgjnyj{gr

G]LIJ[FBLGJ KLFEJGR[LBFFjfcjirlr | Iqfcij `lrlbg*Alr{g}lf ki {}fycf fqlfh ij hf bf}f hf{i}fh kih agcm}g* Af| ikij7f}{lbyhfblgj fb}gclgbhfplbyhf}* Ri ijbyij{}f t}gcljijblf kih {i!z-bhfplbyhf vyi fycij{f ih bf}ef} tirg*

% - - >W %P X 8(6*a(`-G]?>>( l(i*

[|ti*{h

`CLP

X * > - > 4 8 ` % z*% ( v %-%z+(z# W%?%(%( %

-{z%>A-((zl ,h hk `p-kgGj>#zz>{>f>Lzhh %0

g} ij hff% ki hf

Ir{yklgr }fklgh0elbgr]fklge}f``f ki agcm}g fj{i}gtgr{i}lg} t}g|ibblgj rlj ir{}ir | bgj i{ %!? * %> zNfjkg9 f 64 hlm}fr ij ih clicm}g f`ib{fkg, bgctf}f{lpfr !ljklrtijrfm&i, >>?(?# f>}%!n?zf}eghfkl`i}ijblfblgj bgj hfr }fklge}f``fr bgj ir{}ir ij{}i yjf hirlgj e}fk(>?( % y% }*g ir y{lhtf}f cybagr fy{g}ir* Hf t}g|ibblgj fqlhf} pfhg}f ih kirthf~fcl >z%>*%>>(N} ijhirlgjir {ltg LP ! lctg}{fj{i,G]LIJ[ FBLGJ [I]FTIY[LBFIL {}f{fclij{g ljlblfh ri afbi ciklfj{i {j}jgplhl~fblgj kih clicm}g (bfmir{}lhhg* IL {}f{fclij{g ki`ljl{lpg ij hgr {ltgr L \ LL ir {zz=(Blj}jgpl`l~fbhgj | }iafmlhl{fblgj* Ij hirlgjir {ltg LLL( ri t{z=>>z (L*>(g}{gtiklbg( 4 vyl}y}vlbg t}ljbltfhcij{i ij f{hi{fr !hfj~fbg}ir}ikybblgj fmli}{f | ir{fmlhl~fblgj bgj bhfpgr ki R{iljcfjj( %zb*>}>hlcc 4 ry{y}f rlj{i{lbf*Hgr {ltgr LP( P( \ PL rgj ki {}f{fclij{g vyl}y}vlbg bgj }ikybblgjlj{i}jf* Ij hirlgjir {ltg LP | P ri kimi }itf}f} hf `frblf kkHz?#1Ln-> b

Tfvljf 2 ki 0

?WLj yj*>%zrlbg(nz*yfjing

%(H%,&, bgj? >?>*6 6 2 *9

fb lgj(sng}f}

8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

4/6

CFJING KI HF HYQFBLGJ B0kleg> ART#EY# %6

8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

5/6

l

CFJING KI HF HYQFBLGJ B0kleg> ART#EY#6# *(FB]GCLGBHFPLBYHF] L

Agrtl{fhRlc0j Mghlpf} AGRTL[FHl^FBLGJG][GTIKLF

lL Pi}rl0j> =L

5* FHEG]L[CG KI FB[YFBLGJL je }i rg f y }eijb lf r k i tfb li j{i b gj

hyqfblbj fb}gclgbhfp lbyhf}z

FjfcjirlrIqfcij @ l rl bg

]q fb}gclgb hfp lby hf}

z

L E }f kg L( L L L

F{li{f(KicfjkfLjcgpl h l~fb l0j bgj

bfmir{}lhhgFjfheirlbg * ** *##NzzW###%###nBgj{}gh B I q {i}jf%- z

1* LJKLBFKG]IR KI IPFHYFBLGJJg fthlbf*

]infmli>gr{*Lct bg j {(%Fjf > ( (%

(*-G]G*B*

}lthi{fl{ g kih

8/2/2019 HSP-GU-190C-019 Manejo de la luxacion acromioclavicular

6/6

CFJING KI HF HYQFBLGJ B0kleg> ART#EY#6 =

64* MLMHLGE]F@LFBhf}oi( Cb Bfjj* Fb}gclgbhfplbyhf} Nglj{ Ljny}lir* G}{agtiklb B& g } Jg}{aFci}lbf* =444> 26 !=,Jymi} Eg}kgj( Mguij cf}o* Fb}gclgbhfplbyhf} Nglj{ Ljny}lir fjk l Bhfplbhi@}fb{y}ir* NFc Fbfk G}{agt Ry}e 6