{"id":583,"date":"2022-03-13T10:30:27","date_gmt":"2022-03-13T10:30:27","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/case-study-fractures-in-disasters-and-conflict-es\/"},"modified":"2022-03-27T15:06:46","modified_gmt":"2022-03-27T15:06:46","slug":"case-study-fractures-in-disasters-and-conflict-es","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/es\/case-study-fractures-in-disasters-and-conflict-es\/","title":{"rendered":"Estudio de caso &#8211; Fracturas en desastres y conflictos"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Editores originales<\/b> &#8211; <a href=\"\/index.php?title=User:Naomi_O_Reilly&amp;action=edit&amp;redlink=1\" class=\"new\" title=\"User:Naomi O Reilly (page does not exist)\">Naomi O Reilly<\/a>\n<\/p>\n<p><b>Colaboradores principales<\/b> &#8211; <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&#8217;Reilly<\/bdi><\/a> y <a href=\"\/User:Olajumoke_Ogunleye\" class=\"mw-userlink\" title=\"User:Olajumoke Ogunleye\"><bdi>Olajumoke Ogunleye<\/bdi><\/a>&nbsp; &nbsp;&nbsp; &nbsp;\n<\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenidos<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Title\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">T\u00edtulo<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Abstract\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Resumen<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Key_Words\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Palabras clave&nbsp;<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Patient_Characteristics\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Caracter\u00edsticas del paciente<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Past_Medical_History\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Antecedentes m\u00e9dicos<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Social_History\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Historia social<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Examination_Findings\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Resultados de la evaluaci\u00f3n<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Observations\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Observaciones<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Pain_Assessment\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Evaluaci\u00f3n del dolor<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Examen f\u00edsico<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Range_of_Movement\"><span class=\"tocnumber\">5.3.1<\/span> <span class=\"toctext\"><b>Rango de movimiento<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Strength\"><span class=\"tocnumber\">5.3.2<\/span> <span class=\"toctext\"><b>Fuerza<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Referencias&nbsp;<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Title\">T\u00edtulo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Title\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=1\" title=\"Edit section: Title\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Politraumatismo con fractura compleja tras explosi\u00f3n <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">[1]<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Abstract\">Resumen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Abstract\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=2\" title=\"Edit section: Abstract\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>El Sr. Abukhair es un var\u00f3n de 34 a\u00f1os que acudi\u00f3 a urgencias con una fractura p\u00e9lvica desplazada, fracturas femorales bilaterales y fractura tibial izquierda con gran p\u00e9rdida de sangre 3 horas despu\u00e9s de una explosi\u00f3n. El Sr. Abukhair fue operado con clavos intramedulares (IM) de ambos f\u00e9mures, fijaci\u00f3n externa de la tibia izquierda y tratamiento conservador de la fractura p\u00e9lvica, que requirieron una amplia estancia en la UCI, seguida de reposo en cama, lo que repercuti\u00f3 en la rehabilitaci\u00f3n temprana.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Key_Words\">Palabras clave&nbsp;<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Words\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=3\" title=\"Edit section: Key Words\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Politraumatismo, Fracturas, Explosi\u00f3n, Conflicto\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Patient_Characteristics\">Caracter\u00edsticas del paciente<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient Characteristics\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=4\" title=\"Edit section: Patient Characteristics\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Past_Medical_History\">Historia m\u00e9dica previa<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Past Medical History\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=5\" title=\"Edit section: Past Medical History\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>El Sr. Abukhair es un hombre de 34 a\u00f1os que acudi\u00f3 a urgencias tras una explosi\u00f3n, en la que fue despedido a una distancia de unos 100 metros del lugar de la explosi\u00f3n. Estaba semiconsciente cuando lo llevaron a urgencias despu\u00e9s de tres horas desde la lesi\u00f3n, con una p\u00e9rdida enorme de sangre. Fue ingresado inmediatamente en la unidad de cuidados intensivos (UCI) tras un tratamiento inicial conservador.\n<\/p>\n<p>En la exploraci\u00f3n, una tomograf\u00eda computarizada de la cabeza no revel\u00f3 hallazgos anormales, pero las radiograf\u00edas AP, laterales y oblicuas confirmaron m\u00faltiples fracturas: fractura p\u00e9lvica desplazada, fracturas femorales bilaterales y fractura tibial izquierda. El examen neurovascular de del paciente fue normal.\n<\/p>\n<p>Mientras estuvo en la UCI, su tratamiento incluy\u00f3:\n<\/p>\n<ul>\n<li>transfusiones de sangre,<\/li>\n<li>clavos intramedulares (IM) en ambos f\u00e9mures,<\/li>\n<li>fijaci\u00f3n externa de la tibia izquierda,<\/li>\n<li>tratamiento conservador de la fractura de pelvis.<\/li>\n<\/ul>\n<p>\nTras 18 d\u00edas en la UCI, el Sr. Abukhair fue trasladado a los servicios de ortopedia. Se aconsej\u00f3 reposo en cama durante seis semanas, debido a la fractura p\u00e9lvica, sin permitir ning\u00fan movimiento de la articulaci\u00f3n de la cadera. No recibi\u00f3 ning\u00fan tratamiento de rehabilitaci\u00f3n durante su estancia en la UCI.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Social_History\">Historia social<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Social History\">edit<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=6\" title=\"Edit section: Social History\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Fumador cr\u00f3nico desde hace 12 a\u00f1os y mastica khat (un estimulante local).\n<\/p>\n<p>Historia familiar: 6 hijos. Su hermano es su principal cuidador mientras est\u00e1 en el hospital.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Examination_Findings\">Resultados de la evaluaci\u00f3n<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination Findings\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=7\" title=\"Edit section: Examination Findings\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Observations\">Observaciones<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Observations\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=8\" title=\"Edit section: Observations\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p><b>Posici\u00f3n:<\/b> tumbado en posici\u00f3n supina con la cabeza ligeramente elevada, c\u00e1nula intravenosa y sonda urinaria in situ.\n<\/p>\n<p><b>Hardware:<\/b> Fijador externo tibia izquierda.\n<\/p>\n<p><b>Cicatriz:<\/b> cicatriz alargada que recorre la zona lateral de los muslos, bilateral. P\u00e9rdida de masa muscular en los cu\u00e1driceps.\n<\/p>\n<p><b>Inflamaci\u00f3n:<\/b> inflamaci\u00f3n bilateral de los miembros inferiores (desde los dedos de los pies hasta las rodillas).\n<\/p>\n<p><b>Piel:<\/b> piel seca, resquebrajada y p\u00e1lida sobre pie y tobillo.\n<\/p>\n<p><b>Dolor:<\/b> dolor evidente al mover los dedos de los pies y los tobillos.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Pain_Assessment\">Evaluaci\u00f3n del dolor<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain Assessment\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=9\" title=\"Edit section: Pain Assessment\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p><b>Escala num\u00e9rica de valoraci\u00f3n del dolor:<\/b> 7\/10 (en reposo), 9\/10 con ligero movimiento.\n<\/p>\n<p><b>Factores agravantes:<\/b> cualquier movimiento de la extremidad inferior.\n<\/p>\n<p><b>Factores de mejora:<\/b> reposo en posici\u00f3n supina con ligera abducci\u00f3n y rotaci\u00f3n externa de la cadera y medicaci\u00f3n.\n<\/p>\n<p><b>Lugar del dolor:<\/b> articulaci\u00f3n de la cadera, la rodilla y sobre la zona de las nalgas.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Physical_Examination\">Examen f\u00edsico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=10\" title=\"Edit section: Physical Examination\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Range_of_Movement\"><b>Rango de movimiento<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Movement\">edit<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=11\" title=\"Edit section: Range of Movement\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p><i>ROM pasivo:<\/i> ligera limitaci\u00f3n en tobillos y dedos del pie, bilateralmente, debido al dolor; flexi\u00f3n de la rodilla: derecha 20 grados, izquierda 35 grados.\n<\/p>\n<p><i>ROM activo:<\/i> se queja de dolor pero puede intentar movimiento ligero, no rango completo.\n<\/p>\n<h4><span class=\"mw-headline\" id=\"Strength\"><b>Fuerza<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Strength\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=12\" title=\"Edit section: Strength\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>Flexi\u00f3n dorsal 3+\/5\n<\/p>\n<p>Flexi\u00f3n plantar 4\/5\n<\/p>\n<p>Incapaz de realizar una contracci\u00f3n isom\u00e9trica del cu\u00e1driceps debido al dolor 1\/5\n<\/p>\n<h2><span class=\"mw-headline\" id=\"References\">Referencias&nbsp;<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Fractures_in_Disasters_and_Conflict&amp;action=edit&amp;section=13\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Lathia C, Skelton P, Clift Z. Early Rehabilitation in Conflicts and Disasters. Handicap International: London, UK. 2020.<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220310170500 Cache expiry: 0 Dynamic content: true Complications: [] CPU time usage: 0.024 seconds Real time usage: 0.026 seconds Preprocessor visited node count: 59\/1000000 Post\u2010expand include size: 74\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 642\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 9.229 1 Special:Contributors\/Case_Study_-_Fractures_in_Disasters_and_Conflict 100.00% 9.229 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Editores originales &#8211; Naomi O Reilly Colaboradores principales &#8211; Naomi O&#8217;Reilly y Olajumoke Ogunleye&nbsp; &nbsp;&nbsp; &nbsp; Contenidos 1 T\u00edtulo 2 Resumen 3 Palabras clave&nbsp; 4 Caracter\u00edsticas del paciente 4.1 Antecedentes m\u00e9dicos 4.2 Historia social 5 Resultados de la evaluaci\u00f3n 5.1 Observaciones 5.2 Evaluaci\u00f3n del dolor 5.3 Examen f\u00edsico 5.3.1 Rango de movimiento 5.3.2 Fuerza 6 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-583","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/583","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/comments?post=583"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/583\/revisions"}],"predecessor-version":[{"id":584,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/583\/revisions\/584"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/media?parent=583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}