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All Journal MEDICINUS International Journal of Radiology and Imaging Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran
Sudharmadji
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Tingkat Keberhasilan Reposisi Tertutup pada Fraktur Antebrachii di RS Bethesda Yogyakarta pada Tahun 2007–2013 Budiman, Johan; Sudharmadji; Hariatmoko; Pinzon, Rizaldy Taslim
MEDICINUS Vol. 33 No. 1 (2020): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.253 KB) | DOI: 10.56951/medicinus.v33i1.2

Abstract

Forearm fracture defined as fracture that occurs in the forearm, where the radius and ulna bones are both broken. Forearm fracture is the most common type of fracture that occurs in children and adults. Traffic accident is one of the cause of this fracture. The initial approach in non-complicated forearm fracture is closed reduction with cast immobilization (conservative therapy). The aim of this study is to analyze the success rate of closed reduction of the forearm fracture at Bethesda Hospital of Yogyakarta. The study also examines the relationship between the type of fracture and the related success rate of closed reduction on forearm fracture as well as the distribution of forearm fracture at Bethesda Hospital, Yogyakarta. This is a descriptive study with cross-sectional design. Radiographs and medical records of patients with forearm fracture at Bethesda Hospital, Yogyakarta were analyzed retrospectively in the period of 2007-2013. The measured variables are the change in the degree of angulation, apposition changes, gap occurrences, and the presence of overlap between radiological examinations before and after closed reduction. Medical records are also analyzed after reduction is done. Data is statistically analyzed using Chi-Square method. The result shows that closed reduction of forearm fracture performed by emergency team of Bethesda Hospital Yogyakarta during the period of 2007-2013 was quite successful and there is a significant relationship between the type of fracture with the success rate of closed reduction of forearm fracture (p=0.003). Thus, closed reduction is a mainstay initial approach in the patients with forearm fracture. If it is not successful, then surgery can be performed.
FRAKTUR TERBUKA TIBIA DAN FIBULA: SEBUAH TINJAUAN KASUS Evita Zevanya; Lisa Jessica; Sudharmadji
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Vol. 10 No. 1 (2025): Maret
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/mtj.v10i1.1844

Abstract

Fraktur terbuka tibia merupakan fraktur tulang panjang dan terbuka yang paling sering terjadi dan cenderung bersifat serius. Kondisi ini sering diakibatkan oleh trauma berkecepatan tinggi, seperti kecelakaan lalu lintas terutama kecelakaan sepeda motor atau jatuh dari ketinggian. Menurut data Kementerian Perhubungan Republik Indonesia, angka kecelakaan lalu lintas terus meningkat. Diperlukan penanganan yang cepat dan tepat pada kasus fraktur untuk meminimalisir terjadinya komplikasi yang akan meningkatkan morbiditas dan mortalitas. Publikasi ini bertujuan membahas kasus seorang wanita berusia 41 tahun dengan fraktur terbuka kominutif 1/3 distal tibia dan fibula sinistra grade Gustilo-Anderson IIIA dan AO/OTA 42-A1 akibat kecelakaan sepeda motor dan penanganannya.
Radiologic Correlation of Pleural Effusion and Cardiomegaly in Pickwickian Syndrome: A Case Report Daniel Pradana Andrian Wicaksono; Sudharmadji
International Journal of Radiology and Imaging Vol. 5 No. 01 (2026): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2026.005.01.04

Abstract

Pickwickian syndrome is a severe obesity-related condition characterized by chronic alveolar hypoventilation that leads to progressive cardiopulmonary and metabolic dysfunction. A 35-year-old male with morbid obesity, weighing over 150 kg, presented with shortness of breath and lower-limb edema for one week. Radiologic findings revealed cardiomegaly, pleuropneumonic consolidation with pleural effusion, and venous dilatation of the lower limbs without thrombus formation. Laboratory evaluation showed neutrophilia and an elevated neutrophil-to-lymphocyte ratio indicating systemic inflammation. Blood gas analysis confirmed chronic respiratory acidosis with metabolic compensation. The patient was treated with non-invasive ventilation, weight control, and multidisciplinary follow-up, which led to clinical improvement. Radiologic assessment using chest radiography, echocardiography, and Doppler ultrasonography played a vital role in correlating cardiac and pulmonary abnormalities and identifying venous insufficiency. This case emphasizes the importance of comprehensive imaging in detecting the cardiopulmonary continuum of Pickwickian syndrome, enabling early diagnosis and targeted intervention to prevent irreversible complications.
Co-Authors Daniel Pradana Andrian Wicaksono Evita Zevanya Hariatmoko Johan Budiman Lisa Jessica Rizaldy Pinzon