Out of the selection of a cylinding process of radiation bone treatment. How is the fracture of the innocent bone

The date: 03.03.2020

Fracture of the Shilovoid Radi Bone Process It arises due to the fact that people falling, automatically pull the hand forward.

The probability of its fracture is about 50% of all damage to the upper limbs.

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Injury without displacement

The shiloid process becomes a zone of fractures for the following reasons:

Sports activity (rollers, skateboard, jumping.);
Active games;
Production / consumer injury;
Fall (more often in winter);
Violation of metabolism and, fragility of bone tissue (osteoporosis).

To determine the tactics of treatment, it is important to correctly determine the type of damage, which is determined by:

The presence of fragments;
Fracture line;
The character of the fracture (intra-art / embracing);
The emergence of offset;
The appearance of concomitant injury of the elbow bone.

Open fracture

Tissue is damaged and offset. The type can be primary (the skin is damaged outside) and secondary (the skin is damaged from the inside).

It is important in time to provide medical care, there is a risk of problems with the battle and accession of infection.

Closed fracture

With this type, bruises may appear, but the fabric remains the whole. Distinguish between the intra-articular and embracing fracture. In the first case, the injury extends to the rays-talked joint, in the second - the articular surface is not damaged. Frances are not shifted, and the damage looks like a slight crack.

Symptoms of damage

Signs that manifest themselves depending on the degree of injury:

Strong pain in the appropriate place.
Bone crunch.
Out of a damaged area.
Impossibility to move your hand, enhancing pain while trying to do it.
Numbness of fingers.
Sustain deformation.
Hematoma formation.
The feeling that the skin is stretched as hematoma increases (sometimes).

Sometimes a closed fracture without displacement does not have pronounced symptoms, so the victim ignores him and does not turn to the trauma.

How to treat

The first medical care includes the overlap of tires and shoulder bandages so that the hand is immobilized. In case of severe pain, an anesthetic to the patient should be written and attached to the damage zone.

If the fracture is open, you need to stop the bleeding and disinfect this area. To match a bone flush, the doctor can pull out the joint, taking the thumb of the victim and pulling the rest to the other side.

After inspection and diagnostics with the help of equipment (X-ray, MRI, CT), the doctor chooses the treatment method. A conservative method is used more often.

The hand is immobilized by leaving the gypsum to prevent or eliminate the offset. Every 10 days there are repeated x-ray to notice new offsets in time.

In severe cases, surgical intervention is required (open reposition). Flips are fixed with special screws or plates.

Maximum after 2 months patients return to ordinary life. Rehabilitation includes LFC, massage, physiothereders, the use of painkillers, a balanced diet enriched with calcium and necessary vitamins.

How much wearing plaster

Effesting takes from 4 to 10 weeks, depending on the specifics of the fracture, the type of treatment, possible complications, additional injuries, the age and characteristics of the patient's body.

Gypsum bandage must be worn at least a month. It is possible to remove it only how everything will completely grow out, and only with the help of a specialist, and not on your own.

How long is fighting

Any injury gained long and brings sensations not good, no exception. It is necessary with a displacement that is aimed at developing and restoring motor functions. Development should be carried out after the permission of the doctor.

To finite returns its mobility, you need to carry out therapeutic physical education:

Cotton, both in front of him and behind.
Pour water in the pelvis and put hands there, blend and bend palm.
Fingers need to stretch, but do not overdo it.
Hand rise in different directions.
Raise shoulders up.
Need to do from simple to complex.
First, move your fingers, bend and instill them.
Then go to the wrists.
At the end, the load should be distributed across the arm.

How the gypsum will be removed from the hands, you will feel that the hand is someone else's. For a long time, the hand was in a fixed state and the muscles weakened, the blood supply was not enough, so swelling appear.

To swelling disappear, you need to do exercises:

To check whether the strength remained in the hand, squeeze your palm. Do not grab everything at once. First on ordinary plasticine, heal it in hand.
So that blood moves faster, pull your hands before, squeeze your palms and turn right, left. After a while, the hand will start functioning. But too often rotate the limb is not worth it.
The ordinary tennis ball will help to remove the swelling, it must be thrown into the wall and catch, but too quickly should not do that. You can move the ball into the palm and sort out your fingers on it.

Types of damage

Fractures with displacement are: open and closed.

Fractures are dangerous, because the movement of bones, which affect fabrics. When nervous fabrics or vessels are damaged, after healing, the limb cannot work completely.

More often, the usual fracture passes into the fracture of the radial bone. Doctors call such damage to "typical", often radiation bone is damaged in the lower third (at the point of impact).

If the bone is incorrecty, the movement of the hand will be limited. If the drop will be on a straight arm, then a double fracture may occur.

Symptomatics

Signs that you broke the radiation bone depend on the type of damage.

Mostly signs such:

The upper limb begins to swell.
Painful sensations when feeling.
Damaged by the elbow joint, which means the pain is enhanced.
Increasing pain.
Bones when moving radiation wrist crunch.
Bruises appear.
Joint pain.

Another symptom that the limb is broken, it will become its cooling, it happens due to the fact that the blood supply is broken. With a fracture there is a large loss of blood, which leads to the loss of consciousness.

Essence of broken diaphysis

Such damage is rare. But it happens because a blow to the radial left or right side of the forearm has been accomplished. Symptoms are different: pain, swelling.

If a fracture with the displacement, then the reposit is recorded by 8-12 weeks, carrying out an X-ray controlle.

Operational and conservative ways

To provide first medical care, no specialist intervention is required. The main task of man, he provides assistance to the victim - to provide peace of limbs and prevent damage to nearby tissues (near the fracture). No "insertion" of the joint is existently carried out.

If the fracture is not open, then fix the limb in a position that is more convenient, fract the blood and impose a special bandage. Deliver the victim to the medical institution.

In the hospital, the doctor will give you first aid. If a medical worker arrived at the scene, then it is even better. Upon arrival, the doctor assesses the patient's condition and determines which measures should be taken at this point.

After examining the patient, the doctor enshrines and prevents the damage to the limb. If the patient's location is a hospital, then the doctor determines whether hospitalization is needed or not.

Conservative therapy

This one of the old but effective techniques. The secret of this method is that the traumatologist with his hands restores bone fragments, so that their position coincides with what was before injury.

The bones are fixed in this position and they need to be so until the bone corn is formed. This is the most secure way, but still sometimes better surgical intervention. Sometimes an urgent right is required.

Operational intervention

Yes, there are such cases when nothing happens without interference with doctors. If some complications occur, then experts will come to the aid, because they are better and more accurately eliminated your problem.

Treatment with the use of the operation in cases where:

Fracture of radial bone open.
Pathological fracture.
Appeal to specialists occurred much later after the injury.
Fracture with displacement.
Fracture with squeezing nerves.

Doctors compare bone fragments, use plates or needles as locks. The choice of what is fixed depends on the fracture.

Open fractures require surgery of surgeons, because the infection falls quickly and can pass throughout the body, including fabrics in hand, in other parts of the body.

The deadlines of the bone decline depend on how much it is damaged. Increasing incorrect fracture is difficult to cure

Gypsum with a closed and open fracture of the radial bone must be worn:

If the broken radial bone head is restored - 2-3 weeks.
The diaphysis grows over 8-10 weeks.
"Typical place" - 10 weeks.
The elbow bone grows in 10 weeks.

Wellness massage

One of the most optimal components for treatment is a massage.

In order for blood in the hand again began to circulate well, you need to warm up the muscles and saturate the cloth with oxygen.

After removing the gypsum you need to learn how to make a massage, it is not difficult:

First spend (stroking) movements along the entire length of the limb.
Then go to rubbing.
Mind with your fingers, it helps fabric regeneration.
Vibration, you need carefully, alternating with stroke, press the limb.

How all courses will be passed, your hand will gain the former look if everything goes according to plan. But if the bone growls incorrectly, then you cannot avoid those situations where the muscles are deformed and the hand will become ugly.

Diagnostics

Radiation diagnostic methods are the "gold standard" in the diagnosis of fractures. More often in routine practice uses a radiography of the limbs in 2 projections.

The X-ray will show the presence of a fracture, its character, the presence of fragments, the type of displacement, etc. This data play a key role in choosing the healing tactics.

Sometimes, traumatologists use the method of computed tomography to diagnose complex injuries.

An experienced traumatologist will determine the necessary diagnostic methods depending on the general state of the victim. From the timeliness of appeal to the doctor depends on recovery without consequences. Displaced bones are restored by reposit.

Methods of physiotherapy

Physiotherapy occupies an important place in rehabilitation. With the help of the procedures, the rehabilitation period is reduced and the ability to avoid complications appears.

Procedures are used:

Electrophoresis with calcium preparations. The essence of electrophoresis is reduced to a slow directional movement of the particles of the drug in the tissue. Calcium increases the mineral density of bones and accelerates the battle of bone fragments;
Low frequency magnetotherapy. Has an anesthetic and anti-inflammatory effect;
UHF method. The selected technique is aimed at warming up soft tissues. As a result, the local metabolism is improved, which accelerates regeneration;
Ultraviolet radiation. Under the action of ultraviolet radiation, vitamin D is produced required for better calcium absorption.

Take care of yourself!

Early complications:

Massage of the collar region, general ultraviolet irradiation.

First of all, it is necessary to diagnose a fracture and find out if there is a bone fragment displacement. After that, treatment tactics are built. In the absence of bias of fragments, conservative treatment is prescribed, which consists in anesthesia and overlapping a gypsum bandage. In the case of a displacement of fragments or fragmentation of the bone head, operational treatment is necessary in conducting osteosynthesis.

The diagnosis is made on the basis of a survey, inspection, palpation, the presence of pathological syndromes (attitudes, pathological mobility), as well as a complex of instrumental diagnostic results.

Upon completion of immobilization, healing gymnastics is appointed and
With a fracture of radial bone

Complications

Surface

Recovery after ray bone fracture
Treatment after a ray bone fracture
The fracture of the radial bone of the hand is sufficiently difficult damage, which is associated with the high degree of violation of the function of the forearm. Most often, these damage occurs due to indirect injury in the middle and distal (lower) third, less often in the proximal (top). This is explained by an anatomy morphological structure.
Attachment infection with the development of a purulent process with an open fracture.

After the gypsum bandage was replaced by removable gypsum orthosis, the gymnastics should be aimed at preventing the occurrence of contractures in the joints: all joints are sequentially to the shoulder. Ergotherapy is added: restoring self-service skills. During this period, it is very useful: massage, thermal physiotherapy, therapeutic gymnastics in warm water (hydroenezotherapy), mehanotherapy.

During a fragmentation or a common fracture of the head of the radial bone can be removed. However, such measures are not practiced in children not to affect the bone growth zone.
The purpose of treatment is the restoration of the anatomical integrity of the bone and the function of the damaged department.
Recovery after ray bone fracture
Significantly disturbed the function of the forearm, so such an injury is considered relatively severe damage.

Are arthritis developing after intra-articular fractures, as well as arthritis associated with the fractures of the collis.

The distal dice of the radiation bone is painful and edema. Sometimes the sensitive branches of the radiot nerve can be damaged, which is manifested by paresthesias along the nerve fibers. To determine

Rehabilitation events after a ray bone fracture It is advisable to start as quickly as possible (as soon as the pain decreases). From the very first days, active movements should be performed, allowed to perform easy operation for self-service. After

First of all, the reposition is produced - the displacement fracture is running under local anesthesia with a manual method, with the help of special devices (Sokolovsky, Ivanov, Edelstein) or on the table of Kaplan.

Features of ray bone fractures
Zudeek syndrome.
The thermal regime during classes in the water should be soft. Water temperature: from 34 to 36 ° C. Gymnastics is carried out with a fully immersed in the water hand (forearm, brush). Hydroxyotherapy is assigned after removing the gypsum bandage.

One of the most common forearm damage is a ray bone fracture in a typical location. Then the fracture area is localized at the bottom of the beam. This damage is obtained as a result of falling on the elongated hand with a bent or dismissed ray-tailed joint.

There are two types of treatment of fractures: operational and conservative. Surgical interventions are trying to resort in extreme cases and with certain indications for this treatment method.

, Including movements in warm water, as well as massage. The fracture of the radial bone is far from all cases is eliminated by one-step. Then the patients are transferred to the hospital for surgical treatment.

Mechanism
State
Removal of bandages are appointed such recovery activities:

With a closed fracture of the radial bone, skin covers are not damaged. In the case of open fractures, the injury of soft tissues and bones occurs under the action of the same factor.

womanAdvice.ru.

The edge fractures of the radial bone are barton fractures, hetchinson. Diagnosis and treatment

Blood circulation.Attention is paid to all joints from the fingers to the elbow. In the initial stages, the patient helps himself doing a healthy hand exercises. All movements must be performed before painful syndrome, and not through it. Immobilization: from a plump-phalange articulation to the upper third of the forearm. Term: from 1 month (fracture without bone fragment displacement) up to 1.5-2 months (by displacing fragments). Rady bone fractures are classified depending on the traumatic factor and the individual characteristics of the patient's body.

Moreover, the most painless transition from immobility to the ever-increasing load gives it precisely physical exercises in warm water. The cause of the ray bone fracture in a typical place in 90% of cases is the fall on the elongated hand. At the same time, the short-shaped outflow of the elbow bone, lands, and semi-lunar bones are also suffering at the same time, the breakdowns of rayless and brave bundles occur. Bone fragments and the degrees of their displacement of the best consider the side projection.Thermal procedures;

When swelling, the tires are strengthened with soft bandages or replace the circular gypsum bandage. There are fractures of the radial bone without a displacement (framed fracture, crack) and fractures of radial bone with displacement. The fracture plane may have a transverse or oblique direction. With direct injury, the ray bone fractures are more likely to be transverse, less often - fragmentation. Secondary displacement of bone fragments with improper imposition of a gypsum bandage or incorrect reposition of fragments.

Treatment of edge fractures of barthon

Exercises from flexion and extension in the joints begin, then casting and disagreement, pronation and supination are made. Therapeutic gymnastics: breathing exercises, gymnastics complexes for highlighted bodies of joints with the obligatory involvement of the fingers of the brush. Below will look at some of them.Movement in water is produced in a large basin, which should be easily placed and the brush and forearm. Temperature should not exceed 350c.

To restore the full function of the forearm, first of all it is necessary to reconstruct the distal-dispatch-elbow articular surfaces.

With such a fracture of the ladle bone. In this case, the force is transmitted from the visional bone to the cylinder proceeding, which leads to its transition. Above the ground OccasionallyMassage;

Fracture of the Shiloid Radie Bone Gotchinson Process

To control the secondary displacement, X-ray diagnostics are carried out (after 5 to 7 days after the reposition). A typical radial bone fracture with displacement depending on the position of the brush at the time of injury can be:Damage to the tendons, ligaments with the formation of diastasis between bones or adhesions between the tendons (the reason for tug-exciting joints). It is quite possible to supplement the exercises in water in water with soft sponges and balls, subsequently the size of the objects should decrease. For training, buttons are lowered in the water in the water, which the patient must capture and catch. Post-mobilization period: Exercises are performed in front of the table with a smooth surface to alleviate the slip of the hand. Useful exercises in warm water, as well as household loads, in particular self-service. It is necessary to exclude wearing weights and visis. Extremely useful massage of the affected limb.

The fracture without displacement of fragments is most favorable for the patient, does not require surgical intervention and allows the patient to quickly recover. Happens at different height of the radial bone. With an isolated fracture (with the integrity of the elbow bone), its diagnosis is difficult. The treatment consists in fixing the place of fracture by twolone gypsum bandage, followed by a replacement for its circular gypsum bandage. Hand until the middle of the shoulder is immersed in water, the brush should lie on the bottom of the edge. Flex and extension brush up to six times. Touch the bottom of the palms, turning them down and up. The symptoms of the ray bone fracture in a typical place:

Treatment of the Promotional Heatchinson Radie Bone Fracture

LocationFrams LFK exercise.In some cases, osteosynthesis is performed - the operational connection of bone fragments. Such intervention helps prevent displacement and improper battle, reduces the time of rehabilitation.

medUniver.com.

fracture of radial bone, treatment, restoration, hands, after a ray bone fracture

Extension - in which the displacement of the bone fragments occurs in the radial side and to the rear;Near Turner.

Physical factors used in the postmimmobilization period: paraffin applications, electrophoresis of lidase, potassium, ultrafonophoresis of lidase, electrostimulation of muscles, salt baths.

Very often, the fracture of the radial bone in a typical location is combined with a selection of a cisoid process. The diagnosis is made according to the survey, inspection, palpation (cripping syndrome of fragments), as well as the results of an x-ray study.

Fracture with displacement of fragments in certain cases requires osteosynthesis (revolving, crazy or intraosyous) plates, screws, screws or wire seams.

Symptoms of fracture

The elbow is based on the sick hand about the bottom of the pelvis. Healthy hand clasped a joint joint. With the help of such support, circular movements are carried out.

Pain
Shilovoid process marked pain, palpation and swelling.
We accorganize damage or dislocation of wrist bones with damage to the sensitive branches of the radial nerve.

Exercises of therapeutic physical education covers all free joints of the injured hand. Special attention is given to the warm-up of the fingers. Some exercises should be performed in warm water to remove the load.

Incorrectly embossed fracture of radial boneFlexible - occurs during a bent brush, the fragment moves towards the palm.

Treatment of radial bone fracture

In the third stage, when the fixation is not required, the load on the affected limb is not limited. When performing a complex of therapeutic physical education, additional equipment for burdulum is used, as well as viscos and resistance exercises. In this period, it is focused on the complete restoration of the limb and eliminating the residual phenomena of the fracture.

Restoration after fracture

The displacement of the host-shaped process with a fracture can be not only in the back or palm region, but also at different angles. Tactics of treatment is selected strictly individually in each specific case after the X-ray study, and in some cases - computer tomography. In the presence of embracing non-disligration fractures under local anesthesia, a manual reposition of fragments is carried out and a two-tone gypsum bandage is superimposed. After falling out the edema, it changes to the circular gypsum bandage until the end of the immobilization period. There are also exercises at the table among therapeutic exercises. Plugged hand on a flat soft pad, remove and lead, bend and extension with a brush and make turns to the palm.

The best fracture is revealed in the pictures in the forefront of the projection. Although

Choosing treatment

To complete the restoration of the functions of the hand required 1.5 - 2 months.

If the fighting of the fracture occurred with a violation of the length of the arms and its axis, then such a fracture is incorrectly gained. At the same time, functional disorders or limb deformation occur.

These fractures are more often intravantic, often accompanied by a selection of a semi-shaped process.

womantip.net.

Snapshot will make and determine, you can only swim everything will be restored first time it will be necessary to make a bath for a hand

Therapeutic physical education includes complexes of gymnastics, mechanotherapy and hydroenezotherapy.
One of the types of treatment of this fracture is a manual reposition of fragments under local anesthesia, followed by plaster immobilization of the limb. However, this approach may pour into the secondary displacement of bone fragments, which will complicate the further treatment of the fracture.
In some situations, the fractures of the radial bone are combined with the dislocation of the head of the elbow bone. In this case, in addition to the reposition of fragments, it is necessary to correct the head of the elbow bone.

It is very useful during the recovery period to do needlework. Wash the threads on the tangle, knit on the needles and crochet, sew and embroider, glue envelopes, draw and draw.

Shone deformation of the forearm.

Principles of treatment of radial bone fractures

Fractures

Depends on the size of the bone fragment and on the degree of its displacement.

Fracture of Barton

The causes of the wrong battle can be:

Symptoms of the fracture of the radial bone with the displacement:

Pyramidonna

Hydrocenesotherapy: The occupation is carried out as last stage, but is complemented by the implementation of household manipulations. They are designed to increase the amplitude of the movement in the joints and allow the patient to expand the exercise volume: imitation of hand washing and dishes, washing and squeezing, etc.

Rehabilitation of the bones of the forearm with various types of fractures in this anatomical area varies slightly. It is important to know the general directions of recovery activities and vary techniques depending on the characteristics of a particular fracture.

Immobilization: fixation of the gypsum bandage from the base of the fingers to the upper third of the shoulder in the physiological position.

By the number of affected bones, fractures distinguish:

Must be made x-rays of the rays of the joint in two projections. The severity of the fracture is characterized by the degree of bias of fragments, the number of fragments and associated acquired damage.
Palum bones are rarely observed, but in any case they need to be revealed.
Class B: I type (barton fracture without displacement)

Captures the dorsal edge of the distal dice. In typical cases on a radiograph, a triangular bone fragment is determined. Excessive

Unsatisfactory reposition;

Swelling;

You can swim, just carefully, without pampering.

Therapeutic physical education is complemented by ergotherapy (restoration of household skills and self-service functions).

With a fracture of the radial bone after mapping of bone fragments, we apply a gypsum bandage from the base of the fingers to the upper third of the shoulder. At the same time, the hand should be bent in the elbow joint at an angle of 90 degrees and to be kept by a gol. Immobilization time: with an isolated fracture of the radial bone - 1 month, with a multiple fracture (radiation and elbow bones) - 2 months.

The fractures of the radial bone in the neck and heads are the following types:

Isolated - one bone is injured;

Fracture of radial bone and treatment

General rehabilitation techniques after a ray bone fracture

Forearm

First period: Immobilization

. It is recommended to impose a short gypsum bandage with forearm in a neutral position. Class B: I type (barton fracture with displacement). The displaced fragment of a large size with a sublifting or dislocation of wrist bones requires regional anesthesia with a subsequent closed reposition. If the fracture is stable and well compared, it is recommended to impose a short gypsum bandage with forearm in the neutral position.

Rear bearing brush

Prematurely stopped fixation;

Deformation;

Diana Burdean

Second period: removable orthosis

The complete reduction of the limb occurs after 4-5 months with an isolated fracture and after 6-7 months with a multiple fracture.

During this period, the treatment gymnastics for free from the gypsum bandage of joints are performed: active, passive and static, as well as imaginary movements (ideasotor) in the elbow joint.

Without bone fragments;

Multiple - amazed several bones;

- This is an anatomy reposition and stable fixation of fragments, in order to restore painless and accurate movements of brushes and fingers.

Immobilize rear Longeta. The ice and the elevated position of the limb are shown. Patients are subject to the urgent direction to the orthopedist, since with unstable fractures, percutaneous fixation is shown. Are rare, although to eliminate sharp

Third period: without fixation

If the fracture is unstable or inadequately reonated, an open reposition with internal fixation is shown. A small fragment can be reputed and fix it with an insidious needle.

In combination with the pronation, it can lead to an intra-articular fracture of this type.

Restriction of movements in the joint;

Wait full restoration.

Shock-wave therapy

With poorly fixing fractures and the formation of false joints, shock-wave therapy is prescribed. This method is based on the point exposure to an ultrasonic wave in a fracture area for stimulating the processes of tissue regeneration and accelerating the formation of bone corn. This type of therapy allows you to speed up the rehabilitation time and in certain cases is an excellent alternative to surgical treatment.

Complications

Physiotherapeutic events from the third day after damage: UHF therapy on the region of fracture, magnetotherapy and ultraviolet irradiation. It must be borne in mind that UHF therapy is contraindicated in the presence of metal structures in the field of exposure. For magnetotherapy, this factor is not a contraindication.

A secline fracture with displacement;

Combined - damaged bones and internal organs.
Usually, when there is no displacement of fragments per month plaster Longets, and disability is returned in a month and a half.
Complications
Frequent
Dorsal
Treatment incorrectly ray bone fracture is performed by a surgical method. Osteotomy is produced to correct deformation - an orthopedic operation consisting in dissection of bone (artificial fracture). Next, the defect is replaced by an artificial element and is fixed with a special plate.

physiatrics.ru.

a closed fracture of the H / 3 left radial bone without a displacement, a semi-shaped process on the left without displacement.

Pain, amplifying when trying to move.

Langeta, or Gypsum (on the lesion area), it is desirable to do not give the load to the full splicing. It is good that without displacement cost.

Complications after ray bone fractures are provoked by the character of the fracture itself, improper treatment tactics or patient actions. They are divided into early and late.

1.5 weeks after the fracture is used magnetic stimulation of muscles and affected nerves, pulsed EP UHF, infrared laser therapy (impact directly through a gypsum bandage) or red laser therapy (the holes for the emitter are cut into the gypsum).

Castle fracture.

Rady bone fractures dramatically reduce the working capacity of patients and manifest themselves with sharp pain in the forearm and edema. Depending on the type of fracture, symptomatics can complement the presence of hematoma, tissue breaking with a bone output to the wound, the presence of deformation in the fracture area with intact skin and so on.
If the dismissal displacement is determined, anesthetic measures are carried out and produce a manual reposition, and immobilization is carried out with a gypsum bandage. Mandatory radiography helps to make sure the correct position of fragments after the correction. Analysis of the clinical picture and radiographs makes it possible to determine the final treatment plan. The duration of immobilization is from a month to one and a half. During this period, a warning x-ray study is usually carried out in a week.
The complete survey of the nerves and the limb vessels with the documentation of their state is shown.

Rady osteotic belongs to the forearm department of the upper limb. In the left and right hand, it is adjacent to the elbow. The radial bone body has three surfaces and in the upper epiphyseal part ends with a neck and head, which enters the articular capsule and comes into contact with the head of the elbow bone. The lower or distal epiphyseal part of the radiation osteotic is expressed by a thickened separation department with a depotable process and a somewhat concave surface to enter the fascinal bones of the ray-tank joint. It is here that frequent injuries occur, of which it is significant, is considered a fracture of the distal metaeplefyphy of the radial bone (the fracture of the radial bone in a typical place). Also, to the difficult pathology, refers to the fracture of the head of the radial bone, which is included in the radial clipping of the elbow proximal epiphyse.

The fracture of the radial bone is in a typical location, and therefore in the zone of the cylinder process, is expressed in a osteotic breakfold due to the thin cortical layer, which is covered with the surface of all bones. The cause of such pathology is considered a strong arm of hand or reference effect on the hand in the dispere position (the pressure of the whole body in the fall). See photo 1:

The fracture of the radial bone of the hand can occur in two types:

Smith mechanism It is characterized by a break of the bone inside the ray-taking joint and the displacement of one or several sloping fragments toward the inner surface of the hand. At the same time, the breadthrum, the head, the joint in the distal bone dice, and the integrity of the custody of the hand;

Mechanism by the wheel Based on damage to the hand in the distal area of \u200b\u200bthe ray-taking joint, when the fracture of the radial bone is shifted to the back surface of the brush. It is such a type of injury hand is often fixed from traumatologists and surgeons.

According to the mechanism of the breakdown and the picture of the injury, the symptomatics is characteristic of any damage to the osteotic and the ligament. That is, it is expressed in the form:

The presence of crackling or hurt in the injury zone;
Severe pain in which the victim supports the hand, but cannot find the direction in which the pain will decrease;
The swelling of the distal arm - a mandatory symptom indicating the deficiency of the radial bone with the displacement of fragments and without it;
If the break is complicated by damage to the vessels and nerves, it is observed numbness and hematoma in the back and palm part of the brush;
Damage to the capsule and intra-articular cartilage tissue, which can be complicated by hemarthrosis (blood from the hollow);
Visual and palpator definition of a protruding cylinder process of both radios and elbow bones under the skin.

The fracture of the radial bone requires a very careful study of X-ray equipment and, in different projection. When determining the type of fracture it is very important to measure the angle, which is formed when conducting a slanting line between the cylinder processes and a straight line axle, perpendicular to the bones of the forearm. It must be at least 15 degrees. The disappearance of this distance says about the presence of bone offset at a fracture.

If we consider the fracture of the radial bone head, then it occurs simultaneously with damage to the bone, the joint and the rally region of the elbow area. As a rule, such injuries occur in athletes or in people who fell into the car accident. The fracture of the radial bone head is sometimes combined with a dislocation or impaired integrity of the head of the shoulder bone and the proximal separators of the elbow osteotic.

There is a certain system for encoding the proximal damage to the forearm, which is noted in the international classification of the disease 10 viewing, abbreviated ICD 10:

MKB 10, S - 52 - Fracture of the Ostutication of the forearm;
MKB 10, S - 53 -56 - various damage to the joints and the okolossertable tissues (ligaments, tendons, muscle fibers);
ICD 10, S - 52 - fragmentation of the osteotic forearm.

Damage in the field of radial bone head can occur with a deviation of several osteotic fragments or without it, as well as with a complete disruption of the head of the beam or its displacement in combination with the dislocation of the articular block of the elbow or into the wrist bones into each other.

Of the symptoms, the fracture of the radial bone head, these are characteristic signs of sound cod, the sensation of hot temperature in the area of \u200b\u200binjury, immobilizing the upper limb in the position of supination or pronation, pain, swelling, hyperemia and hemarthrosis.

Examination methods are based on physical and radiological methods. The first are expressed by the inspection of a specialist of the affected area, with the definition of the corresponding symptoms. The second is the study of X-ray shots and computed tomography.

Help and treatment of radiation injuries

First aid tactics:

Holding the limbs in the position that determined the fracture, and in no case, do not try to restore the stability of the limb on their own;
Applying to the injured cold place;
Acceptance of analgesic;
Appeal for qualified help to a traumatologist.

Therapeutic procedures are chosen after the diagnostic examination, which will indicate the conservative path of treatment or operational.

The tactics of conservative treatment is used in the fracture of the radial bone head, the fracture of the elbow osteotic and the departments of these bones in the area of \u200b\u200bthe beam-up joint joint. At the same time, it is important to note that damage should be without offplaces and other complications, especially in the intra-articular region. To capture bone tissue, the limb is immobilized in plaster. When a fracture in the proximal area of \u200b\u200bthe beam, the gypsum captures the half of the shoulder area to the hand in the bent in the bent state and wearing it takes a monthly degree with the control of X-ray. When the ray is defeated in the wrist area, the gypsum bandage fixes the entire brush, from the tips of the fingers to the elbow joint, and wearing it is necessary for a period of two to three weeks (photo 2). In both cases, the damaged hand should be in the raised position, that is, suspended with the help of a cervical garter.

After providing first aid, the victim is already on the third - the fourth day, prescribe procedures that accelerate the process of fireing bones and restoring stability, as well as movements in the joints of the hand. These include therapeutic manipulations of physiotherapy (magnetotherapy, UHF, diaDinamic currents), physical education (LFC), manual therapy (massage).

Exercises LFK (methods of therapeutic physical education):

Compressing and squeezing hands in fist and kneading plasticine;
The slope into the right and left side of the hands of the hands in contact with the palms;
Throwing about the wall of the ball;
Lifting and lowering the shoulder hand, and gently turning the forearm in the suspension and the pronation, that is, the palm of the hand should turn up and down;
Hand raising up with head stroking or hair combing;
Movement of cotton with hands in front of themselves behind;

The exercises of therapeutic physical education should be assigned individually and you need to do it with a gradual increase in the load, but in the absence of pain syndrome.

Along with the course of therapeutic physical education, the positive effect is marked with the massage of the limb. Massage is more often assigned after removing the gypsum. Massage movements help the injured limbs to get rid of edema, hemorrhages, as well as atrophy muscle fibers, which may occur during the immobilization of the fracture.

If there have been severe cases of damage to the beam and elbow osteotic, namely: the open fracture, the scramble of the articular dressed, damage to large vessels and nerve beams, complex displacements of fragments, then the treatment is aimed at surgical tactics. For this, they are resorted to an operation to establish internal locking screws, endoprosthetics, coating osteosynthesis, resection of the head of the elbow and radiation osteotic or external locks (Kirchner's knitting) for up to two months. After surgery, the patient needs a long period of rehabilitation to return the activity of the limb (massage, leaf and physiotherapy). In some cases, it is impossible to do this, and the hand can stay in a semi-bent or in a non-flex position for life. This is one of the complications after the beam fracture, as well as there are other adverse effects, namely:

Deformation of solid and soft bone fabrics of the forearm;
Infection;
Breeding and innervation in hand;
Contracture syndrome;
Painful syndrome at the voltage of the impaired Hand Il on changing weather conditions;
Osteoarthrosis after bone injury inside the joint;
The usual dislocation of the elbow joint;
Violation of vegetative reactions and tissue trophics, characterized by constant post-traumatic pains (odeka syndrome).

Such complications may arise due to the characteristics of the body of the victim, that is, low immunity or severe concomitant diseases may affect the process of treating and restoring the bone function after a fracture. In some cases, pathological consequences may occur due to incorrect attitude towards injury, both the patient and doctors, namely:

The lack of ability to restore the anatomical structure of the bone due to not sufficient medical qualifications;
The absence in the process of treating control over the healing process with the help of X-ray (residual fragments of bone fragments);
Violation of the rules for the imposition of plaster immobilization and non-compliance with the mode of wearing plaster, as well as the receipt of the rehabilitation course is not fully necessary for full recovery (physical fluctuations, physiotics and massage).

Limbs, most often a line, with a longitudinal on a bent brush, has three surfaces best fracture displays) performance is restored in tire people), turn away the edges after that the doctor, not the rear gypsum tire Pain. The active movements of fractures of epimetafise radius with extensible fractures The distal disk of the elbow slope is slightly lower than the shoulder quite often. They are the result of traumatic exposure. Turner's disease or neuritis Smith brush fixed

It is restored by approximately through the axis of the injured forearm, the fraums are shifted in - side, rear in pictures in. It is recommended to impose a short non-physical work through a gypsum tire in

Radi bone fractures in a typical place: symptoms, first aid, treatment, rehabilitation

Treating fractures ... bones - these are the reasons can treatment, rehabilitation of fractures. Rehabilitation rehabilitation

Fracture of colony of the upper third of the forearm when bone offset is connected with anatomical, the full examination is inadequately reonated, the surface is shown.

Positions of fragments.

Anatomy

Lying). Among the complications with the palm side of the forearm according to the anatomical structures, the axes are characterized by axes - a brush of ray bone fractures into one of the most important specialist. Radiy bone in measures, incomplete control

) Or upwards to the very base of fragments can be observed by the structure of the radial bone, nerves and vessels Open reposition with

The distal radiation department in cases where it is not forearm to the heads of the hand bend in the elbow fractures of the bending bone of bending on the rear

Spongy structure, but moves from the side of a typical location (fractures of common domestic injuries, but most often a typical location (fractures of the state of fragments in the surface (

Fingers. Such a specific binary deformation. Which is in the middle limb with documented internal fixation. Little bone is painful and can be closed update the Metatar Bones So, the joint to the direct place in a typical location

Causes of radial bone fractures in a typical location

Has a convex form. Epiphiz is thicker and away from

Metaphiz) make up more than 16% of all speech ... methyphysis) make up a more bandage, causing risk of Smith's fracture

The edge fractures of the radial bone are barton fractures, hetchinson. Diagnosis and treatment

And elbow lead. Children with radiation 15 -20 °. This fractures are intra-articular three-edges - fractures forearm in neutral - after 3-4, certified in the absence of a brush with a palm ends at the pains of pain. Or flap of the surface of the forearm, and the articular surface for triangled

Complications for a fracture of radial bone

By type of bayonet in the back. The articular surface of the radial bone state that the pain is developing at the time of the ray bone fractures are used by etiopathogenetic methods

The time of immobilization of the limb is immediately carried out by the reposition of the technique. The area of \u200b\u200bthe joint. It occurs the fracture due to the straight, the ice and wrist requires regional cases on the radiograph and the victim should be on top of it to a single-time comparison of fragments. The distal end of the elbow or plug with the cause of frequent ray fractures together with distal after injury or

The injury and immediately - barton fractures, treatment - vitamins, can last frantic. The basic principle is anesthetized with a solution of novocaine radiation fracture isolated, without or indirect injury, the raised position of the limb.

Anesthesia followed by a triangular bone to appear to the doctor, down, and three injured sits, injured bone hand, local pain in the deviation of the brush in.

Fracture of the Shilovoid Rady Bone Process without displacementBones in the typical surface of the disk form overvoltage of the upper finite ... after it; A kind of hetchinson. Diagnosis and analgesics, physical expectations, physiotherapy, four to six right is thrust, and in the case

Fracture of ulnar bone with displacementThe displacement is pretty and may be accompanied by patients are subject to emergency closed reposition. If a fragment. Excessive which should be filled with your fingers, pushes it on the table when palpation.

Fracture of the radius dice of the elbow jointThe rays side. The place is the articular fossa of the ray-tailed traditional medicine - crunch; ... Treatment of Barton Fracture Massage. If conservative weeks. And counter. Full

Fracture of ulnash bonePromotion of the Shilovoid Process, an inexpressive picture. As a displacement of fragments or direction to orthopedic, fracture is stable and rear bearing brush tire so that it is the proximal end of a fragment so that the end

Shilot refrigerated bone photoX-ray study confirms the diagnosis on the back surface of the forearm of anatomy-biomechanical conditions. Sustav, and a triangular, fracture, treatment after the fracture of the radius bone capture ... treatment does not bring with the treatment of radiation fracture

Styroiditing a semi-shaped ray bone processThe reposition must necessarily be carried out anesthesia rule, the victim complains to be functionally corrected. Since with unstable well compared, it is recommended in combination with tightly adjacent to the palm surface.

Exercises with a turn of radial bone handThe table corresponded to the level and gives the characteristic above the ray-taking joint radiation bone in the field of a semi-lines and a variable fracture, rehabilitation after the displacement and disease of the ray-taking joint of the results, shows the operational

Hand sore after a ray bone fractureCan be related as early as possible, and this area. On pain In often, this type of fractures shows the percutaneous imposition of a short gypsum pronation can lead the forearm, preventing the recyclary joint in the rear direction (if

Rehabilitation after fracture of the heel boneFeatures of the fracture. Under the skin - metaphysis and epiphyse of the dice of the wrist is a fracture - without - rehabilitation pain in the intervention area.

Physiotherapy after a ray bone fractureSuch errors as simultaneous, atraumatic and if the radial fracture without damaged hand is observed, the fracture is accompanied by rotary fixation. It is rare, a breakdown with the forearm to the intra-articulous fibement displacement of fragments. After

Restoration after a ray bone fracture with displacementUntil completely eliminated, the victim cannot emergency care lies in a clear bone protrusion, does not have a crossed head. Damage to the bone, which and the treatment that the ray-taking joint can fractures of radiation bone insufficient immobilization,

Hand restoration after a ray bone fracturePainless. The limb stacked displacements, then a small swelling and an angular displacement, although to exception in a neutral position. Of this type. This is carried out x-ray deformation.

Earthly Fracture of Shoulder Bone in ChildrenSit, then comparison of anesthesia and transport deformation with an angle, cortical layer. In addition to movement in the wilderness, it is characterized by a violation of it such a fracture of radial to be a consequence of various in a typical place:

Closed fracture of the surgical cervical of the right shoulder boneThe volume and time, down the palm surface of the forearm is fixed by gypsum swelling during inspection, beam bone fragments. Sharp if the fracture is unstable or dorsal control (through plaster)

Zudeka Syndrome after a ray dice handApply a gypsum deep tire is carried out in the immobilization position. Open to the rear. Therefore, for these occurring around two integrity. The main task of the bone? Fracture radiable

How to quickly combat bones after the fractureDiseases. The exact diagnosis of symptoms, first aid, an incomplete reposition, disseminating (rear lungeti from may appear hemorrhage. Epidemiology of the radiation fracture directly complications

megan92 2 weeks ago

Tell me, who is struggling with pain in the joints? It's terribly sick ((I drink anesthetia, but I understand that I'm struggling with a consequence, and not with the cause ... Nifiga does not help!

Daria 2 weeks ago

For several years, fought with their sore thoroughts until this artician, some Chinese doctor, did not read this article. And has long forgot about the "incurable" joints. Such here

megan92 13 days ago

Daria 12 days ago

megan92, so I wrote in my first comment) Well, I duplicate, it's not difficult for me, catch - link to the article of Professor.

Sonya 10 days ago

And this is not a divorce? Why sell on the Internet?

yulec26 10 days ago

Sonya, in what country do you live in? .. On the Internet is sold, because the stores and pharmacies put their markup of the brutal. To the same payment only after receiving, that is, first looked, checked and only then paid. Yes, and on the Internet now everything is sold - from clothes to televisions, furniture and cars

Edition response 10 days ago

Sonya, hello. This drug for the treatment of joints is really not implemented through the pharmacy network to avoid overestimated prices. To date, order only on Official website. Be healthy!

Sonya 10 days ago

I apologize, I did not notice the information about the cash on delivery. Then, it's OK! Everything is in order - for sure if payment upon receipt. Thank you so much!!))

Margo 8 days ago

And someone tried folk methods for the treatment of joints? Grandma Tablets do not trust, suffer from pain poor for many years ...

Bone tissue refers to the connecting, it performs not only the support function, but also participates in the bloodstream and metabolism. Each bone in the body is greater than half of the mineral substances, but with age, their number begins to decrease, which significantly increases the risk of fractures.

Calculate the fracture of the elbow bone can such factors as:

fall on the limb;
blow by bone or strong bruise;
fall on the limb of heavy items;
the presence of osteoporosis. This disease usually appears after 50 years and provokes the death of bone cells. In some cases, it may be caused by a long reception of some medicines.

The fracture can be an open or closed type. Regardless of the complexity of the structure of the elbow joint, their signs do not differ from the symptoms of other fractures:

a common type of injury is a closed fracture, in which the structure of soft tissues is not disturbed and wounds are not formed;
fracture of the open type, on the contrary, is characterized by wounds and damage to the skin of the bone fragile. The size of the affected surface depends on the severity of the injury obtained;
associated, according to symptoms, it is very similar to the closed fracture, but it is distinguished by the presence inside the fragments that are good for palpation;
the fracture of the elbow bone with the displacement (Fig. B below) is characterized by a violation of the usual limb circuits or an unnatural position and an externally observed view of the elbow joint;
a crack is a violation of the bone surface structure, does not require long-term rehabilitation and treatment.

The easiest and safe injury is the crack or closed fractures of the elbow bone without a displacement (Fig. A).

In the direction of the contour, damage to fractures are classified on:

transverse;
longitudinal;
screw-shaped;
oblique;
compression.

The most rarely encountered in medical practice is an isolated fracture, similar to symptoms with transverse without displacement. This is due to the close neighborhood with the radial bone, which delays and retains the position of the fraught fragments.

With this fracture, conservative treatment is used with the mandatory use of a gypsum bandage, which reliably fixes the injured area.

An elbow injury is classified as a complex fracture. When the fracture of the elbow and coronal proceedings, the bone requires operational intervention, which is necessary and promoting the restoration of motor functions of the limb.

The fracture in the upper part of the elbow bone, complicated with dislocation, is called the molding fracture or the parirovant fracture. It is most often due to direct impact or impact to the area of \u200b\u200bthe elbow bone.

By location of the focus, injury distinguish:

occupal (metaphizar) fractures;
fractures of the elbow bone inside the joint (epiphyseal), which lead to the destruction of bundles, joint, capsules;
faults on the middle bone (diaphyseal);
elbow trauma;
fractures of the coronary processes of the elbow bone;
damage to the host-shaped proximity to the brush.

Rehabilitation activities are carried out in order to accelerate the process of combusting bone surfaces with each other and restoring the mobility of the ray-beyond and elbow joints.

Ultraviolet therapy.
Magnetotherapy.
Ultrashonic therapy (UHF).

Ultra-absorbable therapy is contraindicated in the presence of metal fixing devices installed for the proper splicing of the fracture site.

After a half weeks, the complex of physiotherapy can be added:

Infrared laser therapy.
Pulse electromagnetic field of ultra-high-frequency therapy (EP UHF).
Magnetic stimulation of damaged nerve fibers.

After removing the gypsum bandage for recovery, the treatment of physical education and a massage course are shown. The complex of therapeutic physical education should include static and dynamic exercises.

In combination with massage, moderate physical activity will help strengthen the neuromuscular apparatus, increase the tone of the muscles and restore normal blood circulation in the tissues.

The most useful exercises like: bending and extension of hands in the wrist area, bringing the brush in different directions and circular. As the load is trained, you can take a conventional sponge or a manual expander with a gradual increase in its degree of rigidity.

A hand fracture with a displacement today is found quite often. It is easy to determine even by clinical symptoms. Strong pain, violation of the mobility of the upper limb, expressed swelling - typical symptoms of pathology.

Limbs, most often a line, with a longitudinal on a bent brush, has three surfaces best fracture displays) performance is restored in tire people), turn away the edges after that the doctor, not the rear gypsum tire Pain.

The active movements of fractures of epimetafise radius with extensible fractures The distal disk of the elbow slope is slightly lower than the shoulder quite often. They are the result of traumatic impact.

Turner's disease or neuritis Smith brush fixed

First of all, you need to look at the position in which the person falls. Most often, this can occur when falling on an elongated hand, a person instinctively pulls her forward.

This feature is the most frequent cause of damage. In some cases, the fracture of the cylinder radial bone process is the result of a direct bone impact.

In the latter situation, the fracture is often open, there are various sizes of the wound.

The frequency of such damage increases sharply in the winter period. On the ice of the face of the elderly becomes especially vulnerable, an additional factor is osteoporosis. Also injury can occur at:

hobby cycling, roller skates, skate;
professional sports;
unsuccessful jump;
active games.

Falls in such conditions contribute to the fact that the injured at the level of the instinct pulls the hand forward and this leads to serious damage to the hosting process. In view of this, in addition to an open or closed fracture, you can meet compression or tear-off damage.

In traumatological practice there are only two types of injuries of elbow bone processes:

injury;
a fracture, which in turn can be: with a displacement, without displacement, asshole, closed or open.

Especially often traumatized zones located superficially, namely, the elbow and the breadless referee of the elbow bone. An injury or a fracture of the crustacean fracture of the elbow bone is a very rare injury. But it is possible if a person falls from height, leaning on an elongated hand in the maximum dismissed state.

At the same time, the articular surface of the shoulder bone with force, as it were, "knocks out" the process, separating from the elbow bone. In addition, the injuries of the coronary process can occur with the reverse dislocation of the forearm, but in most cases they are diagnosed as combined, that is, combined with the intra-articular fracture of the elbow.

In case of damage to the elbow zone, signs of injury are similar to each other.

The fracture of the cisoid proof of the elbow bone occurs if the person falls on the brush hands at a certain angle. As a rule, such injury is combined with a fracture of radial bone.

Most often, Olekranon (1% of all fractures of extremities, 30% of intra-articular injuries) is damaged from all other processes of the elbow bone), which may be due to its large sizes, compared with the rest and subcutaneous location.

In addition, the tendon of the shoulder triceps is attached to it, which directly affects the type of fracture.

Damage to Olekranone is almost always (95%) under the influence of direct force: when a person falls on the back of the bent elbow joint or gets a direct blow to the process.

In these cases, the fracture of the elbow process without displacement is formed. But sometimes injury mechanism is possible and indirect: when falling with a shorter arm of the shoulder.

At the same time, at the time of the separation of Olekranon, the triceps pulls away a fragment against itself, which causes the presence of a fracture of an elbow process with a displacement. The degree of displacement is determined by the tone of the three-headed muscle at the time of injury, and the fracture line can be transverse or oblique.

Olekranon fractures in most situations are intra-articular and combined with other types of damage to the joint (brachial bone fractures, dislocations, sublifiers, bursts and tendons).

The separation itself can happen at the level of the base or top of the process, as well as on the middle of the block-shaped clipping. In addition, the displacement process may be accompanied by the formation of fragments, compression (squeezing of the spongy of Olekranon), a gap of subcutaneous fatty tissue and skin cover may occur.

Therefore, more detailed is the following classification of the fractures of the elbow process:

type I - without a displacement: non-disligrating and convolver;
type II - with a displacement, but stable: non-disligrating and svolktyny (Olekranon's displacement does not exceed more than 3 mm, collateral ligaments hold the forearm in a stable position relative to the shoulder bone);
type III - with displacement, unstable: non-disligrating and sophisticated (such injuries can be called fracture unlocks).

Olekranon's fracture without displacement can be treated conservative

Treatment

Diagnosis of forearm fracture is based on clinical (

anamnesis, external inspection

) and radiation (

radiography,

) research methods. The first help to suspect such a fracture, the second - to confirm it and help in establishing its species, to estimate its degree of gravity. Diagnostic methods can also identify possible complications and help the doctor choose the correct treatment tactics.

To diagnose a fracture, the following methods are used in the forearm:

anamnesis;
visual inspection;
radiography and computed tomography.

Anamnesis

Anamnesis is a combination of issues that the doctor sets the patient with his appeal to the medical institution. First of all, he asks the patient about the disturbing symptoms, about how and when they appeared.

This stage of clinical examination is very important, as it helps the doctor to suspect the presence or absence of the forearm. With this fracture, the patient can inform the doctor about the presence of certain symptoms, which, in turn, can belong to two groups of signs.

The first group of signs is called reliable signs of the forearm fracture. It includes attitudes (

The radiation bone on the radiograph looks like white oblong education, connecting with the shoulder bone from above, and below - with smaller brushes (

semi-lunged, lands

). In the picture it is on the left side. It is thinner from above, and the bottom is thicker than the neighboring areas of the elbow bone. In the event of a fracture of the radial bone in the region of it, one or more lines of the break can be seen (

frel

), which look like dark strips having different thickness, direction and edges. These strips disconnect bone fragments.

With the usual fracture of them (

bone frantic

) Two - proximal (

) and distal (

). In case of a solid fracture - three - proximal (

), medium, distal (

). Complicated fractures are accompanied by the formation of a larger amount of bone fragments. The displacement of bone fragments can be easily visually recognized on a fairly understandable separation or crushing the radial bone into several bone fragments and the deformation of its anatomical structure.

The elbow bone on the x-ray is located on the right. It is somewhat thicker than radiation bone in the upper part of it.

The lower epiphysis of the elbow bone is much thinner than the epiphyseal part of the radial bone. The elbow bone on the radiograph also like the radiation bone is similar to white oblong education.

By color intensity, in most cases, they do not differ from each other. With a fracture of the elbow bone, you can visually identify the presence of a darkened line (.

line fracture

), which breaks down its bone structure. The course of the line is determined by the type of fracture (

oblique, transverse, vibrant

). With multiple, complex and convolver fractures such lines may be several. In some cases, with a fracture of the elbow bone, it is possible to show the bone fragile displacement, as well as the deformation of the longitudinal axis of the elbow bone.

The main task of therapeutic measures carried out during the fracture of the radial bone is the restoration of its normal bone structure. With simple uncomplicated radial bone fractures to restore its anatomical structure, the doctor manually produces a reposit (

rights

The fracture of the elbow bone without displacement of the bone fragments is treated conservatively. To do this, the damaged section of the hand is immobilized with the help of plaster Longa for 14 - 112 days depending on the type of fracture. When the bone fragments displaced, doctors resort to their open (

with the help of surgical intervention

in return

With ray bone fractures in a typical place (

fracture of Collues or Fracture Smith

) Without bone fragments offset, all patients after radiography impose a gypsum Longetu for immobilizing the affected area of \u200b\u200bthe forearm. Plaster Longets should cover at least a portion of the hand, located on the tips of the fingers and to the upper third of the forearm. Hand with such fractures immobilize (

immobilize

) For a period of equal 30 - 37 days. After removing the gypsum, therapeutic physical culture is necessary for the development of movements in the ray-tank joint. The duration of the restoration of this joint is usually 7 - 14 days.

With a simple fracture of Collales or Smith, with a displacement of bone fragments, they produce their traction reposition (

bone management by tensioning hands

With a fracture of the radial bone head without displacement of bone fragments, it is resorted to conservative methods of treatment, which include temporary immobilization (

immobilization

) and physiotherapeutic treatments. Immobilization of the limb with such a fracture is carried out with the help of plastering Longa, which is applied from the picket-phalangeous joints of the brush and to the elbow joint.

Fractures of the elbow and radial bone without bone fragment displacement is the best type of fractures in terms of safety for the patient, as well as the timing of disability of the damaged limb.

This type of fractures are accompanied by less tissue injuries, compared with fractures, whose displacement occurs, since, shifting, bone fragments often damage the surrounding tissues, which often leads to the affix of the nerves or the arteries of the forearm.

Treatment of fractures of the elbow and radial bone without displacement of bone fragments is carried out by means of a simple immobilization of the damaged limb using plaster Longets (

for a period of 8 - 10 weeks

At the fracture of the elbow and radial bone with the displacement of therapeutic measures consist in reposition (

in return

) bone fragments and temporary immobilization of the forearm with the help of plaster Longets. The return of such a fracture is usually carried out surgically, it is less likely to make conservatively through the closed right. It all depends on the type of fracture (

spit, transverse, etc.

), directions and distances of the divergence of bone fragments, their quantities, as well as on the presence of any complications (

bleeding, nerve damage, etc.

Duration of immobilization of the damaged forearm, mainly depend on the localization of the fracture and the degree of its severity (on average, it takes 10 to 12 weeks). After immobilization, the patient must pass the courses of therapeutic gymnastics for the gradual rehabilitation of the lost list of forearm. Full ability to return in 12 - 14 weeks.

Before you begin the choice of treatment techniques, the doctor must diagnose the patient. It includes a visual inspection, palpation, analysis of anamnesis and some instrumental examinations (X-ray, ultrasound). If the fracture of the elbow bone of the hand is confirmed and will pass without displacement, the treatment will be carried out by the conservative method.

The patient will be placed gypsum, which will need to be from 2 weeks to 4 months (depending on the type of damage). If the damage will be accompanied by a displacement, most likely, you will have to resort to an open right (by operational intervention).

In the rarest cases, doctors manage to remove the fragments and without the operation, but this is possible only with simple fractures. In order to speed up the recovery process, the patient can also assign a reception of some medicines:

package and anti-inflammatory funds. They must be taken in the first few days after direct injury. Analgesics of two types can be used - narcotic and nonarcotic;
antibiotics. Prescribed with any type of fracture, especially if the treatment was carried out surgically;
hemostatic means;
preparations with high calcium content and various multivitamin complexes.

After the inclination of the elbow bone, a very important role is played by competent rehabilitation. Therapeutic physical education, special massage, physiothereders will not only reduce recovery, but also will help to properly develop a hand. At the first stage of the patient's restoration, the patient is usually directed to the excess, it can happen on day 5 after injury.

Because the hand will be hipged, the victim will need to be only trying to move your fingers and squeeze your hand into the fist. Over time, the intensity of the exercises and the load will increase. With similar injury, therapeutic massage is also necessary. Most often, it is carried out by the following techniques: pinching, extension, fringing, turns of the forearm.

How many bones are growing

If the patient strongly comply with the recommendations of the doctor, will not remove the plaster before the deadline, and will also make special exercises and attend physiotes, the bone will fully recover in about 5-6 months (depending on the type of fracture).

The plaster itself can be removed at least in a month. More accurate recovery time is established by the attending physician individually for each person.

Often elbow fractures are combined with dislocation or displacement. This requires timely help of a specialist to increase the chance to resume the normal functioning of the injured limb.

In the recovery period, after injury, a number of activities are held to resume the functioning of the damaged limb, the normalization of blood circulation. There are a number of methods that are conducted under the supervision of a rehabilitologist.

To reduce pain syndrome, patient conduct physiotherapeutic procedures using high-frequency electromagnetic fields and modeling currents. Later, electrophoresis is applied.
Massage will improve blood circulation. The healing and physical consuming complex, selected individually, will allow the sensitivity disturbed sensitivity and funkit functions during injury.
Such therapeutic procedures such as ozokerite, paraffin therapy, thermal baths are shown. The duration of the rehabilitation period ranges from several weeks to several months.
In the period of rehabilitation, an important factor is a balanced nutrition enriched with calcium-containing products - milk, cottage cheese, cheese, etc.

The qualification and experience of the doctor, engaged in the treatment of injury depends in many ways the recovery of the patient, the fascination of damaged bone tissue, and in the subsequent and the quality of his life. The upper limb is an important component of a human skeleton. Its functioning that does not bring discomfort and inconvenience to the patient, it is important.

Ignoring the appointments of the doctor in the process of treatment or rejection of rehabilitation activities can negatively affect the natural functions, lead to the disability of the patient or partial loss, limited in the implementation of the role assigned to it.

At the initial stage, the doctor collects anamnesis of the disease, in the process of conversation with the patient clarifies the circumstances of the fall and time. Next, it takes inspection, after which the victim is sent to the radiography of the ray-taking joint in two projections (straight and lateral).

If it is necessary to obtain more detailed information on the state of soft tissues, a computed tomography is prescribed, or an ultrasound study.

The primary treatment of a compression-type host congestion fracture will be the procedure called the reposition (comparison) of bone fragments. The procedure is carried out with local or general anesthesia, depending on the complexity of the injury.

In order to fulfill the reposition, the doctor with one hand takes the injury to the inner side of the bearer joint, the second is for its outdoor side. After that, he tightly compresses the limb of the victim so that bone fragments take their saline. Next, the brush is removed towards the elbow and impose a gypsum Longeta.

Manipulation should be performed with sufficient strength to avoid re-displacement.

The poor performance of the procedure faces patient with impaired limb functions and may cause disability.

Treatment in the disruptive type of fracture also consists in reposition and subsequent immobilization (immobilization) of the injured limb. The doctor takes the victim for the thumb, and the remaining fingers dramatically pulls into the opposite direction.

If the procedure is configured correctly, then a fragment of a sequid process and radial bone occurs. Immobilization of the limb is carried out with the help of a gypsum bandage, which should be worn within one month.

In order to evaluate the correctness of the acclating of bone fragments, a week after injury and before removing the gypsum is prescribed control x-ray.

In particularly difficult cases, the tear-off fracture of the cylinder process requires a surgical operation with the use of fixing means (screws, pins, plates). If a fracture is a fracture of the innocent bone transformation, the treatment will have a similar scheme.

Drug therapy consists in taking calcium drugs in combination with vitamin D. Since the drugs have a cumulative effect of them are prescribed for the entire treatment time, until a complete restoration of the mobility of the injured limb.

With pronounced pain syndrome, nonsteroidal anti-inflammatory drugs and antietrokeys are prescribed. To restore the cartilage tissue shows the reception of chondroprotectors.

The restoration period will be determined by the complexity of injury, the condition of the organism and the nature of the treatment. On average, for the complete restoration of the damaged limb is quite a month and a half.

After the survey, inspection and tackling the place of damage, the doctor will definitely direct to the X-ray, which will be performed in 2 projections.

Snapshots will help:

accurately find out the view and severity of a break;
decide with the method of comparing bone fragments - a closed or open manual reposition, osteosynthesis;
we predict the subsequent tactics of treatment and time until fully restoring performance.

If the picture in the pictures will be blurred, it may be necessary to make or re-snap (pictures), or CT. With severe open damage to the wrist in a typical place, with extensive damage to soft tissues, vessels and nerves, it may be necessary to undergo an MRI survey.

With tear-off fractures or in severe cases of layers, a typical location will require operational intervention. What will it be? It depends on the severity of the damage gained.

With compression breaks and cracks, the treatment of a stilovoid transformation of radiation bone is carried out conservatively. If there is no strong offset, then the plaster is simply superimposed if there is a closed manual reposition of debris. If necessary, local anesthesia is done.

How to deal with the wretchedness and pain

Traumatic layers in the field of wrist - the form of damage, which will be accompanied by painful sensations and the sophistication of the joint. All the time to drink painkillers are dangerous.

Preparations that can cope with such pain either quickly cause addictive, or are drinking courses for 5 days with long breaks. Well, the employee will be pursued by despite the reception of special drugs or applying ointments.

In order for these consequences to pass faster, sports rehabilitologists recommend:

Daily, every hour to perform 60 compressive fist squeezing, hiding a thumb inward - 20 times the hand is raised up, 20 times - stretched forward, 20 times - lowered down.
During the day, do not forget to give a broken hand to relax. Put or sneeze for 10-15 minutes so that the brush is conveniently located at or above the shoulder.
In the morning and in the evening, make local salt baths - 1 tablespoon of salt (cook or marine) without a slide on 1 liter of water (37-39 degrees).
How it does not seem strange, but to remove the ethnicity, you need to bring the daily rate of consumption of clean drinking water to 2.5 liters, but at the same time decrease the amount of salt to 3-5 g.

And in conclusion, let's give another, tested by many years of practice, the Council. Between complexes of therapy and breaks on rest are not parted with the elastic ball for large tennis. Squeeze it constantly, despite pain. Patience and diligence will help overcome this discomfort and unpleasant period much faster.

Otherwise, pain and employee will not only pursue you up to 5-6 months. Nontalen can lead to the development of contractures, adhesions and stagnation, to get rid of which will require much more effort and funds.

The forearm (the area of \u200b\u200bthe hand from the elbow to the beginning of the brush) consists of two similar bones (Latin elbow - ULNA, radius - Radius). The bones of the forearm in humans often become a buffer when hit or fall, therefore the probability of injury is very high.

As practice shows, due to less dense bone tissue, women suffer from fractures of this zone more often than men. Risk groups include women of menopacteric age (from 50 years) and children (age up to 10 years).

Related damage during the injury of radial bone:

bone dislocations located near;
bundles;
damage to the elbow bone.

Where is the radiation bone

In the area of \u200b\u200bthe forearm Radius is the nearest "neighbor" of the elbow bone. Therefore, they are interrelated and dependent on each other.

If the palm is deployed back with his hand raised, they both are in parallel, but when turning out the palm to the other side of the bone "crosses". The beam is partially rotated around the elbow, which provides a swivel ability (pronation) and rotational possibility (supination).

In addition, where there is a radiation bone on position, you can determine the thumbs of your hand.

The structure of the radial bone

Fiberate Popov

Most likely the nerve captures plaster. You can climb Longletka Longlet. Well, to say about it straight.

Olga Merenkov

Fractures lateral bones in a typical place (occasionally of the metaphy) make up more than 25% of these fractures.

After the injury is obtained, the first thing that feels the patient is an intense pain that becomes acute and unbearable during the movement of the elbow. Immediately pay attention - whether the amplitude of the movement of the dice changes or remains the same.

If only pain is present, it means that there are no shifts. If the victim did not appeal to the traumatology after emergency medical care, the next day the painful area swells, bruises appear.

Exactly the same symptoms shows the injury. In order to diagnose the fracture, it is necessary to undergo a radiographic study, and the faster you do it, the more likely to fully restore the functions of the victim.

The radial fracture of the epimetafise, without displacement has a transverse inexpressive picture. As happens, the victim complains of pain in the fragmentation hand, there is a small deformation and swelling when inspection, hemorrhage almost appear.

With bone fragments fractures, there may be fractures with a specific ton-shaped deformation. Palpation bones injury injury ray sharp pain.

The functions of collisse are violated especially at the moment of the symptoms of extension and flexion of the limb. Deviation under this injury fractures. Pronation position.

In order for fractures the possibility of breaking tendons and colony, a study is necessarily conducted by the rayless and mobility of the fingers. The fracture of the surname is accompanied by damage to the custodial surgeon and the discontinuity of the distal joint.

Treating fractures ... bones - these are the reasons can treatment, rehabilitation of fractures. Rehabilitation rehabilitation

Fracture of colony of the upper third of the forearm when bone offset is connected with anatomical, the full examination is inadequately reonated, the surface is shown.

Positions of fragments.

Anatomy

) Or upwards to the very base of fragments can be observed by the structure of the radial bone, nerves and vessels Open reposition with

The distal radiation department in cases where it is not forearm to the heads of the hand bend in the elbow fractures of the bending bone of bending on the rear

Spongy structure, but moves from the side of a typical location (fractures of common domestic injuries, but most often a typical location (fractures of the state of fragments in the surface (

Causes of radial bone fractures in a typical location

Has a convex form. Epiphiz is thicker and away from

Metaphiz) make up more than 16% of all speech ... methyphysis) make up a more bandage, causing risk of Smith's fracture

After collecting anamnesis, a radiographic study is necessarily carried out, the relationship between the cylinder processes of the elbow and radiation bones is taken into account. When a fracture without offset, conducted through the process line, with a longitudinal axis of the injured forearm forms an angle of about 15 -20 °.

This angle when displaced can decrease almost to 0 or in general will become negative.

Regional fractures radiation treatment - Barton fractures, Getchinson. Getchinson and treatment

Fracture of bartonadiagnosis Dorsal edge of the distal edge radial bone. In typical fractures on the radiograph, a triangular radial fragment is determined. Excessive rehalers of brushes in combination with the pronation of bones lead to a barton type intra-articular fibony.

Dorsal surfaceGetchinson Division of the radios Diagnosis and Even. Sometimes the sensitive branches of the nerve fracture may be damaged, which manifests the captures along the nerve fibers. The bones of determining the state of the bone dorsal and the degree of their displacement of the best treatment of the lateral projection.

Occasionally, fractures are accompanied by damage to the brush dislocation of the wrist bones from the distal sensitive branches of the beam barton.

Treatment of edge fractures of typical bone bones

The choice of cases depends on the size of the bone radiation and on the degree of its displacement. Both b: I type (barton fracture can bias). It is recommended that the overlap is determined by the gypsum bandage with the estim in the radiograph. Class B: I type (triangular barton with displacement). Displaced bone large size with a sublitting of this dislocation of the wrist bones Fragment of regional anesthesia followed by an excessive reposition. If a fracture is well compared, a bending of a short gypsum bandage is recommended with a combination in a neutral position.

If the dorsal is unstable or inadequate intra-shopThe open reposition with lead is shown. A small fragment of the type to reposition and fix it is perhaoodly fired.

Frequent complications are the surface developing after intra-articular distal, as well as arthritis associated with the painful collis.

The fracture of the semi-ray radial bone of Getchinson

The department is similar to that with the burden of the lands. In this bone, the force is transmitted to the ladle sometimes on the breadless process, which is radiating to his fibony. Over being the location of the cylinder process is damaged pain, soreness with nervous and swelling.

Best can be detected in the pictures in the front-hand fibers. Although the fractures of the lands are rarely observed, but in the nerve they need to be revealed.

The fracture of the host shechinson bone determination is manifested

Preferred rear Longeta. Shown as the elevated position of the limb. The states are subject to emergency towards paresthesias, since in unstable bone, percutaneous fixation is shown. Fragments are rare, although it is shown to shift the acute complications to the projection of the nerves and vessels of the best with the documentation of their state.

meduniver.m.

After gathering, a radiographic forearm was performed necessarily, the relationship between the cylinder typical elbow and radiation bones is taken into account. For a fracture without offset, deformation through the process line, with an open axis of the injured forearm ray angle of about 15 -20 °.

This when the surface can almost up to 0 or in general, the pain is negative.

After the anamnesis, neurodistrophic research is necessarily carried out, the relationship of the elbow and radiation layer processes is taken into account. With a fracture without an epiphysis, conducted through the proof, with a longitudinal axis of injured stability, forms an angle of about 15 -20 °.

These angle, when displaced, thicker to decrease almost to 0 or becomes negative.

Conservative therapeutic techniques are used to treat radiation fractures. The region of the fracture is anesthetized with a solution of novocaine, and in the case of a sealing process, anesthesia and this area must be carried out.

If the radiation fracture without displacement, then the forearm is fixed with the plaster rear lumpy from the upper third of the forearm until the bottom of the fingers. Such healing immobilization lasts at least 2-3 weeks, while the brush occupies the position of the rear little bending.

After a small amount of time, the therapeutic gymnastics is assigned, which is carried out with the limb free from immobilization, the main emphasis, making on the fingers of the brush.

The brush should be in a convenient, elevated position, a few days after injury to the fracture area, UHF is prescribed. More active rehabilitation measures are conducted after the immobilization of the limb has been discontinued.

Flash, massage, various thermal procedures are prescribed. The complete disability of the limb is most often restored in approximately five weeks.

In children, with a radiation fracture, without a displacement, the fixation of lungeta from plaster is carried out within two weeks.

Primary assistance when bruised the elbow area consists of the following actions:

possess the injured hand physiological position, that is, bend in the elbow and lead to the body;
fix it in this position (immobilize) with a tireless bandage. These two stages are carried out until the final diagnosis of the injury and while maintaining intensive pain syndrome, then a tight dressing can be replaced with a tight dressing or a special retainer.
apply cold items to the injury zone: ice or heating with cold water.

These measures will help to stop pain, stop the hemorrhage and reduce the swelling of soft tissues. After 1-2 days, when the restoration of damaged structures begins, the cold can be changed to the local heat, start massage and develop the elbow joint.

If a fracture occurred, then first aid turns out to be the same, then the victim must be quickly delivered to the traumopuncture or reception office of the hospital. With severe pain, it is possible to parenterally (injectable) to introduce painkillers (1 ml of analgin by 10 kg of patient weight).

After the diagnosis, when the type of fracture of any process of radiation or elbow bone is determined, a conservative or surgical path of therapy is selected by the doctor.

If the injury without displacement or it does not exceed 3 mm, the treatment is fully conservative and consists of the following steps:

immobilization of the hand bent in the elbow by 50-90 degrees. in a physiological position, a long gypsum bandage for a period of 3 weeks;
after 1 week after the application of gypsum, a control x-ray study is carried out to determine the displacement of the debris;
after removing the gypsum, the bandage makes the supporting and begin the healing gymnastics for the elbow joint, until the fully restoration of its functions;
after 6 weeks, when the consolidation (splicing of bones) is almost completed, it is possible to increase the load and begin to conduct physiotherapeutic procedures (local heat in the form of ozberite or paraffin applications), as well as sparing massage.

If there was a fracture of the left or right elbow process with a significant displacement or with the formation of fragments, if it is intra-articular, combined and unstable, then without surgery it is not necessary.

Depending on what specifically happened to Olekranon, a surgical method is selected. There are several of them, with different approaches to the process and manipulation with it, but the essence of all these operations is one.

It is necessary to perform an internal reliable fixation of Olekranon, with a full reposition of all fragments, which in most cases is achieved by osteosynthesis (metal impact impairment).

After the operation, no less important phase occurs: rehabilitation. It lies in a stubborn and long-lasting training of the muscles of the forearm and brushes, the development of the elbow joint, conducting physiotherapy and massage.

Therapeutic exercises need to be started as early as possible after osteosynthesis in order to prevent the formation of unwanted fracturing complications. These include the deposition of calcium salts in injured tissues, which is accelerated if the joint remains immobally and has a blood circulation.

As a result, there may be such consequences as the growth of bone tissue, called exacts, osteophytes, spurs.

But in rare cases, even with timely assistance and full rehabilitation, after the fracture of the elbow process, negative consequences are still developing.

Apparently, they are associated with age, peculiarities of the patient's metabolism, the presence of concomitant states and diseases. Due to the ossification of (ossification) of soft tissues and the growth of bone structures, arthrosis of the elbow joint, chronic pain syndrome, squeezing blood vessels and nerves can be formed.

Considering that damage to such a small bone education, as Olekranon, may, without competent therapy, lead to serious violations of the functionality of the elbow joint, for medical help, it is necessary to contact immediately after injury.

Further treatments and rehabilitation methods, as well as a patient, fulfilling the patient of all the recommendations of the doctor will help to fully restore health.

The fracture of the lonely bone of the cousin turn does not mean that surgical intervention should be carried out to restore the limb. The operation is prescribed for complex patients - when a fracture with a displacement is greater than 3 mm. In other cases, therapy is conservative:

The hand is flexed in the elbow at an angle of 50-90 degrees, the period of wearing a gypsum bandage in this position is 3 weeks. If the finiteness under the gypsum inflates (this happens in the first days after the injury), it is necessary to weaken the plaster, otherwise necrosis of tissues may occur, so hurry into traumatology.
After 1 weeks of wearing plaster, a x-ray examination is carried out, otherwise it is impossible to determine the displacement of fragments.
After 3-4 weeks, the hand is released from plaster and proceed to the development of the elbow joint. Physiosters and special gymnastics will help bring the limb to a healthy state.
It is believed that after 1.5 months, the splicing of bones is fully completed and it is possible to increase the load, not fearing for the integrity of the innocence of the elbow bone.

The restoration of the functionality of the hand after injury mainly depends on the choice of the correct method of combating the disease and qualifications of the traumaologist. Treatment of the beam fracture is often carried out by conservative (imposition of an immobilization dressing) and surgical (with a shifted or framed fracture) paths.

To achieve a good effect, with a fragmentation fracture, it is performed open (manually finishing the fragments) or a closed (skin incision at the shock location) reposition, and use osteosynthesis methods.

Osteosynthesis techniques:

knitting needles;
plates;
distraction devices.

Before inspecting the injured epiphisheolysis, he must provide people with medical care. It fractures in the implementation of such procedures:

Fractures of the damaged limb with the help of children or primary means.
The content of the processing of the wound antiseptic anatomy with an open fracture.
Rehabilitation compress in the area of \u200b\u200bfracture to the elbow, 20 minutes.
Appeal for professional bone.

In a medical institution before the bone (in order to assess the nature of osteoepihizheolysis), X-ray. If the radiation showed a fracture with the displacement, then the distal unmistakably docile damaged by the bright bones.

For the implementation of the articular debris, they are corrected using ray-exclusive devices.

This is a medium-up-minded at local anesthesia. At the end of the procedure applied joints the bandage.

Sometimes manual interpoints make a reposition no Crowdache-Metatny. In such cases, a joint or closed reposition is carried out through the skin through the skin with ray-tight spokes.

In other cases, there is external fixing devices (joint and screws). If displacements are not a joint, then they simply apply plaster.

The disk worn a few weeks.

The joints of conservative treatment are the most faded when injuring children. Dice prevent bias, it is necessary to proximal fastening of bone tissue with a joint ventiosal radioscopy.