November 30, 2011
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Fracture of the radius It occurs when a person falls on the straight arm straightened while beam head It rests on location capitate eminence shoulder . The frequency of such fractures by up to 15% of all fractures of the bones and rib fractures, and ranked 2nd among all fractures of the elbow arm. Very often these fractures occur in children.
In the case of such a fracture on the arm of plaster bandage for a long time (generally from half to two months), and that did not develop Radiation clubhand After removing the plaster are treated with a fracture of the radius in order to restore the functionality of the hand.
Fractures of the individual parts of the radius often occur when a person falls on an outstretched hand, and the forearm deflected outwards. In this case, the radial brush head wedged into the center of the capitate shoulder elevation, and cartilage damaged.
Fractures of the individual parts of the radius divided into comminuted When there is a displacement of the fragments, offset and without shifting debris broken bone , and edge and transverse .
Symptoms of a fracture of the radius
In case of a fracture of the radius, in the region of the head of bone occurs swelling And the area itself, where the elbow joint is increased. Patients complain of pain in this area, and it increases palpation. Conventional motion - flexion and extension arms, as well as the rotation of the brush is very limited, and bring pain.
However, the diagnosis " fracture of the radius "That is, the main parts - Cervical and heads , Placed after the inspection and radiographs.
If time does not see a doctor - traumatologist or surgeon, the bones can grow together properly, so that the limb will not be able to function after fracture as before, but in open fractures can be entered infection and begin fester .
Treatment of fractures of the radius
If the radial bone fracture, her neck or head displacement occurred without debris, after anesthesia of the fracture superimposed bandage of plaster from metacarpophalangeal joints toes to just above the middle of the shoulder and arm with the elbow bent at 90 degrees, and the brush turned his hand to the body. Move your fingers usually resolves in a few days after the application of a plaster splint or after the symptoms disappear fracture of the radius.
In the case of fracture with displacement of the neck of the radius, you must also make a reduction ( reposition ) Bone fragments. In extension doctor performs traction on forearm axis while pressing on the head of the bone (inwards and backwards), the forearm is bent 90 degrees and fixed plaster splint for 3-6 weeks. If the control X-ray showed that the fragments have shifted, they may fix needle for 2-3 weeks.
If fragmented or regional fracture when displaced bone fragments, held operative therapy . Carry resection of head bones Using posteroexternal access. The head is removed entirely even under boundary fractures while leaving the annular ligament. After the operation carried out immobilization hands cast for 3-4 weeks. Babies radial head is not removed, so as not to be removed and the growth zone. Young people at the same time and carry out resection Arthroplasty Then fixed with plaster for 1 month.
After removal of plaster casts appointed physiotherapy ( phonophoresis of hydrocortisone ), Special exercises, massage and various thermal treatments.
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