Multiple fractures of the forearm bones
Traumatology / / May 07, 2016
Multiple fractures of the forearm bones more likely to occur as a result of indirect trauma (63.6%): impact or falling straightened brush with fully unbent the elbow, with the result that there is a "hard" impact forces in a straight line, close to the axis of the upper limbpassing through the diaphysis of the radius, and above her head - through the capitate, the elevation of the humerus.
In fact, there are two intra-articular fracture of the radius - the elbow (upper radioulnar) and wrist joints and the intermediate fragment is almost the entire diaphysis of the radius.Damaged turn the head or neck of the radius, which fractures can be diverse, from which mainly depends medical tactics.
main signs of bone forearm fracture
Severe deformity of the forearm, sharp pain during movement in the elbow and wrist joints, complete impossibility of rotational motions, shortening, decreased sensitivity in the hands and fingers, local pain.
First aid for fractures of the forearm bones
The shoulder muscles in
Transport immobilization of forearm
well - the first stage (tire pribintovyvayut shoulder);
b - second phase (bus pribintovyvayut to the forearm and hands after a moderate distraction forearms, hands hanging on the headscarf).
transport immobilization carried ladder bus wire, bent in the middle at a right angle.First, the tire fixed with a bandage to the shoulder, then moderately stretch the forearm axis and rotating the brush so that his hand fell on the distal end of the bus, with the fingers grip the thickened cotton-gauze pads end of the bus.By bus pribintovyvayut first brush, and then the forearm (in a moderate state of distraction).Transportation can be done while sitting.
- Multiple rib fractures
- Multiple fractures pelvis
- Multiple fractures of foot
- Multiple fractures wrist
- Multiple fractures of femur
- Multiple fractures of the tibia
- Multiple fractures anklejoint
- multiple fractures of the bones of the knee joint
- multiple fractures of the bones and the bones of one segment
- clinical picture of multiple fractures pelvis
- Combined treatment of injuries
- treatment of multiple rib fractures
Principlestreatment of forearm fractures
When fractures in the form of cracks, edge without bias and neck fractures of the radius without severe disruption axis shows the conservative treatment with early motion in the joints.Early treatment polifraktur forearm was performed in 78.5% conservative, but unsatisfactory results of treatment, especially in comminuted fractures of the distal constantly stimulated the search for new and effective methods.The solution is largely due to the development and introduction into clinical practice of distraction techniques.When multiple closed fractures of the forearm bones diaphyseal consolidation could be slowed down, this often contribute to persistent attempts to treat such fractures with conservative methods.
impossibility has shifted full repositioning of bone fragments is a direct indication for primary osteosynthesis metal structures using to stimulate bone formation or auto- alloplasty their cancellous grafts.Currently actively used the Ilizarov apparatus.