Periarticular and intra-articular fractures of the bones of the upper limbs
Traumatology / / August 12, 2017
for periarticular lesions in the shoulder joint are typical combination of surgical neck fractures of the shoulder, neck and processes (acromion and coracoid) scapula, clavicle acromial end.The mechanism of formation of these lesions is associated with indirect injury (shoulder drop).It can be represented in two ways: 1) the emergence of processes of fractures and neck shoulder blades due to the direct pressure of the head, neck surgery which breaks down after them;2) the occurrence of a fracture of the acromial end of the clavicle and shoulder neck fracture of the total direct force on the shoulder girdle.
operation is required only if perelomovyvihe head and shoulder turn of the coracoid process.Good results are obtained by treatment with plaster splint on the outlet bus.Consolidation accompanying blades and collarbone fractures observed in a period of 4 to 6 weeks.Against the background of fracture of surgical neck of the clinical symptoms of shoulder injuries neighboring b
Intra-articular fractures of the bones of the shoulder and forearm are not uncommon.The mechanism of injury is in the fall and bounce elbow on a hard surface;most complicated fracture of three bones that form the elbow joint, occurs at the drop of a straightened arm.Olecranon fracture in this case, apparently, is due to hyperextension of the joint and lock it at the bottom apex antecubital fossa humerus.
progressive methods of treating fractures of this localization is Transosseous fixation of bone fragments in the hinge external devices.
A combined internal condyle fracture of the humerus and the radial head is the result of the forced deflection outwards straighten the forearm.Characteristically the absence of dislocations in fractures of bones that form the elbow joint, as this factor is not a traumatic effect on the ligaments.
Treatment of these lesions when there is significant displacement of bone fragments must be operational, with conservative treatment applied plaster splints for 1-1.5 months.The study of long-term results showed that even after many years after the injury persists extension limitation of the elbow joint (up to 150-165 °) and less (in case of damage of the head and neck of the radius) - pronation and supination.
- Simultaneous fractures of the femur and tibia
- main symptoms of multiple rib fractures
- Bilateral fractures of the humerus
- Bilateral fractures of the forearm bones
- Treatment of combined traumatic brain injury
- Bilateral fractures of the femoralbones
- Bilateral fractures of the patella
- Combined treatment of injuries
- Bilateral fractures of the fibula
- Bilateral fractures of the foot
- bilateral calcaneus fractures
Associated fractures, radius and scaphoid bones are most often:
1) the result of sudden trauma, when the victim has no time to absorb the impact increasing muscle tone;
2) trauma (usually in the fall) is indirectly influenced by the great powers;
3) fall more often on a straightened outwards brush.
Surgical treatment is the method of choice.When conservative treatment is carried out immobilization plaster cast for 2-3 months with obezdvizhivaniem1 third finger and the main phalanges of other fingers.