Fracture of spine fractures combined with the arms and legs
Traumatology / / August 12, 2017
Associated fractures of the upper limbs when spine fractures were seen in 19% of the victims, the lower - at 40.9%.
combination of shoulder fracture and spinal injury occurs in 2.9%.The accretion of the humerus occurs through the 2.5-W, 5 months.
In connection with the impossibility of applying for a loop stretching armpits for fractures and dislocations of the shoulder (as well as fractures of the clavicle and scapula) treatment of spinal injuries should be done with the help of rollers or reklinatsionnyh "gamachka", shown and surgery. combination of spinal damage and forearm observed in 13.1% of the victims.Treatment of fractures of the forearm and vertebral fractures does not interfere with each other.
combination of hip and spine injuries occurs in 3.6% of the victims.In comminuted fractures of the diaphysis and trochanteric region of the femur, especially spinal cord injury, the treatment of choice is a skeletal extension of both lower extremities, along with their traction produced and s
combination of spinal damage and shin observed in 15.3% of patients, mainly when falling from various heights.This gives rise to compression fractures in the epiphyseal or metaphyseal area, often a lower leg, sometimes in combination with the tarsal bones.Compression fractures are more often localized in the thoracolumbar spine.Diagnosis combinations "spine - shin" in the presence of only two of these injuries because of the "distance" from each other and "clarity" is not difficult.For fixation of fragments of the tibia frequently used plaster casts and external fixation devices.
Occurrence damage foot bones depends on the "installation" of the foot at the moment of "landing" and hit the ground.In a direct impact on the whole of the foot plane of the talus, which transmits the force of impact on the tibial epiphysis, splits it, then sometimes broken ankle and lateral subluxation of the foot can occur outwards.When pronation or supinatsionnoy setting foot there, respectively, fractures of the medial or lateral ankle.The fall mainly on the forefoot causes fractures or distal tibial epiphysis and navicular or talus fractures and dislocation of the navicular bone in nearby joints.The heel bone is broken mainly by the fall in the rearfoot.
- Combined and multiple trauma of the spine
- spinal injuries in conjunction with lesions of the liver and spleen
- Trauma skull for fractures of the spine
- Multiple fractures of foot
- Multiple fractures of femur
- Multiplefractures of the tibia
- multiple fractures ankle
- 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
- multiple fractures treatment ribs
Associated fractures of the spine and heel bones are typical of multiple injuries after falling from a height on a straight leg.This mechanism of injury often appear symmetrical fractures of the calcaneus.Treatment starts with the reposition of fragments of the calcaneus.In elderly persons with severe radicular symptoms it is advisable to perform a one-step repositioning of the calcaneus overlapping circular cast.It is also shown and the application of skeletal traction, since the thrust of the heel bone strengthens spinal traction.Skeletal traction is removed at 25-45 day and put a plaster bandage with stirrup 1-1.5 months.
bones Dates consolidation in fractures of the spine without spinal cord injury are not significantly different from the usual, typical of a certain localization of each bone.The number of bed days is an average of 58. Go back to work, 71.4% of patients.Total disability is 11.4%.