Fractures of the bones of the forearm and hand
Traumatology / / August 12, 2017
severity of the injury depends not only on the labor organ dysfunction, but also their moral and social consequences (the patient can not work).
main signs of bone forearm fracture and brush
Severe wrist strain and forearms, especially in the distal of its departments, swelling of soft tissue tension subcutaneous hematoma in hand rear and wrist, movement disorders in the fingers, and the impossibility of movement at the wrist joint, lowerand temperature sensitivity of the skin in the entire area of the fingers and hand.Severe pain is usually projected in the wrist joint.The severity of the condition may correspond to a shock I degree.
First aid for fractures of the forearm and hand
administered intramuscularly 1 ml of a 1% solution promedola (4 mL of a 50% solution analgin), 1 ml of a 1% solution of diphenhydramine.Produce novocaine blockade fractures places, especially carefully - in the forearm, and more appropriate to carry out "futlyarnoy" blockade of the forearm (80 mL of 0.5% solution of n
Principles of treatment of fractures of the forearm and hand
possible early recovery of anatomical relations, as the rapid formation of scar tissue in damaged areas adjacent helps lock in the wrong position bone fragments and creates a "fixed" the limb.It is also important to start early movement at the wrist joint needed to "elementary work" hand.Later reduction and fixation of forearm bones if damaged ineffective brush.As a serious condition in patients with these lesions usually do not develop, surgery may be performed in the early stages, including the primary surgical treatment of wounds and recovery operations (reimplantation and primary plastic skin, tendons, joint, and so on. N.).Closed reposition fractures rarely, so you need to make metalosteosynthesis often.Repeated attempts bloodless reponirovat fragments are inadmissible, since developing severe tissue edema and subsequent complications.
With extensive and heavily contaminated wounds brush primary surgical treatment should be simplified, wounds - thoroughly cleaned, osteosynthesis of the forearm should be delayed by 3-5 days, when to reveal the nature of wound healing and identify areas of skin necrosis to be urgent replacement.Acute inflammation and signs of suppuration are direct contraindications for surgical treatment of fractures.