Fracture of the shoulder of the promenade brush. Post-production of the head and shyki of the exchange brush

Зміст statty

Symptoms of a fracture of the head of the chick of the prostate

Likuvannya to the fracture of the head of the shyka of the promenyi cyst

Tsi ushkodzhennya vinikayut when falling on the extended arm with the emphasis of the exchange head in the capitate underneath of the shoulder. At the same time, there is a rise in the replacement along the axis of the interchangeable cyst, leading to the fracture of the head of the abnormal interchangeable cyst.

Clinic, diagnostics in case of fracture of the head and shoulder of the promenade

The arm is half-bent in a lіktyovy hinge, beforehand it is pierced. In the area of ​​the head, there is swelling, hemarthrosis. On palpation, there is more pain. It is more active and responsive to mobilize, but rather painfully and intermittently, passive supіnation and pronation.

Diagnosis will be clarified by x-ray dosages in two projections. A characteristic roentgenologic sign of a fracture of the shyki of the exchange with changes to the cut є the symptom of "nabakir caps".

Likuvannya fracture of the head and shyki of the promenade brush

In case of fractures without replacement of ulamki, or with a small amount of suction up to 20 ° conservatively: inject up to 10 ml of 1% novokaina into the slope, for which, before the start, put the middle position between the pronation and supination, and the hand bend in the slope down to the 90 ° cut with the third fingers to the back. Introductory treatment includes only exercise therapy. Thermal procedures are evidenced through the possibility of forming heterotopic ossification.

In case of fractures of the shyka, the exchange of the cyst, for the substitutions, the reposition is closed. In the position of the position and support, there is traction along the axis before the front of the drive to the side. Press with your finger on the shifting head in the middle and backward, before flipping it forward with a straight cut and fixing the Kirschner spoke, to pass the EOP-control transarticularly through the capillary underneath of the brachial joint. The needle is seen in 2-3 times, and the call is immobilized for 4-5 times.

In case of marginal fractures of the head of the exchange due to changes in the ulamka in excess of 2 mm and in the size of the ulamka, which overgrowth 1/3 of the sloped surface, it is shown operatively to change it - the reduction of the ulamic reposition, metal osteosynthesis.

With multi-splintered, fragmented fractures, resection of the head is indicated for replacement. The head will be visible, even if the ring-like connection is saved.

It is necessary to look around the empty slope, so that you do not overwhelm the empty fragments. Immobilization when in a neutral position 1.5-2 times. In children, in small situations, take care of the head. Individuals of a young person with a traumatic ruptured head of an exchange brush are shown an endoprosthetics.

Cementless and cementless metal prostheses. V to a young person more beautiful than vikoristovuvati cementless prostheses.

Literature: Traumatology and Orthopedics: / ed. V.V. Lashkovskoe. - 2014.

Fractures of the head and the shoulder of the interstitial cyst become as much as 2% of the lateral fractures of the cysts.

Most often, such fractures occur when falling on a knotted arm, which may be the reason for an one-hour ear of the cartilage of the capitate underneath of the shoulder cyst.

Isolated fractures of the shyka are characteristic for children from eight to twelve rocks, and the axis of the fracture of the head of the interchangeable brush grows in the edge of the brush.

There are indications of indirect injuries, as a result of a fall on the arm in a thin slope from the outcry in front of the frontal area.

At the same time, the head of the interstitial cyst is hitting the head of the brachial bone and it is inflicted a fracture.

Falling as a direct traumatizing force or finding edge fractures of the head or breaks in two halves.

Vipadkah, if hard blow to be brought to the entire surface of the slope, the head fracture is severe.

It is often necessary to reach the fractures of the shoulder of the intermediate brush, and in children, children - opening up the zone and growth - epiphyseolis or osteopathies of the head of the intermediate brush.

Fracture of the shyke, epiphyseolis of the interstitial cyst is often accelerated by the vivih of the head.

symptoms

The main signs: a bile in a lithuanian slope, an injured hand is bent in a lithuanian slope, before the projection is made. Anamnesis to talk about those who are patient having fallen on a tight hand.

Actively and passively, it’s possible, if you want to be surrounded, if you don’t want to rotate it, it’s okay to wick it up. Dilyanka of a liktovoy slope is defined for a swelling of the last side.

With palpation of the pain, the pain is localized below the biceps of the brachial bone, from the lateral side of the tendon of the biceps.

In case of vivihs of the head, palpate on the anterior-side surface of the lithic hillock.

Easy help

There is no way to help the field in winter and transport conditions.

Sickness is carried out with non-steroidal, anti-pyretic drugs (Analgin, Ketarol and in.). It is necessary to fix the hand with a hand (with a tire or a bandage) in that position, in which it was hit with no trauma.

Likuvannya of fractures of the head and shyki of the promenade brush

without compensation

Eliminate the immobilization of the end with the rear hip tire from the upper third of the shoulder to the heads of the papillary cysts when the front end is bent 90-100 ° in the position, in the middle between the supine and prone. Immobilization in children of trivia is up to 2 months, and in older children - 3-3.5 months.

for a favor

In case of suction of the head, it is called to carry out the close the windows at once.

In older adults, with a dose of 1%, novakainu or lidocaine, which should be injected into the hematoma, or in children - under anesthesia (patients lie on their backs), they should lead the patient's hand; I gasp with one hand and the fancy one.

With the other hand, not vivilnaya in front of the projection of the position of the projection, the step-by-step projection of this and not suddenly vidhilya in the middle, puffing the cubitus varus into the corner. At the end of the hour, the ringing of the bichna is tightened, the connection of the lithic hillock, yak, the head snares up to the level of the fracture.

Dalі the lykar gives the hand of the neighbors, which I will put down before the fire in the roznuti stanі in the position of cubitus varus, and himself great finger right hands rolled the head of the exchange brush and pressed on it from the bottom up the hill, calling in the middle.

The petty person in the whole hour will try to start the supination and zgina before the start to the straight cut in the littovo slope. View of the windows of the window.

Above the head, put a cotton-gauze pad and apply a circular, and more brightly - a rear gypsum tire with obovazkovykh rekritty the front surface of the l_ktovogo slope. Zd_yisnyut X-ray control. Having satisfied himself in the reception of vidlamkiv, the patient is sent to the outpatient clinic.

Immobilization of trivia not less than 3 years. Proceedings will be renewed in 6-8 days. In case of epiphyseolysis, immobilization is not less than 1 duration.

In case of failure of one-stage closed reposition, in case of significant deficiencies or multifragile fractures, operative treatment is shown, as well as in case of acute reposition, osteosynthesis (with wires or cystic grafts).

shrapnel fractures

In case of multi-splintered fractures of the head, I can see it, and the proximal end of the exchange brush is smoothed with a rasp, the wound is sutured up. The function of the front of the guard is small.

Children are shown to see the head of the interchangeable brush, and when a child grows in a thin slope, deformations of the type of cuditus valgus develop.

Fractures of the head and shyki in order to prevent early rehabilitation for the prevention of rotational rucks.

Serious acceleration in case of fractures of the head and shyki of the interstitial cyst and navkoloslobovy post-traumatic ossifikati, which will disrupt the function of the liktovogo hillock.

rehabilitation

I use a gypsum splint to move the hand into two tight positions, and then hold out two or three times more tightly.

Likar will prescribe the necessary antibiotic drugs, as well as the preparation of calcium.

In addition, since there was a lot and an embankment in the area of ​​\ u200b \ u200bthe lіktyovy slope, it is allowed to visonuvati dosed to the right. It is important to uniquely unify the overworldly structure of the suglob from the Zusillas. The patient's vison is simple to the right - turn the brush in the middle and in the name, for the transition to the amplitude.

Proceedings will be renewed in 6-8 days.

Yak vіdomo, Evolyutsіya put the people upright, threw out their legs for support, and tied their hands for pratsі. The first traumatology (as it was in those old hours of the day) was immediately taken into account by the advancing facts: the fracture of the intermittent cyst in the typical case is the most frequent fracture: 12% of all injuries caused by the fractures of the roots, which were caused by

A turning point in a typical mіsci - what?

As soon as we are burned out, the handler of traumatology and orthopedics, whether it’s a rock, it’s a change, but for any fracture there is no such localization, as it is called “a typical misce”. Tilki exchange list was honored with such a "commendable nomination."

As a matter of fact, it is obvious that before the plan it is often left behind two knuckles, and the fracture is, in principle, more important. Even the supporting function is not overwhelming (for the rakhunok of the whole cyst), і, as there is no evidence of a fracture, the injury is often given not to develop. Ale exchange rate kisstka lamented more often, moreover, in the "beloved mice".

In the photo, the arrow marks the type of fracture

In this vypadku, read about the isolated fracture of the lower part of the promenade brush. You can make a mess here both for money and for money. The role in the pathogenesis of injuries is markedly greater, but it is less important.

The turning point of the exchange in a typical misc, apparently, there are two types:

• Rozginalny, abo the extension option (Collis). Winning winners when falling on a knotted hand and trying to fall into a ditch, wanting to be energetic when fighting, and fighting sports. At any kind of injuries, cyst wounds are replaced in the bite of the hand;
• Zginalny, abo flexion fracture (Smita). Win vynikne, as if to fall mute on the bent valley, but on the bent. It’s obvious, the price is going to grow, the shards of a person are instinctively when they fall to fall on the valley, and not on the other side. In addition, there is a small wedge of retribution in the direction of the valley.

Most often, in older ones, the cyst will lag by 2 - 3 cm in height, below the width of the wrist joint, and in children, "weaker mice" is brought to the zone of growth of the cyst.

Unimportant to those who are traumatized more often than a person, giving a kind of fracture is often seen in the female population, it is possible, just to that, when women are falling, at the link with the "vitonized" skeleton and often big masoyu there was a risk of fracture.

It’s a fact that came from history: at home, old cars in the USSR could often start with a wind-up handle. If the dvigun was started, then the handle was "viralized" and it was said to turn around, since the attachment did not transfer any output. In the first place, the lack of knowledge of the waters eliminated the fracture of the exchange in “the very same place”. The buvali and the water were poured - trim the handle, not varto thumb protistavlyati іnshim - all fingers are guilty from one side of the handle, thus allowing the ruts to viscele without injury.

Promeneva kistka - to complete the dovge coverage. Vona z'єnu lіktyovy і changeover іtkovy soglob, і lamatisya can be in the coming months:

• the head and the shoulder of the exchange brush is close to the thin corner.

Most of the time, the price of a sudden overloading in a license, for example, in front of a call, or in the middle of a flat slope. Vinnikє swelling in the area of ​​the skin, on the front and on the surface of the front. Pislya ts'go rukh in lіkti, especially a turn і razginannya, wiklikє strong bіl;

• diaphilous fracture of the promenade (in the middle part).

To reach often a fracture of the diaphysis will come back to the fracture of the lytic cyst. A single fracture of the exchange of the opposite is more pricked, there are some slight deformations before the disease, and there are signs of gross dysfunction.

Protest, in the middle of the fracture, there is more and swelling. Obsyag rukhiv (wrapping beforepl_chchya) changes, and with rus it is possible to feel crunching ulamkiv, or crepitus. characteristic symptom the fracture of the exchange є "move" і non-rotating head of the exchange brush, when wrapped before the front.

• breakthroughs in Montedja and Galeazzi.

This is the name given to each ear, for which one brush is lame, and the other is vivified. In case of injury, Montage will lose a little bit (near the upper third, closer to the little one), and the head of the interchange brush becomes more intact. And the axis of the turning points of the Galeazzi should be brought up before the exchange of the basket lays in the lower third, and the little one - vivits its head.

Injury of Monteja Vinikє, as well as on the upper third before the strike is delivered. The winners of the ruined rue in the litte, a little short before the plan, and it got too close to the litte.

In case of injury, Galeazzi embryo and bile vines in the area of ​​the wrist joint, deformation of the contours in the promenade of the brush under the deyakim kut.

All types of injuries can be considered conservatively, but they can be operative, in the presence of severe injuries, in the manifestation of change, in the interposition of tissue and in those who are in charge.

Symptoms of a fracture of the promenade

Most severe onset symptoms in cases of localization of injuries:

• Vinikak bil in the area of ​​the wrist joint;
• There is a bump;
• At times, the change of the cyst ulamka can be felt on the long side, or on the long side in front of the plane;
• If the substitution is mute, then it is mute and deformations, and the diagnosis is only a hematoma;
• When you prick the promenade of the swelling slope, there is a strong beat, especially on the til side;
• When trying to open the axle, it will be installed (for example, if it is stopped), the vine is sharp bile in the wrist area;
• In case of fractures, the swelling of the exchange nerve is affected, then there may be symptoms of the affected nerve. It will be written about them as soon as we talk about acceleration.

About compensation, caused by a closed fracture

Zsuv kistok is an unpleasant fact. I’m talking about those who “the world of a traumatologist” is a trick in the hand, which is often called a fracture without any compensation. Zsuv was the head of an accelerated and podovzhuzh term of rehabilitation after the break of the interchangeable brush.

In the area before the plan, there may be several options for compensation:

• Along the width - the folds of the ulama spread out before any traumatic force;
• Ulamki stretch out and out, and do not stick one by one. At the end of the wine, there is a quick meal before the meal;
• Likewise, the substitution can be kutovim - the ulamok turn, as a result of the uneven traction of one of the musical groups.

Ale zsuv is not the only disagreement, as it can become. All the same, my mother will be right with two ulamks. And the axis in the same way, like є a fragmentary fracture, which is also on aphids of osteoporosis, with a certain value of the change in vidlamk, with interposition of tissue - it is always shown before the operative treatment. In the same way, as soon as an axial fracture is punctured, an operation is required;

Whenever one speaks about a "typical mice", then one can smell a little bit of it.

diagnosis of fractures

Naturally, the basis of accurate diagnostics is the quality of the radiological situation. In any case, a non-negotiable proof of a fracture will occur, as a line fracture, so also the ulamkiv has changed. Children often have a fracture with the beautiful name "green gilochka", if there is a whole lot of young and a dull oxymor.

In this case, as well as in case of hammered fractures, the appearance of a line fracture is very difficult. Ale, according to "Happiness", for traumas to exchange in a typical mіsci, not a characteristic hammering mechanism, and yet the options are even worse.

Then the radiologist will check the position of the fragments. If the distal ulcer appears, it will not appear, but we will crush it. In some cases, a fracture of the styloid appendage of the cyst appears. Tsey "surprise" is meant in 70% of all types.

It is even more important to determine the type of fracture - the mechanism of the injury to the injury, and itself on the radiograph in the clinical projection. When repositioning, it is necessary to put the wins on the place, so that the wines do not whistle forward, but rather backward. As long as it is not possible to create a brush, it is more possible to grow a brush, it is more possible to make a brush, or to develop a brush.

It is important to remember that the break of the exchange list is transferred to the transfer of offensive minds:

1. Accurately lead vidlamki on the line of evil;
2. Stiffly squeeze їkh, schobznik gap;
3. Maximum zneruhomiti ulamki would like to be 2/3 of the term immobilization.

Zvisno, tse - ideally think, And most of them lie like a quality, so is the term of growth. Would you be willing to slow down your drugs in case of non-releasing types of exchange fractures?

With extensor fractures

The traumatologist should carry out anesthesia for the fracture. For a whole, 20 ml of 1% will be enough for novokainu, and the vison will manually close the reposition of ulamkiv. For a whole lot of preliminaries, throw the opposite side to the side on the late axis by the hand. Such a camp is required to show 10 - 15 chilins. It is necessary that the group of languages ​​\ u200b \ u200bwas relaxed, and did not overshoot the repositions. If you want to be drawn, it is easy to change into a small valley and a little bit.

To do this, an angular deformation occurred, spend the brush at once with the ulam in a long straight line, ring at the edge of the table. When it is full and lightly introduced to the tip, apply a gypsum splint on the tip of the brush. You are guilty of covering the space from the upper third of the front to the pasto-phalanx loams, which are covered with only fingers.

Flexion injury

The reason is that there is Zusilla and the shift of the Ulamka in the right direction, and not in the valley. Shcheb zapobіgti kutoviy zsuv, all curl up navpak, in order to extend the brush before the cut at 30 °, and also apply a gіpsovy splint.

In addition, since the reposition has been carried out, it is necessary to reposition, but everything is correct. For a large number of x-ray signs, and in folds (for example, in case of a hyper-like fracture), the reposition itself is carried out by x-ray control.

may you expedite

Happily, infrequently, a little unacceptable to accelerated є trauma, or tearing of the exchange nerve. Tse є shown before the term operation. Exercise symptoms є:

• the style of the brush, and the first three fingers (from the great);
• causalgia (baking beef on a tough bats).

Today it is planned to carry out operatively treatment, in some cases from the neurosurgeon's studies, as well as to plan the availability of operational microscopes and microsurgery.

If an operation is required?

Most often, it is possible to see the innovation of the interchangeable brush without any additional costs, osteosynthesis and other types of operations. But there are problems, if you can't do without surgical help, and because you need a hospital term in traumatology. Even if the number of grades is allowed, then the health of the keys before the consolidation will decrease drastically, and it is possible, either incorrectly, or the shape of a grave slope. Expect the onset of the absolute before the operation in case of any kind of fracture:

• Critical fracture. Naturally, it is necessary to have the primary surgical treatment, the visualization of necrotic tissues, ulcers, prevention of secondary infections;
• Interposition of soft fabrics This is how they call the situation, since among cystic ulamks, according to the line of possible growth, they have consumed meats of textiles: muffins, fascias, fatty cells. In such minds, no growth will be seen, but a pseudo-angle will form. It is necessary to get around from any side of the fabric in the zone of growth;
• Injury to the forehead and nerve bundle;
• Difficult in repositioning, the number of ulamki is significant;
• "Nekrovani" vіdlamki. This is how they call the shmats of the tassels, they cannot be attached to anything, and the stench can change altogether.

Yak lіkuvati a fracture changing from an hour to wearing a splint і send nobility?

It is important to take care of children, with a great number of bricks, microelements and vitamins. The ailment is guilty of the obovazkovy order otrimuvati sir, ribu, egg, meat. Moral reception of vitamins - mineral complexes. From 10 to 15 days after injuries, it is recommended to take calcium preparations - in viglyad, chloride or gluconate.

Changeover period and triviality

In case of non-releasing fractures, apply a term for a month, at a normal rate of growth of the cysts. “Rukhati with your fingers” is possible from the next day, you can start the physical procedure from the third day (UHF, scho nada protinabryakov diyu). Call in a month of hyps to know, and to fix the course of the main course.

• Zvvychay prasezdatn_st to turn through the month of the letter of nobility, or after 6 - 8 years of injury.

The term for a fracture of the interchange of the hand for the substitutes is not only for the option of taking the hand, but for the change. So, for the reposition of the compensated fracture in a young age after 8 years, it is possible to get more money. And the axis in postmenopausal osteoporosis is more powerful and more trivial.

About physical procedures and rehabilitation

Do not think about it, but during the period of wearing a gipsovo longuette, nothing can be robbed. It's not like that. Already in the early period, UHF sessions become stagnant due to injuries. For all types of physiotherapy, hips is not a transition. Methods of physiotherapy є change of nabrya, pain. To carry out 6 - 8 sessions on the mode of low heat for 3 - 4 days with injuries. The triviality of a skin session is close to 10 khvili.

Also shown are diadynamic streams. The longuette is not with a bandage, і for attaching electrodiv. In combination with UHF diadynamic therapy is good.

If you have a problem, as long as the lognet is okay, then you can fix the electrophoresis muscle anesthetics, Shown of sessions of magnetotherapy.

In the middle, for 3 - 5 days, due to injuries, it is necessary to preserve the "admission" to the fracture zone of the calcium and phosphorus for the "good" cyst tissue. I will be good at helping in a whole lot of electrophoresis 2% calcium chloride and 5% sodium phosphate, in a few 10 - 20 procedures.

educational gymnastics it is shown to navigate todi, if hips is not understood: also fingers. In 10 days, you can lightly napruzhuvat mu'yazi, scho to be found under a splint (static, or isometric to the right).

It is important for the patient to be intelligent, that the period of more unerringness is to blame for the formation of my callus, and with the lack of awareness (ossification), it is necessary, and later in the future, to the right of

We will need to be protected, do not allow for a bit of a "flood", rozpyrannya in the band, or it is. At the same time, as if his fingers were beating, turning blue and losing his sensitivity - it would be necessary to turn up to the liquor.

For knowledge of hips it is even more important to eliminate the hypotrophy of the mucous membranes, normalize blood circulation in the zone of fracture and navkolishnyh tissues, and perhaps to reduce the formation of swollen slopes. Tsyom has additional help in gymnastics. It is not possible to substitute any kind of physiotherapy, the reason is the whole life.

A little bit of vikonuyutsya passive ruch, if you help your hand, and then - active. We'll be able to use a new method of electrophoresis, for example, with dibazol, vitamins, lidase. The process of treatment of trophism and prevention of scars and adhesions, especially for operations. Freeze phonophoresis, heat and light therapy, ozokeritotherapy, paraffin therapy.

On injuries of the distal metaepiphysis (DME) of the interstitial cyst of the seizure 16% of all pathologies system systems... Fractures of the widening exchange rate in all groups, and women older than 45 years of age are often victims of traumatism. Doctors will bind the weakened cyst system and hormonal changes. The turning point of the interchangeable list in a typical scene is not unsafe destructions, but the speed of renewal is due to individual peculiarities of the organism and of the patient.

Classification

Fracture of the distal metaphysis is often accelerated. Before them, the manifestation of the powerless fragments and the substitution of them is evidently one of the same, the connection of the nerve fibers. A splinter fracture of the interchangeable brush is due to the muscular activity - the collapse of the hand is superimposed on the spur of the mussels. Skin fragments are drawn to their side, the function of the movie will be destroyed. The postage of the lower third of the promenade brush is not often supervised by a vivikh.

Most often, there is a fracture of the head of the interstitial cyst. Winning wine at fall with a one-hour collapse beforeplichchya. Traumatism is characteristic for the distal head. This view of the building can be either central or central. In the middle of the breaks of the interchangeable hand in a typical place, a special place is occupied with injuries when the hand is broken. Into the іnshu group of people to make fractures of the shyki of the promenade brush, and in childish sposterihayutsya injuries of the eye from the pathological zones of growth.

In the middle of a fracture, a punctured fracture is especially worthwhile. Win a win through a fall on your hands, if one brush yak bi to enter the insha. There are two elements to go to one list from a day in the center of a zgin. Often a tsecritic fracture of the interstitial cyst without the soft tissue rotated by the slaughter.

On injuries of the left hand, it is less likely to cause damage, and the inner corner fracture of the right hand is more often prevented through those who have a strong hand, to support it. In case of vomiting, the vine is a fracture of the styloid appendix.

For the specificity of injuries see:

• kosi pozkodzhennya - to be recognized when falling on a zignuty dolonya;
• spiral - characterized by changes in the result of the collapse of the hand;
• later - є the result of compression infusion;
• transverse - winners of direct impact.

To the closed fracture of the exchange of the hand without the substitution of power, strike, or without cutting the fabric. In the face of a fracture, it is often necessary to endure and supervise the changes of fragments.

ICD injury code 10

The international classifier for injuries is assigned the code S52. In case of fracture of the head of the exchange brush, S52.1 is assigned. As soon as there is an injury to the diaphysis of a literal or interchangeable cysts, then the codes S52.2 and S52.3 can be attributed to it. Інші vidi pozhkozhen unspecified character is known as S52.9.

cause

Injury can be made through accidents, failure to tackle the technology of safety on robots, through lack of safety. The massive part of the breakthroughs appears as a result of the fall. As soon as you fall down with support on the valley, then you win. In the case of a direct blow of guarantees, a fracture of the exchange of the hand in the middle part. Among the most widespread causes of injury:

• falling of an important object on a tight hand;
• wounded in the fire;
• osteoporosis and disease of cyst tissue;
• extreme sports;
• lack of calcium in the body.

Pathological traumatism of the disease as a result of the inflow of insignificant force. In such cases, the handles runnable with slight squeezing. Viciousness of weakened cysts can cause endocrine damage, oncology, osteomyelitis. Fractures of the styloid appendage of the promenade brush and the loose part of the brush are made to pass through the support when struck. Hammered a fracture into a legacy of a significant Zusilla, or a fall from a great height.

The cause and the fracture is the beginning of the symptoms and the first medical help. with remorse fragments to be suported severe pain and it is more important to give in to love. Yes, fractures are found in the result of serious accidents, or for an hour of robots with important technology.

symptoms

A wounded hand is often accompanied by vivikhs, slaughtering, and bloodstains. One of the best characteristic signs ruining the integrity of the knitting fabric є deformation of the knots. In a number of vypadkіv there are tristees of the diaphragm of the hand. With this, it is characteristic to preserve the anatomical shape of the hand. And the signs of a break include:

• swelling and swelling in the muscles of injuries;
• bile on palpation and rukh;
• hematomy;
• reduction of arterial grip.

If the hand is swollen, then don't get a fracture symptom. So you can show yourself a chi kick. If the fracture of the interchangeable brush is given the same name before the embryo of the hand, then the loss of nerve fibers and tissue tissue is not included. Greater symptoms of an acute fracture. Razriv sudin і shkіrnyh povіvіv pіdvischu rizik infected with infectious diseases. At the same time, there are no fingers, the brush is strongly deformed.

Fracture of the head of the interstitial cyst to produce pathological decay and crepitus. Swelling in the area of ​​injury can extend over the entire arm. Function If you supervise the rocketing of the sudin, then you do not miss the pulse in the artery.

Through the destruction of the venous blood flow, the hand can turn blue. The tsei stan is especially not safe, so as the flesh of the fabric and the judges mend it.

Symptoms are abundant in what lies in the localization of the fracture. With a hammered trauma, she suffered a short cut. The function of all hands will be ruined, ailments cannot be crushed with fingers, for it is very important and an unbearable pain is given to them. Situations accelerate with fragmented trauma. So, cut the inner fabrics and ears the judges. It is necessary to minimize the negative infusion of a traumatic factor on the hand and give adequate help to the victim.

Persha dopoga

With minimal traumatism, the patient can be delivered to the point medical aid independent. At every important wound, wick the brigade of "shvidkoy help". Before the arrival of the Fakhivtsy, the unhappiness of the injured hand is created. The main help for this rehabilitation is carried out in the minds of the stationary. At the mice, you can give the patient a painful sensation and put the cold on, and change the nagging.

First aid in case of adolescence on the fracture of the physical fitness. From the hands to see all the embellishments, to trim the hand is necessary to go kutom, because it’s not about the hammered fracture of the exchange and the copy of the hand. Pick up the tire, attach it to the side until it is bandaged. At once in a brush, apply a tongue tape.

If a fracture of the head of the exchange brush is supervised by cutting the skin, then I will use the antiseptic filler, as it will allow the infection to be eliminated. In case of trauma, it is impossible to erase the ulamka, but it is not possible to do anything with them, because there is no need to change the fragments.

If the fracture of the interchangeable hand does not happen, it is necessary to preserve it. If there is a lack of judgment and nerves before the disease, an arterial or venous bleeding may occur. The first vipadk cannot do without a jgut overlay. The villains - to finish, to crush. Schob uniknuty many heritage the patient should be transported to the truck. Do not burn anymore on the pictures, so after 2 years the necrosis will be repaired.

diagnostics

The main method of instrumental diagnostics in case of fractures of the interstitial cyst in a typical medical examination is radiography. On the signs in two projections, it is possible to show the localization of problems and injuries. X-ray diagnostics of fractures of the interchangeable brush is carried out by an informative method, on the basis of which it is chosen as optimal as possible.

Traumatologist palpuє ruku ship systems, Promatsuє pulse. MRI is recommended in cases of adolescence for a fracture of the distal metaphysis with the great ear of the interstitial cyst. Ultrasonic scanning is used for hematomas and swellings with the appearance of blood purchases.

CT and radioscopy are used by informative methods. With the help of others, it is necessary to give a damages to other defects and other defects, as well as to check the pardon during diagnostics.

lykuvannya

Yak vilikuvati a fracture in a specific situation, also only a traumatologist. Not varto rosrahovuvati on people zasobi for lіkuvannya fracture. Acceleration is determined through the availability of qualified assistance. Consolidation fracture is a typical manifestation of inadequate therapy. As a result, the fragment grows independently, but do not expect it correctly, through it. I reduce the functionality of the hand and rob kistkovu fabric disagreeable. Unassembled wrong growth of vinikє contracture - stiffness or outward disturbance.

In case of non-releasing wounds, close repositioning of fragments is carried out with the onset of overlapping gypsum. Price of most common fractures of exchange cysts. Vіdlamki set up under radіologіchny control, wіkulіku pardons and improper growth. The overlay of the gipsu is okay for repositing. Bend your hand at the litte and lead to the tulub. Further on, go to the home minds.

Fracture of the styloid outgrowth of the type of vimage accuracy in case of left ulceration. Repositioning the fracture can be creased, as the injury passes through the slope. The main method of treatment is trivial immobilization with x-ray control. In case of surgical reposition, it is not a hips, but an orthosis.

promptly lykuvannya

The very injuries of the styloid appendage of the promenade need more often surgical treatment... The operation is based on the fixation of screws with screws or plates. In case of serious fragmentation, not all fragments will come out. At the same time, the part of the brush should be increased piece by piece.

Shown before the operation є:

• supportive training of sudin, m'yaz_v, nerv_v;
• splinter fracture of the promenade for significant compensation;
• fracture of the head of the interstitial cyst with vivichoma;
• incorrectly mature fracture.

One of the methods of operative lykuvannya is to update the exchange brush with the device of Ilyzarov. The message of the operation is lost in the needles in the hands. Їх tidying up the painting of the ulamkiv. Repeated operation is required in case of incorrect reposition. At the end of the term, the change of the hand will be better for the wives, and the hand is all the same, it will be more vivid.

Trial immobilization in case of fracture of the head of the interchangeable brush of the lithium is not required. In case of a break in a loan and exchange rate, the loan period is 2-3 times or more than an hour. The main terms of the license, as and the other procedures for updating the license will be installed on the presentation of a classic picture.

Skіls lіkuvatisya i carry gіps

The term for a fracture of the promenade of the hand at conservative lіkuvannі loan from 4 to 10 tenders. Naskіlki quickly succumb to the turn of health, because of the specifics of injuries, in the form of a patient and individual features of his body. In young people of the term of growth, the fracture of the exchange of the hand is always less, as negative inheritance. In the summer, fabrics are introduced more often, and if the cyst system is evidently affected, problems arise.

Know the hips is possible only if the brush has matured more and more. With a single exchange brush, there are 8-10 types in the chain. In case of one-hour vivihu and an accelerated wound, the hips will be lost for 2 months. Even if the exchange of a hand in case of a broken arm is not changed, it is not possible to reach a 6-minute immobilization.

Carry slivers of gypsum in case of an acute fracture of the interstitial cyst, lay it down by the method of treatment. In case of surgical repositioning of the trivial, immobilization is not required. Traditionally, I will be victorious, I will surround the ruch in the wrist.

If a hand fracture hurts, then it means analgesics, or if the pain is obtrusive, to indicate problems in therapy. As soon as the evil hand was hurt during the operation, then even through a few days the discomfort was guilty of drinking. More can be wicked. The very fact, in case of reposition, prescribe antibiotics and drugs for immunity.

rehabilitation

In times prompt engagement- revitalization of the multiple fracture of the exchange register for 6-8 loans. The scale of sophistication and the flexibility of surgical manipulations does not remain important. It's easier to grow fractures and fall. It is necessary to go through an additional period of accidents and disasters. The methods of rehabilitation are injected onto the renewal of the hands. Patients are advised to engage in the development of the picture under the control of the fax.

At the first stage of rehabilitation, after a fracture of the interchangeable hand brush, there is little improvement. Forcing the process to lead to repeated injuries, and even the brush becomes overwhelming until inviting... ... Correct kharchuvannya.

At the end of the day, organism needs high-quality foods, vitamins and minerals. Especially cinnamon to live on the fracture of the exchange of jellies, fermented milk and seafood. Dyeing Vitamin D for people to get rid of rib fat.

Speed ​​up the renewal of the accelerated fracture of the exchange brush to allow physical procedures, balneotherapy, gentle massage. As soon as there is a change in nerve, then the term of rehabilitation will grow. For an hour, the loan is outside the renewal, to accumulate in the absence of factors. Already at once, when the knowledge of the grip was sent, the brush was broken, the blood circulation was removed, and the mucus was weakened.

physiotherapy

Physical factors are based on the stages of rehabilitation. Exercise therapy for non-releasing fractures of the interstitial cyst is carried out in a general order. Alle the techniques of physical culture in case of breaks in the field of economic development, so that you can earn merit.

Apparatus therapy gives an indication of the results at the stage of updating. Physical procedures for a broken arm include:

• low frequency magnetic therapy- activating molecular and clinical renewal. Znebolyu, calm, knowing fired up and running over the embankments. Pislya zyattya gіpsu is shown. Conducted in a 10-day course of 30 quilins;
• UHF-inflow- lіkuvannya by an electro-magnetic field of a high frequency and a sprouting of sprays. Method of indications on day 3 for a fracture. For renewal, 10 sessions are enough. In the course of the procedure, the fabric is warmed up, the circulation of blood rises, the atrophic processes are galvanized. You will be able to regenerate, the brush grows faster and without acceleration;
• electrophoresis- traditionally vicious calcium for the improvement of the efficiency of the main treatment. If the fractures of the interchangeable cyst of the wickle are due to the weakening of the musculoskeletal apparatus, then this method is indispensable. The procedure should be carried out from another type of injury. Minimal triviality of the game - 20 khvili;
• UFO therapy- physiotherapeutic optimization of the power of the capillary blood circulation, activation of the vitamins D, after the build-up and firing. Conduct all 3-4 sessions with an interval of 3 days.

On the other hand, I respect merit mechanotherapy... Vaughn will help you to break your hand and turn it into functionality. The simulators adapt to the level of permissible customization and result. analogous Volodya hydroxynezotherapy, but not to be carried out in all installations. Physical gymnastics in the first days with injuries is included, but the technology of physical culture does not include passive gymnastics, as it helps to preserve the activity of fingers and normalize blood flow

Yak to break the hand to break the promenade

Gymnastics is focused on the rosette of music, as it is a trivial hour to get mad. All technologies are available to patients. If the robot is right for the first time more beautifully with a fakhivtsy, then with the onset of trenuvannya the additional help of a lykar is not necessary. Importantly, taking care of the robotics mode and adjusting the hand, step by step.

The complex to the right after the fracture of the promenade includes:

• squeezing hands in kulats - sending the nobility to the gipsu qiu will have the right to be good. Vono allowed to rozignat shelter, occupy a quiet place and at all not to naughty slope. Advance efficiency to take more help from the robot with a small bag or plasticine;
• fiddling with objects with your fingers - good luck, it’s simple to the right, just bring some coristas! Perche, you can see the accuracy of the rucks. Write to the fingers, that hand as a whole, do not want to hear. Training of other motor skills relieves the whole problem. In a different way, navantazhennya on the suglob is minimal, and the m'yazy is even better. As a result, blood postures occur, strength is in the hands;
• circular wrapping - the stench additionally helps to renew the looseness of the brush. Ale wrap your hand slowly and gently. most of the views but it is not guilty, and the axis is light crunching can be supervised. Zgodom vіn pіde;
• lifting and drooping of the shoulders - the right movement can be done synchronously and alternately. Shoulder girdle without tying up with a small amount of injuries, moreover, to improve the activity of the shoes and to reduce the amount of hardness;
• Zginannya in lіkti - slid on the back of the arm, ale tsu has the right to shrug off even if the picture will be kindly functional. Such training is necessary for the adjustment of the functionality of the slope and the strength of myazovy springs when the hand is tensely unnerving in the intended position.

If the first stage of renewal is made, you can turn it to the right, like clapping in front of you and backwards, with your hands to the sides and up, wrenching your fingers with a "lock" behind your back. Nabantazhennya, like an hour to take, increase step by step. Pain and discomfort for an hour is not to blame.

massage

With a single exchange brush, massage becomes the main element of trenuvan without any traumatism. Wine of straightening for stimulation of blood circulation, prevention of atrophy, improvement of meat tone and health pain syndrome... Through the insensibility of the fabric, it is impossible to get rid of kissen, how rotten it is to be recognized as grown-up kistok and stanі shkіri. In case of a fracture of the exchange brush in a typical massage, a sparing massage is carried out in a thorough manner:

• I’ll stroke my hand with soft ruks and across it. The vice is turned on. The pads of the fingers do not scratch along the surface of the skin. This technique allows you to preserve the sensitivity, polypsychiatric blood circulation and activates the nerve receptor;
• roztyrannya - May on the uvazi more intensive hands and arms. Chi is not obdіlyaєmo respectful side of tilny surfaces in front of. When you hand have a little curl, you can talk about the improvement of blood circulation. It is innocent of any agressive rucks;
• pinching і onslaught - it is more beautiful to carry out special masseurs for help, for example, hollow rollers. Oskіlki gіps vyklyucha to the ruch of the internal and lasting wrap of the brush, not to worry about the power of the hand for the hour of massage. You will not be able to lie on the flat surface, and the aplikatori and skating rinks with "bumps" will intensively pour on the surface of the fabric, overwhelming the congested appearances;
• at the final stage of the massage, turn until pogladzhuvan. The stench will soothe and relax. You can choose to use special oils for the massage, as you look at the more effective one and spend an hour before the procedure.

Massage is allowed to work in case of fracture of the interchangeable brush in a typical massage for 3 days. But about all the necessary manipulation of the drug, the distribution of the whiskey for a sick dodoma. The main hand is ready to go, like only to see gips, if you want to force the period of renewal, it is possible at the stage of immobilization.

Storage and inheritance

Due to an improperly matured fracture of the promenade, the vine is the main mass of negative inheritances. Functionality of the picture is very low. Often the problem is uncomfortable with physical therapy or intensive gymnastics. To reopen the injury and re-reposition. Secondary substitution of vinik is also written for the renewal of cyst fragments. Inadvertently, the patient's hand is ruffled, or a muscle spasm can provoke the emergence of ulamkis. In the case of an open-ended reposition, such manifestations are shown, and also the failures are fixed with metal structures.

Before the legacy of the fracture of the promenade, the substitutions can also be considered stiff. For example, the brush is not suitable for a new turn, for є the problem of squeezing the fingers into a fist. For the price of additional communication and nerves. Post-traumatic dystrophy in medicine is called Zudeck's syndrome. Most often, you are most likely to be injured by an exchange brush (up to 60%). Lead to a similar acceleration of early knowledge of the gypsum, applying a back-to-back tight bandage or an intensive shaping in the direction of the immobilization mode.

The whole syndrome is caused by a fracture of the interstitial cyst in a typical micturition of severe pain and an increase in the cause of an unhealthy slope. Pathological processes involve cyst structures and nerves & tissues... Sposter a strong quill, curl up the color from red to cyanotic, bristle swell crispness. Cope with accelerated drug therapy.

Before the negative manifestations of the fractures of the interchange of the brush, it is possible to zarahuvati in a typical work. In case of improper growth of the fracture, cystic callus is established. Cystkovy ulamki smoothen when rubbed, fixing an unhealthy joint or pseudoarthrosis due to a fracture. Destruction is seen behind additional radiography. On the sign you can see pathological fabrics and cracks and ulamami. Traditionally, the problem is violated with a surgical path.

In the middle of the acceleration of the fracture of the interchangeable cyst, it is rather difficult to develop synostosis - the growth of the exchange and the exchange of cysts. Posttraumatic synostosis is intermingled with decay. Look for an overly surgical method.

In cases of acute injuries, infection is not included. Ailments microorganisms shvidko multiply in soft fabrics... Mikrobi zdatnі viclikati gnіynі zapalennya and ruinuvannya of stocks. Osteomyelitis is especially important for the accelerated fracture. The very thing is not going to go into an open reposition in the case of injuries, as there is no need for it. The importance of the large number of episodes of post-traumatic osteomyelitis is connected with the surgical treatment itself.

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