Chi can not remember the fracture of the promeneutic cyst. Fracture of promeneutic cyst in a typical case: description, symptoms and peculiarities of healing. Rehabilitation after a fracture of the promeneutic hand

Zakritiya fracture promenev brush may be a last fall, an accident, a strong blow. The frequency of fractures increases in women after the onset of menopause. Renewal of the replacement brush after the fracture is carried out for 4 hours 5 days. Sob the cyst grows properly, they bring the tricks closer, the hand is fixed with a plate of plaster. In case of evil, it is necessary to bring to the operation.

Promeneva brush (promin) - one of the brushes to the human body. Zovni von maє the shape of a long thin tricout tube with a sweater at the ends near the rounded heads. At the end of the brush, brutalized to the wrist, there is a thin and old windmill, which is called awl-like. On top of the change is a shorts. There are furrows on it, which have nerve trunks. Zones, to which the m'yazovі tendons, also short ones, are attached.

Together with the brush of the brush, the hand-stitched one, it forms the brush base of the front. Promin make up two drifts:

• promenezap'yastkovy - white of the basis of the brush;
• liktovy.

The brush is not the same in diameter throughout its length. Її kіnets, directing at the bіk kistі is signifi- cantly the same, lower than the one that marvels at the bіk lіktya.

Cause

By itself, the promeneva of the brush is to be delivered to the hardest denouncements, as it is not so easy to think. However, it seems to be in the mood, if the outer strength is significant, and the tassel, for its own mentality, appears weak for it. It is possible in such situations:

• in case of automobile and transshipment tragedies;
• when falling on hard ground;
• when hitting a significant force without a middle on the zone of the promeneutic brush.

Such unacceptability, like a fracture of the promenus cyst, can be the result of a sudden landing on a straight arm. In young people, such misfortunes are more often trapped by people, stinkers of stink often do important physical work, take their fate from sports behemoths. After 40-45 years of tse spivvіdnoshnya change to the female side. Spriyaє tsimu osteoporosis (intake of calcium by the bones), which affects the female organism during menopause.

Like fractures are sharpening

A skin fracture of the promenitis cyst may be a special feature. To more accurately characterize the features of the skin, they are usually divided into the following groups:

If the blow is even stronger, the brush may break apart not so in two parts, but in a richer quantity of ulamkiv. Todі talk about a comminuted fracture of the promeneutic cyst to the displacement. Sometimes blamed for a fracture between the ulnar cyst and the displacement. However, due to the frequency of injuries of the promenus cyst, fractures are more important typical misc(Fracture of the distal metaepiphysis).

How to recognize a fracture

It is possible to suspect a fracture of the promenus cyst without usunennia for typical symptoms:

• viniknennya pain in the hands immediately after the blow or fall;
• appearing in front of the face;
• the appearance of blue at the strike zone;
• crackling (crepitation) ulamkiv;
• changing the contour of the hand.

It hurts after a fracture of the promenitis cyst severely. Sometimes injuries are covered with sweat, yoga is thrown at the fever, the head starts spinning. The person can be irritated. Became stronger with the least torn with fingers, inspire the least Russian with your hand. In case of a fracture of the promeneutic cyst, the trochs calm down, as if the hand was lying on a smooth surface without movement. It also helps to apply cold to the injured hand.

The build-up after a fracture of the promeneutic cyst grows almost to the point. The hand wears its natural contours, becomes larger in size, equal to healthy. The skin of the injured kіncіvka becomes pale, under it the little judges cease to be seen.

The breeze thrives with the blues over the bone of the fracture. The back of the hand is right blue, the color changes from green to yellow color.

Sometimes, with a fracture of the promeneutic cyst of ailments, you feel the names of the fingers, you feel goosebumps on them, lightly tingling. It is also possible in quiet situations, if the nerve is entangled, to pass the instructions from the injured brush.

An ailment cannot ruhati with his hand like before an injury. In the first place, you do not allow me to grow up, in a different way, the broken brush ceases to be a superb support for the m'yaziv, and the stench is expended building work on equal strength.

Fracture of the broken ulamkiv

Closing a fracture in exchange for the displacement is considered by him, that the cyst is laminating along the entire diameter, and at least two knots are established. M'yazi, yakі for the help of the tendon, fasten to the brush, begin to squirm and pull the cі ulamki in different sides, the ulamki are separated far from one to one. Mzhe them may appear m'yaz, scho suttavo complicates the exaltation of patients from such fractures.

In case of a fracture of the promenopausal cyst, signs of injury are added to the deformity of the hand. Under the shkiroy, remember the tricks. The front of the injured hand becomes shorter in the arm with the healthy hand. The brush is limply lowered down;

Vidcritiy fracture

A wound is established on the ridge above the crest of the fracture. At the depths of the її you can see the m'yazi, the tricks of the brush, you can see the roof. Vіdkritiy fracture not safe Tim, scho through the wound vglyb can consume sickly microbes, drank, more particles that provoke purulent inflammation.

Driven in fracture

Recognize a folded broken fracture. Ailing for such a fracture of the promeneva cyst turbuє bіl. Like tricks hammered in, in front of an ailing hand can become short, lower healthy.

How to make an accurate diagnosis of a fracture

For a doctor, to make an accurate diagnosis, one glance at that sickness is not enough. Vіn assign radiological obstezhennya traumatized area.

On the mark, the outline of a broken brush is marked, as if the stitching of її ulamka, their size was expanded.

Such procedures for treatment of such an injury, like a fracture of the promeneutic cyst, should be brought to vikonate kilka:

• to put correct diagnosis;
• to control, how to set up tricks after applying plaster;
• evaluate how much the cyst has grown.

To better look at everything, to make signs - images in front and on the side.

Celebration

Jubilation after such an injury, like a fracture of the promeneutic cyst, is composed of stages, inappropriately related to each other:

• nadannya indispensable help at home;
• qualification of treating a fracture in a medical clinic.

In addition, it will be right to give some help at the hospital in case of a fracture of the promeneutic cyst, detrapilos at the cost of misfortune, maybe a healthy patient in the future.

How to help the victim

As if the share was good enough, if a person, as if he did not have a good start to medicine, showed up unfortunate with a fracture of the promeneutic brush, there can be such a thing:

Unfortunate from the first whilins after injuries begin to try strong bill, as it becomes simply unbearable with the skin, to inspire an insignificant Russian. The overlay of the tire is true, the shards help to fix the tricks of the brush:

• so that they did not injure the judges and nerves to pass the order;
• change bіl.

The tire can be made from a mustache, which can be seen under the hand - a straight needle, a line, a slotted piece of cardboard, a thick bunch of khmizu. You can tie the tire up to your hand with a bandage (like a wine to lean under your hand), a belt, we will tear it up with a cloth for a long time.

It is important to remember a few simple rules, so that you can put a tire on correctly and not harm people:

• as if the arm is bent at an unnatural position, it is not necessary to bend the splint in the shape of a bend in front of the shoulder;
• if there is a wound in the area of ​​a fracture, it is better to cover it with a clean cloth (servette made of gauze, a bandage), so that nothing is wasted there;
• as if there is blood from the wound, it is necessary to heal.

How early to wash the tricks of the brush and go to the blood, do not put pressure on the wound, sob to heal the blood. The vessel needs to be squeezed, stepping into the wound by a sprat of centimeters.

The tire must be placed closer to the broken arm. It is important to transfer the injured hand to the splint more carefully, so that you can put the tricks even more. You can put a piece of clothing under your hand, whether it be natural fabrics, so that nervousness does not stick into the skin. It is necessary to tie the tire so that the hand is strongly pressed to it, the prote does not squeeze too much.

As long as the car doesn’t come to help, it’s important to guard for sickness, so that you don’t get sick, the new one’s head doesn’t spin. Don’t forget that if you have ailments with a fracture of disturbances, you should sit or lie down, you will achieve this body step by step. Especially as a tragedy, in the cold season, dobi aboroka, importantly wrap the sufferer with a warm cloak or blanket.

Help at the clinic

The trivality of jubilation of a fracture of the promenade cyst is to lie in the term of the growth of the promenade cyst. Sob it happened, and the hand of the next one continued to override all functions, it is necessary:

In case of bad luck, you can put the brush on the doctor by hand. After that, on the hand of the injured person, a mica bandage from plaster is applied. Vaughn allows you to create a calm traumatic hand. Tse main vimoga, yaku need viskonati, schob fracture zrіs.

Sometimes I set up tricks by hand so that the stench as close as possible to one to one is impossible, and it is impossible to go into surgical treatment of a fracture.

Fixation of ulamkiv with knitting needles

For the help of a special apparatus, a hole is drilled through the skin and a metal needle is inserted. Vaughn pryvinchue tricks to the brush. In such a way, one can recognize a cyst such as it was before the fracture. The doctor takes that amount of knitting needle, for you need it in a particular mood. The patient with confusion wears a cast for at least one month.

Jubilation of a fracture of the promeneutic cyst due to misalignment in such a way may have one shortfall - the tip of the spoke is overlaid over the scabbard. Infection and inflammation can penetrate through the spokes into the brush.

Vikoristannya plates

In the operating room, traumatologists cut the tissues of the hand and bring the cues of the brush together one to one. Fix them for the help of medical plates made of titanium. They are nailed to the brush with self-tapping screws. Then sew the wound. Titanium plates are more than a stone and show great excitement. In addition, the stench does not call for allergic reactions.

This kind of likuvannya helps healers reach a good recovery of the brush. The corn for such a jubilation is small and the robotic hands of the future will be changed. However, for such a technique of treatment, the doctors of confusion require one more operation - if the cyst grows, it is necessary to remove the titanium plate.

Zovnishnya fixation

A brush is drilled through the skin with a special drill and needles are inserted into it. One end of the call. If all the spokes stand at their places, a metal apparatus will come to them. Fixation of the ulamkiv in the wake of such attachment.

How long is it necessary to wear a cast

How long is it necessary to wear a cast in case of a fracture of the promeneutic cyst? In order for the cyst to grow normally, gypsum in case of a fracture, it is necessary to wear it for at least a month, or to wear 5 tizhniv.

For the first few days, a splint is applied to the injured hand - a plaster groove. It is necessary to work for the one who has swollen his arm after a fracture. From the moment, if it comes off and the tip is filled with its cobs, the splint is replaced with gypsum, so that the hand is curled along the whole stake.

Usunennya hurt that in full. Especially the back of the hand after such an injury, like a fracture of the patient's promeneutic cyst, to torment more and more of the swollen hand. To ease suffering, to take painkillers in pills or injections. Prote bіl change, like to apply cold to the hand.

To change the tightness, the hand is trimmed on the top of the hand. If the patient is lying on the bed, the hand is guilty of lying wider behind the toelub (for example, on the pillow). How to walk - rather trim your hand, tie it on a bandage to the neck. That very cold allows you to change the blur.

Yak come u form

How to open a hand after trivaloly idleness in case of a fracture? Trying the idleness of the hand led to the waste of a lot of rightness. Therefore, the timely rehabilitation after a fracture of the promeneutic cyst, especially for the adopted ones, is very important.

Already for a few days, I felt it, and I recommend that after a fracture, just straighten your fingers. Every year there are a lot of such revolutions. If the cast was taken, the patient begins to actively fix the right LF in case of fracture of the promenade. Gymnastics is practiced at vikonanna, whether it be simple rukhіv with fingers, two sacks at the bottom, squeezing humic toys, sticky plasticine figurines. You can watch the video in detail about the description of the procedure after a fracture of the promeneutic cyst.

complication

Such a fracture will always end with new clothes, and with a more complicated development. The stench can be blamed without intermediary at the moment of the fracture, and those that develop over time and the cause of these flocks are incorrectly exuberant.

At the same time, the cyst can be injured:

• nervous;
• blood-bearing judges;
• tendon m'yazіv;
• the m'yazi themselves.

Incorrectly grown fracture, as if the tricks of the cyst were not set exactly, they are accompanied by the formation of a great cystic callus. Tsya callus begins to put pressure on the nerve, judge, tendon. The function of the hand is destroyed. In case of a severe fracture, the spokes of the coal can get infection and develop osteomyelitis. As if the brush was laminating, it was ripped out under the capsule of the loam, and the blood was shedding on the empty, causing the contracture of the loam.

Gіps can be overlays too tight or more trivaly hour. The bandage is crushed on the skin and the m'yazi of the hand. Shelter for them to come closer, nerves spend building up to send their impulses to the m'yaziv. Just don't remember, a person can become disabled through a m'yazovu contracture. As a result of an incorrect treatment, a possible development of Zudek's syndrome (a loss of friability in loams), molding of a hive loam.

In the winter period, the number of injuries to the musculoskeletal apparatus increases. One of the widest types of fractures is a fracture of the promeneus hand.

Fracture of the head of the neck of the promeneutic hand

Promenev's brush is a non-ruhoma long tubular brush, ripped in the front. The head of the cyst is sealed by the upper part, and the troch below the head is the neck - the part of the brush is sounded. Fracture of these parts of the brush is most often seen during a fall, with an emphasis on the pulled arm.

In case of a fracture of the head of the promenopausal cyst, the cartilage is often damaged, and the injury is not diagnosed. The shrinkage of the cartilage can lead to a change in friability in the loam. Classify fractures of the head without usunennya, regional fractures zі zmіshchennyam, і navіt razdroblenі fractures.

Symptoms of a fracture of the head of the promenov cyst є:

• bіl at suglobі, scho posilyutsya at sprobі ruhіv;
• exchange of goods;
• swelling;
• hemarthrosis (bleeding in the snow).

Clinical manifestation of a fracture of the neck of the promeneutic cyst:

• bіl і іktіvі suglobі;
• swelling in the dilyance of the shoulder-promeneus joint;
• obmezhenіst ruhіv.

Fracture of the neck can be caused by damage to the axis of the promeneutic cyst and congruence (the appearance of the loamy surfaces) at the shoulder-promenade joint without such damage.

Fracture of the distal promeneutic cyst of the hand and wrist

Fracture of the distal (lower) joint is more common in women and in women, mainly when they fall on the twisted arm. Fracture of the distal joint of the promenitis cyst is classified into two types according to the nature of the usunennya ulamkiv:

• rosginal (collis) - if the sound of the distal end is in the tilny bik;
• zginalni (Smіta) - if the displacement is at the bottom of the valley.

This type of injury is characterized by the following signs:

• bіl at promenevo-zast'yastkovom gloomy, scho posilyuєtsya at sprobі ruhu;
• damaged sensitivity;
• bulge that deformation of the tiled side of the brush.

Poshkodzhennya Galeazzi

The injury is a fracture of the promeneutic cyst in the throat and the middle part, with any displacement of the lower ulamku and dislocation of the head of the ulnar cyst in the wrist. Such a fracture can occur under the hour of a fall on a twisted arm, upon impact.

Symptoms of urticaria Galeazzi:

• significant swelling, deformity that was at the wrist in the lower third of the front;
• impossibility to move the brush and face it.

Celebration of a fracture of the promenade hand

In case of fracture without usunennya ulamkiv to be carried out conservative exuberance, like a pole at the overlaid gypsum splint to reach the anatomical reposition and fixation of the ulamkiv. The term for laying on plaster becomes 4 tyzhnі.

In case of damage to the lower back, the reposition of the ulamkivs (after anesthesia) is carried out. Next, a plaster cast is applied to that tire. At 5 - 7 days after the decline, an x-ray is taken to control the secondary displacement.

With a tendency to secondary displacement, surgical insertion is carried out, in which one of the methods of osteosynthesis is used - with needles and plates.

Rehabilitation after a fracture of the promeneutic hand

The hand after a fracture of the promeneutic cyst is approximately after 1.5 - 2 months. In the first days after injuries, to reduce pain and relieve swelling, you need to use UHF and ultrasound. Also shown are the legends physically right with the method of reducing blood circulation and preventing malignant hypotrophy.