Fracture of the radius. Diagnosis and treatment

Fracture of the radius is not so commonrarely. I must say that most often it is observed in the elderly. In general, such a trauma is characteristic of a fall on an outstretched hand. Especially if a person starts to rely on the palm of your hand. In such cases, a fracture with a shift in the direction of the thumb or the back of the hand is usually formed. Often a similar type of traumatism occurs in women who are in the state of premenopause, because in such cases, the density of bone tissue begins to decrease, and they become brittle. Also, such troubles occur in the winter, especially during the ice.

Rarely, fracture of the radial bone, withwhich the fragment begins to shift to the palm of your hand. This type of injury is called "Smith's fracture." Fracture of the radius of the wrist usually occurs at a distance of 2-3 cm from the wrist and in most cases occurs with detachment of the process of the elbow bone. And this significantly worsens the process of splicing.

Treatment of such an injury usually comes down torestoration of integrity and bone anatomy. As a rule, it can be surgical, operative. The treatment option is selected depending on the injury received, as well as the degree of displacement of fragments, the presence or absence of fragments and damage of a concomitant nature.

The primary signs for a fracture aresevere pain at the site of injury, edema of the limb, as well as some deformity of the hand that can be seen with a simple examination. Although a correct and accurate diagnosis can be made only after radiography. If there is a punctured fracture of the radial bone, i. E. fracture without displacement, then a damaged limb is impregnated with gypsum lingeta. Its superposition usually starts from the base of the fingers of the injured arm and ends with 2/3 of the upper forearm. As a rule, in young people, the bones coalesce very quickly, therefore in about a week such patients can be prescribed therapeutic massage and physiotherapy. In elderly and elderly people, healing is much slower, due to the age-related deterioration in the composition of bone tissue.

However, this is only true iffracture of the radial bone occurred without displacement of the fragments. If all the signs of displacement are present, then the fragments are first combined, and only then the plaster is applied to the damaged limb. The period of wearing a plaster bandage in this case is not less than a month.

Meanwhile, in the treatment of fractures oftenthere are medical errors that may be associated with insufficient diagnosis of the injury, wrong choice of the treatment method, as well as patient's indiscipline during treatment.

All these cases can sometimes lead to seriouscomplications, the results of which are disability and even partial disability. In principle, the complications are divided into late and early. Early complications are characterized by the presence of open purulent wounds at the site of fractures, as well as disorders and dilations of the vessels. Later complications are associated with deformation of bones at the site of the fracture.

If the fracture of the radius is unstable and canany time lead to a secondary displacement of fragments, then in this case, surgical treatment is performed. In this case, the fragments are securely fixed with metal spokes, and fixation is carried out through the skin. In some cases, osteosynthesis using special plates is used. However, if the patient is in advanced age, then surgical treatment of such fractures is associated with certain risks. After removing the plaster bandage, the patient is prescribed a massage and limb movements in warm water to restore her mobility.