The broken arm with offset these days is quite often. It is easy to determine even by clinical symptoms. Severe pain, impaired mobility of the upper limbs, pronounced swelling of the typical symptoms of the disease.
The mechanism of occurrence of fractures hands offset a fall on an outstretched hand. Of course, his self one will not be engaged, but if there is an injury of the hand it is important to promptly seek specialized medical help. Due to heavy bleeding and blood clots in the affected area after repositioning (setting them in the correct position) of the bone may not be observed callus formation. In the long term, this situation is fraught with grave consequences, and the trauma will be forced to use operative treatment.
Classification of fractures of the hand:
- Open fractures of the hand– damaged not only the bone but also the skin.
- Closed fractures of love – the skin stays intact.
Hand fractures with displacement are dangerous because when they occur the movement of the bones, which increases the size of the lesion to the surrounding tissue. May damage major blood vessels and nerve tissue. In such a situation it is difficult to count on the perfect job of the limb after healing of the bone tissue.
Often traumatic injuries of the hand completed the COLLES fracture. Surgeons call it a “fracture in typical place.” There is indeed a specific place of the radius in the lower third, which upon impact breaks down most often. Due to the proximity of the wrist joint pseudoarthrosis bones in the “typical place” leads to limitation of movement of the brush.
A fall on a stretched hand may end with a “double fracture”. It is observed fracture of radius and ulna in the lower third. Clinically trauma of this pathology determines the sagging of the brush and shift it in a certain plane. The treatment of “double fracture” in most cases, requires a metal osteosynthesis (set of knitting needles or metal plates).
Symptoms of arm fracture with displacement
Symptoms of arm fracture with displacement significantly depend on the type of damage and its location. In most cases, evidence of the following:
- Growing acute or dull pain.
- Swelling of the upper limb.
- Deformity of the hand or joint.
- Pain on palpation.
- Unusual position of the upper limb.
- Free sagging hands.
A special relationship deserves a cooling of the upper extremity after injury. This symptom is caused by disturbance of its blood supply. Rupture of large arteries in this situation is fraught with loss of blood. Then the victim in the first place is on the intensive care bed due to loss of consciousness. First, professionals need to stop the bleeding. You may need cautery or suturing of the damaged vessels. Better this manipulation to hold together with reposition of the bone fragments, but not always, the experts can perform as a result of complications after a fracture or severe conditions.
There are people from a risk group who are prone to such fractures. Contact sports (football, hockey, martial arts) often lead to damage of the wrist therefore, while pursuing it, be careful.
When skating, the bike needs to learn how to fall in the. You should not put hand forward for support in the fall. She will not be able to withstand the weight of the body.
Treatment of fractures of the hand offset
The most common among traumatic injuries of the hand with the shift doctors are faced with the COLLES fracture. In this situation, if the provision of first aid to be placed on the affected bus, which can be made from scrap materials. Be sure to sit the person down, because severe pain and anxiety will lead to loss of consciousness. Call an ambulance or take the person yourself to the hospital. Self transportation is needed to sit or lay the victim so that the limb did not move.
If displaced fracture happened in humans of advanced age, it should be given analgesics (Baralgin, Analginum) that will remove the pain.
After delivery of the victim to the hospital, the trauma will set bones in place. For their fixation in most cases the use of a plaster cast. Control of standing fragments is carried out using radiography. In case of re-displacement, the specialist may re-correct the location of the bones or assign surgical treatment.
Surgical treatment of a broken arm with offset
Operative treatment of fracture of the hands is required in rare cases. If there is no bias, usually to set the bones in proper position manages splint. When the trauma surgeon advises surgical treatment, then, he suggests that to align the bones in the correct plane immobilization will not succeed. A consequence may be pseudoarthrosis of the hand and chronic the traumatization of the nerve. When this pain occurs constantly at the slightest movement, and get rid of them in a simple pill will not succeed.
Surgery is usually performed within the first two weeks after fracture. During this period callus has no time to form. With proper mapping of bones, the damage will heal in 3 weeks. When you cast several deadlines are extended (up to 1.5 months), since it is necessary to develop a limb that has been immobilized. Rehabilitation after fracture involves gymnastic treatments, physiotherapeutic techniques.
What is the surgery for the broken arm with offset
The essence of the operation in the fracture of a hand with bias – correct matching of the ends of the bones with the needles or metal plates. To improve callus formation and trauma surgeons cleanse the articular ends of the bones and fix them. In severe fractures with displacement often have to replace the defective bone tissue with artificial materials. The whole structure is firmly fixed by screws, plates or special designs immobilizerpower unit (Chronos). They are removed after the formation of a solid fusion mass. If the bones heal properly, after three months, the line of fracture be distinguished from the whole structure on the radiograph is not possible.
After operative reduction of the fracture, the victim spends in a hospital bed, on average about 2-5 days. At a normal feeling and there are no complications, he will be discharged from the hospital dispensary under the supervision of the local trauma. The task of this specialist is to monitor the position of the bone fragments, occasionally to correct a plaster bandage and remove in the formation of a solid callus at the fracture site.
Rehabilitation procedures fracture of a hand
In a classic case of rehabilitation after a broken arm lasts a few months. Its term depends on the injury and severity of fractures. If people observe the recommendations of doctors, the healing time is significantly accelerated. You should note that in fractures of the hand with shifting specialists develop individual treatment regimens. The special importance they attached to the development of the hands. There is a set of exercises that allows you to quickly bring the limb to a healthy state. It should run, overcoming a slight pain, but rare patients like it.
- Flexion and extension of the hand with resistance.
- Clench the fingers into a fist, holding a small piece of clay.
- Rotation outside and inside of the forearm.
Thus, a broken arm offset, on average, heals in 1 month. The term strongly depends on the type of injury of the upper extremity, the severity of bias of the selected treatment methods. As a result, should not delay the time of referral to a specialist after hand injury.
Video: Hand Fracture with offset – treatment and rehabilitation