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» Fractures of the middle third of the forearm bones
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Fractures of the middle third of the forearm bones
Fractures of the diaphysis of the forearm bones are common and comprise up to half of all fractures of the upper extremities in both children and adults.
The cause of the fracture is usually a direct blow to his hand, falling on a straight arm, forearm compression. There are fractures of the radius alone or ulna or fractures of both bones together.
Isolated fractures of the radial head dislocation is often accompanied by the ulna, and, conversely, isolated fractures of the ulna accompanied by a dislocated radial head.
Fractures may be:
transverse
oblique
comminuted.
The displacement of bone fragments can be very different direction. Patients complain of pain, swelling, bruising in the area of the fracture. Deformation of the hand is detected. Displaced fracture is usually characterized by shortening of the affected limb. Movement of the brush dramatically painful.
Treatment. Spend the fracture analgesia. If the X-ray examination revealed no displacement of fragments, or it is a small, superimposed on a hand cast from the middle third of the shoulder to the base of the fingers.
The term of immobilization ranges from 2.5 to 3 months. If the displacement of large fragments, their comparison is carried out by private, if possible. In comminuted, fragmented fractures, or, if you can not compare the fragments, conduct surgery. For fixation of bone fragments used plates, pins or transosseous osteosynthesis with the Ilizarov fixator.
