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Changes of a head and neck of a beam bone
The fracture of a beam bone arises when falling the person on the unbent straight arm, at the same time the head of a beam rests against the location of a capitate eminence of a shoulder. Frequency of such changes makes up to 15% of all fractures of a skeleton and a fracture of edges and takes the 2nd place among all changes in an elbow joint of a hand. Especially often such changes occur at children.
In case of such change on a hand apply a bandage from gypsum a long time (usually from one and a half to two months) and that beam talipomanus did not develop, after removal of gypsum carry out treatment of a fracture of beam bone for the purpose of recovery of functionality of a hand.
Changes of separate parts of a beam bone most often happen when falling the person arm-distance, at this forearm deviates knaruzh. In this case the head of a beam brush puts in the center of a capitate eminence of a shoulder, and the cartilage is injured.
Changes of separate parts of a beam bone are divided on splintered when there is a shift of splinters, to shift and without the shift of fragments of the broken bone, and also regional and cross.
Symptoms of a fracture of beam bone
In case of a fracture of a beam bone, in the field of a head of a bone the swelling, and area where the elbow joint is located is observed, it is increased. Patients complain of pain in this area, and the palpation strengthens it. The usual movements – bending and extension of a hand, and also rotation of a brush is very limited, and bring painful feelings.
However the diagnosis "a fracture of a beam bone", that is the main parts – necks and heads, put after survey and carrying out the roentgenogram.
If in time not to address the doctor – the traumatologist or the surgeon, then bones can incorrectly grow together owing to what the extremity will not be able to function after a change as earlier, and at open changes the infection can be brought and begin suppuration.
Treatment of a fracture of beam bone
If the fracture of a beam bone, her neck or a head occurred without the shift of fragments, after anesthesia of the place of a change, the bandage from gypsum from phalanx joints of fingers to slightly higher than the middle of a shoulder is applied, and the hand at the same time is bent in an elbow by 90 degrees, and the brush is turned by a palm to a body. It is allowed to move fingers usually in several days after imposing of a plaster splint or after symptoms of a fracture of beam bone disappear.
In case of a change about the shift of a neck of a beam bone it is necessary to make reposition (reposition) of fragments of a bone also. In the provision of extension the doctor carries out draft on a forearm axis, pressing at the same time on a bone head (inside and back), at this forearm is bent by 90 degrees, and fix the plaster tire for 3-6 weeks. If the control roentgenogram showed that fragments were displaced, then they can be recorded a spoke for 2-3 weeks.
At the shattered or regional change, at the shift of fragments of a bone, operational treatment is carried out. Carry out a bone head resection, using posteroexternal access. The head is deleted completely even at regional changes, leaving at the same time a ring sheaf. After operation carry out a hand immobilization by plaster bandages for 3-4 weeks. To children the head of a beam bone is not deleted not to remove also region of growth. To young people along with a resection carry out also endoprosthesis replacement then fix by means of gypsum for 1 month.
After removal of plaster bandages physiotherapeutic treatment (fonoforez a hydrocortisone), special physical culture, massage and various thermal procedures is appointed.
Section: Orthopedics and traumatology