A child's arm fracture
Author: Pediatrician O.Sazonova.
Children lead a more active lifestyle and therefore injuries in childhood are quite common. It should be noted that this kind of injury, such as a fracture of the hand, can occur with a mild domestic, sports or street injury when falling from a height, during classes in the sports section, running, walking, playing in the playground or at home.
According to the statistical data of children's injuries - fractures of the bones of the hands in children are more common than the legs and the most common localization of fractures are the bones of the forearm and the elbow joint. Severe multiple trauma in childhood constitutes from 2.5% to 10% of all injuries of the musculoskeletal system and are most often encountered when falling from a high altitude or an accident.
In general, the specific features of fractures in children are due to certain factors related to the peculiarities of the musculoskeletal system of the child's body: the periosteum - the membrane covering the bones from the outside, is better supplied with blood and thicker, and the bones contain more organic substances and have zones of bone tissue growth. Therefore, most often fractures of limbs in children occur in the type of fracture of the "green branch", while outwardly such a fracture looks like a broken and bent bone. A distinctive feature of this type of injury is a one-sided fracture with little or no displacement, due to the fact that the dense periosteum retains fragments of the bone.
But along with this it should be noted that a fracture of the hand, transferred in childhood, can have serious consequences in the future, due to possible damage to the area of bone growth, which is in the immediate vicinity of the joints. Therefore, damage to these zones can lead to premature closure, with the formation of curvature or shortening of the limb in the process of child growth. Also, unlike adults, children often have damage to the outgrowths on which the muscles are attached, and the fracture of the hand in this case will be combined with the detachment of the ligaments and muscles from the base of the bone. But at the same time, the children's bone tissue fuses much faster than in adults, which is due to a good blood supply to the periosteum and a faster process of corn formation.
Symptoms of a broken arm are severe pain, swelling and swelling at the site of the injury, sometimes deforming the arm. If a fracture is suspected, movements of the injured limb are impossible, and any change in the position of the arm increases the pain. On the skin of the injury site, after a few minutes, hematomas appear. Therefore, with a minimal suspicion of a fractured hand, the child needs an urgent consultation with a specialist.
It is necessary to know that the first aid at the pre-hospital stage and for the prevention of complications are fixation and immobilization of the limb, as well as adequate anesthesia. To fix a hand it is necessary not only on the injured site, but also in neighboring joints, by applying a tire from improvised materials - a ruler, stick, straight branch, which will reduce the risk of further bone displacement and reduce pain. Even if the hand looks unnatural, you can not equalize it. A fracture of the hand compared to a hip fracture in children is likely to cause less physical effort in the doctor, but in the absence of a complicated fracture. With an open fracture of the hand, bleeding is often enough. In this situation, it is necessary to stop the blood and apply a sterile bandage.
Parents need to know that only a timely request for medical help and a comprehensive examination of the child can avoid serious complications in the future, properly treat the fracture and achieve a speedy recovery of the child.
author: doctor Zhilyuk V.Yu.
It's not so difficult to break a little finger on your leg. It can be damaged by playing football. On the little finger can step on the bus. You can break a finger at home by hitting your foot on a stool. Even on the flat floor, having tucked a leg, you can earn a fracture of the little finger. This injury is not fatal, but still quite unpleasant. It would seem, a trifle - "just" little finger. But even such a seemingly insignificant damage can damage your life.
author: doctor Krivega M.S.
Rehabilitation after an ankle fracture should begin when the person has already undergone surgery (if there was a displacement of the bone fragments) and put a plaster cast, or if there was no displacement, immediately after applying the gypsum. Exercises performed during this period should help reduce soft tissue edema, improve blood circulation and lymph drainage, which should accelerate the coalescence of bone fragments.
author: surgeon Denisov MM
Currently, trauma and surgical practice is very common, such a trauma as a shank fracture without bias. The thing is that despite the very developed ligamentous-muscular apparatus of this part of the human skeleton and the strength of the bones themselves, this region sometimes has very heavy loads and physical impacts. And, thus, depending on the place of damage, there are: a fracture of the condyles, diaphysis of the bones of the lower leg and ankles.
Author: Rudenko M.G.
The most common fracture of a radial bone in a child is a fracture of the radius in a typical place, or simply a "ray fracture in a typical place," as doctors call it. This is due to the fact that in this area there is practically no cortical layer that covers the bone from the outside and provides its strength.