Surgical treatment of a fracture of a radius with displacement, on video - gymnastics for fingers
Sometimes, and with closed fractures, bone fragments are so unsuccessfully located that it is impossible to precisely combine them without a surgical incision. Otherwise, the hand will grow together incorrectly, which will lead not only to deformation of the wrist, but also to its poor functioning.
Surgical incision is made so that the doctor can get direct access to the broken bone and combine its fragments.
Depending on the type of fracture, different variants of bringing the bone to its normal position are used:
- Bone implants.
- Metal( usually stainless steel or titanium) pins.
- Plates and screws.
- External retainer( the main part of this device is on the surface of the arm, however, its base keeps the bone fragments in the correct position, contributing to its exact fusion).
- Any combination of these methods.
Open fractures of
With an open fracture of the wrist( as with any other open fracture), it is desirable that the surgical procedure be performed as soon as possible, and certainly no later than 8 hours after the injury.
This condition is justified by the fact that at any open fractures not only the bone but also soft tissues are damaged. In addition, an open fracture quickly becomes infected and therefore, before the operation begins, the injured person is prescribed antibiotic therapy.
During surgery, if soft tissues are severely damaged, doctors prefer the use of both internal and external fixatives. Sometimes the operation is carried out in stages and first fix the arm outside, and after a few days, after the intensive antibiotic therapy, the second operation is performed, during which the internal fixation of the bone with plates and screws is performed.
Since the types of fractures of the distal radius are very diverse, and there are as many options for their healing, traumatologists prefer to assign individual treatment to each person.
But there are common rules for all fractures, through which bone healing is faster, is:
- Keep the fractured limb so that the fracture site is above the heart line.
- To reduce pain and inflammation, take ibuprofen and acetaminophen.
- Ensure that the plaster does not become large( due to the reduction of edema) and if this happens, then go to a medical facility to replace the old bandage with a new one.
- Do not wet the gypsum or tire applied to the damaged limb area. During showering, wear a cellophane bag on your arm( leg) and carefully fix it with adhesive tape. And if suddenly some part of the gypsum( tires) gets wet - dry it with a hair dryer.
- Those who had an open fracture, the wound can not be wetted until the doctors remove the stitches.
After the cast is removed and the wounds healed, the main thing to focus on is a therapeutic gymnastics aimed at restoring the movement in the fingers. Moreover, recovery should occur in the first 24 hours, and if this does not happen, it is necessary to immediately call a physiotherapist.
The inability to completely move your fingers because of severe pain can be a sign of a complex regional pain syndrome( reflex sympathetic dystrophy).
Complex regional pain syndrome is a chronic neuropathic pain that occurs against the background of damage to both soft tissues, bones and nerves. This syndrome is diagnosed on the basis of available symptoms. Previously, this pathology was called reflex sympathetic dystrophy .
For unknown reasons, complex regional pain syndrome often occurs in women of young age.
A common complication is posttraumatic arthrosis of the joint.
Developing gymnastics for fingers( video)
Most of the victims will recover completely from a fracture of the wrist and return to the habitual way of life. However, the nature of damage and the peculiarities of the organism of each individual can make their own "corrections" and in some people who have suffered a fracture of the wrists of people, the brush is not fully developed.
Problems with the wrist, after the bones have grown, can last from 1 month to 2 years.
Active sports games( skiing, football, etc.) can be resumed after 3-6 months after removing all the locks.
If the wrist fracture is caused by osteoporosis, then the treatment and prognosis will correspond to the underlying disease.
After the period of imobilization, the patient begins rehabilitation after the injury. After the cast is removed, he is prescribed therapeutic gymnastics, physiotherapy and massage. As a rule, in order to reduce the exercise load, it is recommended that they be carried out in warm water.
Before starting to go to the gym, doctors recommend that perform the flexing and extension of the elbow joint for several days in order to avoid discomfort.
Rehabilitation of the hand is simply necessary, otherwise the place of the injury will hurt for a very long time. To help the patient cope with unpleasant sensations, massages with the use of gels and ointments help to activate metabolism in the damaged site, so that the healing process goes faster.
Rehabilitation is always a patient process for the patient, requiring perseverance and patience. Actions that contribute to recovery should be carried out consistently and systematically, so that they bring the proper effect, while the duration and amount of the load does not increase.
Methods of influence
The main methods of influence are the correct approach to the rehabilitation period. Such funds are appointed by the doctor, the motor condition of the patient, his general condition, and the period of the illness. The funds are appointed taking into account the three periods that the victim passes:
LFK in different stages of
In the first immobilization period, the tasks of exercise therapy are: teaching the patient the skills with which he can help himself, preventing muscular atrophy, difficulties in mobility in the joint, as well as a restorative effect.
Recovery after fracture of the radius can not occur without the use of exercise therapy, which at this stage of recovery consists of 75 percent of respiratory and general development exercises and 25 percent special, designed for the damaged surface.
Exercises for a damaged limb are aimed at developing the elbow joint, fingers, forearm and shoulder muscles. The patient performs them in a sitting, lying or standing position. Among the whole complex, you can single out independent exercises, morning exercises and therapeutic exercises.
Therapeutic physical training in the second period is aimed at restoring the motor functions of the damaged joint. In this period, about 25 percent of respiratory and general development activities and 75 specially designed for damaged bone. The list of exercises for the radius consists of exercises in water with resistance, with weights for the entire limb and individual joints. The duration of such classes in this period is from half an hour to forty-five minutes, both independently and with an instructor.
The third recovery period is characterized by the achievement of the following goals: restoration of musculoskeletal functions, elimination of complications, training of the whole organism as a whole. The essence of bone restoration consists in prescribing the patient general developmental exercises, which gradually need to be performed with burdening. Particular attention after the fracture is given to active games and occupational therapy.
Along with LFK, as a means for rehabilitation, use massage.
Fracture of the radius requires professional massage of the damaged surface. In the first, above described period, segmental-reflex is used, when special attention is paid to the fingers of the hand. In the second period, areas located below and above the injured zone are massed, using a variety of techniques.
In the third period, the bones are restored using electromagnetic laser therapy, mud therapy, balneotherapy, depending on the complications and the degree of their severity.
If to talk about massage of a radial bone as a whole, the first thing is necessary to work on the nearest to fracture departments, including a neck and a back.
Perform the massage by following the following non-complex exercises:
Stroking is performed by the palm or fingertips, performing circular motions.
As the means for rubbing the back of the fingers protrudes, which should be moved along the spine slightly pressing.
If the nature of the fracture allows you to use as a means for massage, tapping, vibration and stroking in the area of damage.
The area that undergoes the massage depends on the place where the bone is broken, if it's a brush, you should start the procedure with the shoulder. It is worth remembering that the closer to the damaged area, the sparing the pressure should be.
Do not intensively apply any rough methods for massage, it can cause the appearance of pain, in addition, such actions can affect the displacement of bone fragments.
Exercises for the load
If the exercises for fracture of the radial bone are performed independently, proceed as follows.
To begin with it is necessary to warm up the problem place of by performing flexion and extensor exercises. A damaged arm should be on the table, using a healthy one, you should lift your forearm and slowly lower it.
After such non-complex exercises, the forearm is placed at right angles to the surface on which it is located and perform circular motions. It is advisable to put something soft under the elbow when doing this exercise.
The only condition is the absence of a fracture in the elbow.
Then you need to stretch your fingers, by raising them, then turn your hand with your brush down and raise it. If such exercises cause difficulties, it is worthwhile to help yourself with a healthy hand.
Massage after a fracture of the hand
After the person has broken his arm, usually he is impaled with a plaster bandage or immobilized by some other method. Depending on the severity of the fracture, the arm in the cast may last from one to three months. During this time, it seems to dry out, becoming smaller and weaker. How to explain this phenomenon?
The fact is that the main factor of life is movement. In the long-immobilized hand, less blood and, correspondingly, oxygen falls. Oxygen is responsible for energy metabolism in tissues and is involved in virtually all processes of the human body.
In order to restore the former strength in the hand, a long rehabilitation process is needed, which includes:
- Gymnastics or exercise therapy,
Massage after a fracture of the hand helps to improve blood flow and energy metabolism in the injured limb, prevents muscle atrophy. Thanks to the massage, the damaged nerve endings are restored more quickly, and the pain syndrome decreases, which favorably affects the patient's psychoemotional background and accelerates his recovery.
When to start massaging?
Massage after a fracture of hands gives positive results at the earliest stages of rehabilitation. Therefore, it is recommended even when the hand is still plastered. Of course, dressings for the procedure are not removed, but massage is carried out in places bordering with gypsum. In addition to the injured hand, the muscles of the neck, the shoulders of the back muscles, are massaged. This is necessary because the nerve fibers on the arm begin at the level of the upper part of the chest.
How is this done?
Back and neck massage is performed with the help of rubbing and kneading with your fingertips. Tingling and shifting of the skin are applied. The spine is rubbed with the index and middle fingers of one hand on either side of the vertebrae. All the treatment options alternate with stroking, with which the massage begins. If there are no pronounced painful sensations, then after the skin is already warmed up enough, you can apply a tapping and vibrating massage. During the massage after a fracture of the hand, it is worth paying attention to a healthy arm. After the "exercises" for the back and neck go directly to the diseased limb.
Massage begins when the hand is still immobilized, so massage at the initial stage should be as gentle and gentle as possible. If you apply excess zeal and cause muscle contraction at the site of damage, you can move the matched parts of the bone.
Massaging the hand with a fracture of the bones of the brush begin as far as possible. First, the shoulder is massaged, then the forearm and, lastly, with the utmost caution, the zone around the bandage.
After the fracture of the radius, the massage also begins with the muscles of the back and neck, then goes over to the shoulder, then gently massage at the site of the injury followed by a transition to the brush. In case of a fracture of the humerus, the beginning of the procedure is similar to the previous variants, with a subsequent extension to the forearm and the wrist.
Massage after a fracture of the arm is done daily or every two days. It starts with a few minutes before the onset of pain and is brought up to a maximum of fifteen minutes. With the massage, the principles of maximum shaking of the diseased limb and movement "from the neck to the hand" are observed.
LFK after a fracture of the hand
As a result of a broken arm, the injured limb has been immobilized for a long time, in whole or in part, while in a plaster bandage. As a result, the nutrition of the tissues is disrupted, which, in combination with impaired innervation, leads to a weakening of the hand. The process of restoring integrity and functionality is increasing. In the treatment of fractures, a number of methods are used. LFK after a fracture of the hand is one of them.
LFK is a complex of physical exercises aimed at accelerating the recovery of health and preventing possible complications after fracture. In addition, exercise therapy after fracture of the hand contributes to the normalization of the person's mental background.
How does it work?
Every living organism is characterized by movement, due to which the processes of growth and development and formation in tissues take place. Movement is caused by nervous impulses, which are transmitted from the brain to the limb. With prolonged immobilization, they are absent, and the arm does not train, which leads to weakening of muscles and violation of blood flow in them. Thanks to LFK, a person "joins" in the process of his treatment, helping doctors to repair a damaged arm. The biggest achievement of a properly organized exercise therapy is the patient's understanding of the fact that without physical exertion his health will not fully recover.
The complex of physical exercises is developed for each patient individually and takes into account the features of the fracture. The LFK shares the general, which is responsible for strengthening the body as a whole and special, "working" directly with a damaged arm. The key to the effectiveness of this method is a long, regular and regular application. The patient should not experience painful sensations as a result of the exercise, which can lead to spasm of blood vessels and muscles and negatively affect the attitude towards the method. Classes should be conducted using pleasant relaxing music to achieve the necessary psycho-emotional background.
Depending on the stage, the approach to exercise therapy after a fracture of the arm is different. At the time when the hand is in a cast, only a quarter of all exercises are special. Basic exercises are tonic and respiratory. After removing the bandage, the main task is to restore strength and movements in the hand. At this stage, therapeutic gymnastic exercises in the exercise gym and independent gymnastics are applicable.
At the stage of rehabilitation, it is necessary to achieve a complete restoration of the functions of the damaged limb, which is promoted by special methods of swimming and aerobic exercise. The game moment of lessons especially in children is also important, because in that case, in addition to being useful, a person also gets great pleasure.
All exercises are recommended to the patient by the LFK instructor. He helps to develop an individual plan, gives a set of exercises for independent studies and corrects them when necessary.
LFK after a fracture of the hand is an indispensable remedy, on which the restoration of functions and the reduction of the probability of complications depends.
The hand is truly a unique organ, given to a person, which consists of the radial, ulnar and humerus bones, with a variety of ligaments and joints that ensure its mobility. Thanks to her, a person can cook food, take care of himself, make a series of seemingly ordinary things, without which it is simply impossible to fully exist. Unfortunately, a person is not an example of a monolith that is not subject to damage. What happens when a hand breaks, how and why it happens?
How to avoid complications of a fracture of the radius
Here is a section on this issue: http: //handclinic.pro/ nepravilno-sros. ..
Different ways to treat fractures and the difficulties a person can face in a hospital.
From any situation there is a way out, even with late referral to a doctor.