How to cure swelling after a fracture of the wrist joint
Triangular, semilunar and scaphoid boneform a bone joint, which is called the wrist joint. He connects the forearm and the wrist. In most cases, with injury of the wrist joint, the scaphoid and semilunar bone is damaged. A turning point in this area is a frequent phenomenon, which accounts for one fifth of all cases of fractures in the bones of the skeleton.
Injuries of the distal radius are dangerous,since they can cause deformation of the wrist joint due to improper fusion. As a result, its instability is observed, the load on the ligament apparatus is unevenly distributed. After the wrong fusion of the bones or the lack of timely treatment of the fracture, the patient may experience pain when lifting weights, the brush becomes weak, the volume of movements performed by the wrist joint decreases, and arthrosis often arises.
In the elderly, fractures of the wristjoints are more common. This is due to the fact that over time the bone tissue weakens, the skeleton becomes fragile and any careless movement can cause them to damage. In women, the risk of fracture of the wrist joint increases with the onset of menopause. At this point, the hormonal background changes significantly, a lack of calcium is observed, which contributes to weakening of the bones. Men are less susceptible to fractures of the wrist joint. After all, their bones are bigger and stronger, and hormonal changes with age are not as significant as in women.
Causes of fracture of the wrist joint
The wrist joint is injured as a result offalling on an outstretched hand or with an emphasis on the brush. In the second case, the fracture is accompanied by a displacement of the debris. When falling, the person instinctively puts his hands forward to protect the front of the body and face from the impact, and from the increased burden of the entire body mass, the bones are damaged.
Osteoporosis is another common causefracture of the wrist joint. This systemic disease of the skeleton causes a decrease in bone density and an increase in their fragility. Osteoporosis affects mostly elderly patients, so the risk of damage to the wrist joint increases after 60 years. However, at a young age, a fracture can also occur as a result of a car accident, falling from a height or getting a direct injury.
Symptoms of fracture of the wrist joint
The main symptom for a fracture of the wristjoint - a strong pain in this area. During palpation or when trying to make a movement, it becomes palpable. After a while, swelling forms in the wrist area. Performing its basic functions becomes impossible.
Externally, there is a deformation in the area of the wrist. It can have a different appearance depending on the type of fracture. In most cases, the shape of the deformation is bayonet-like and looks like a fork. The patient can feel the numbness of the hand and tingling in it. With an open fracture of the wrist joint, a hemorrhage is possible. Another symptom of the trauma is the crunching of bone fragments.
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Types of wrist fractures
Fracture of the College. He always comes to a "typical place", that is,The radius is damaged a few centimeters from its distal end. The cause of this injury is falling on straight hands or when striking with open hands, because of what the fracture is called extensor. The bone fragments are shifted in the opposite direction from the palm. This allows for the appearance and radiography of diagnosing a fracture of the College. Growth in this case occurs quickly due to a good blood supply to the lower part of the radius.
Fracture of Smith. It is known as the reverse fracture of the College. This injury is much less common, and its cause is a fall on the back, accompanied by a direct impact of the forearm. Splinters of the radius of the bone with a fracture of Smith are shifted forward towards the palm.
In addition to these basic types, fractureswrist joint can be of an open and comminuted type. In the first case, the skin is injured. This type of fracture is dangerous through infection through an open wound, so you should immediately seek help in the hospital. The splintered appearance of the fracture of the wrist joint is distinguished by the fact that the bone is damaged in several places, as a result of which it is divided into 3 or more parts.
Fracture has symptoms similar to stretching,dislocation or bruise. Therefore, an accurate diagnosis can only be made by a doctor. To address a traumatologist should be immediately after the injury in order to exclude the presence of a fracture. Delay in the presence of serious damage can lead to complications.
Determine the presence of a fracture of the wristThe joint allows radiography. In some cases, computed tomography is also required. This procedure is necessary for intra-articular fracture or after surgical treatment.
If the fracture of the wrist joint occurred withoutbias, then a dense gypsum or polymeric dressing is sufficient. It can be removed after the full splicing of the bones. If a fracture occurred and fragments formed, then it is necessary to return them to their original place, and then fix them. Otherwise, arthrosis may develop, and the movements of the hand will be limited.
Gypsum is removed after a few weeks. During this time, on the recommendation of a doctor, radiographic examinations are performed. This is necessary to determine in time the presence of a repeated bias. Sometimes it requires surgical intervention. It can be closed or open type. When open fractures of the radius are used special apparatus of external fixation.
After applying a plaster bandage the patient canto disturb aching pains. To get rid of them will help the application of cold. With severe pain, non-steroidal anti-inflammatory drugs are used. In the period of wearing gypsum, it is important to ensure that it does not put pressure on your hand. Lack of sensitivity of the hand, paleness and numbness of the fingers - an occasion to consult a doctor.
Author of the article: Aleksandr Sergeevich Kaplan, Traumatologist, orthopedist