Carpal symptoms and treatment of fractures

Carpal divided into two row, row a boat near the radial bone, its Zhuangru boat, so its name, but irregular, back strip, rough, with the radius bone formation joints. Or Inverted injured when a palm, bear the brunt of the boat, the pressure on the radius bone and bone-head between the formation of fractures. Because of the location of the boat shear, poor blood circulation, the Difficult to heal. Scaphoid fracture more common in young adults. But please do not be afraid of, the following are some of the scaphoid bone fracture clinical manifestations, treatment principle, the principle of administration and Des Voeux Help check the method. Clinical performance 1. Dorsal carpal swelling, pain, wrist joint activities dysfunction, with obvious tenderness snuffbox. 2. Examination for patients palm grip, the hand radial side, buckling the thumb and index finger, Kouji its palm bones, the scaphoid is obvious pain. Diagnosis 1. A wrist injury and the history of these symptoms and signs. 2.X line perturbation is Cexie films. Sometimes unclear early fracture line shows two weeks later in order to radiography confirmed. Treatment principle 1. Suspicious scaphoid fracture and X-ray films no fracture line, should be fixed to their fracture. Two weeks after the radiography review, in the absence of fractures, no longer fixed, if fractures, Fixed should continue uninterrupted until the fracture healing. 2. No fracture displacement, the liner can be no short arm of the spin-casting forearm, wrist Beishen 30 ° radius side, and thumb Refer to the fortune of 6-8 weeks or even longer. 3. Old displaced fracture or possible fracture of the radial styloid process excision, or fixation of bone grafting, casting to healing. 4. Bones Presentation of non-union or ischemic necrosis, viable vascular plant, or removal of the boat, or visit wrist fusion. Treatment principle 1. Non-surgical treatment for patients, generally without drug treatment. 2. Need surgical treatment, such as postoperative use of antibiotics. Auxiliary inspection 1. Scaphoid fracture can check fault and missed, A check of the butterfly bit of help, but often not for the clinical mind; 2.B, C of the inspection is meaningful for the diagnosis 选择. Evaluation 1. Cure: fracture healing and restoration of basic or fully functional. 2. Improved: the place and fixed good. 3.未愈: no fracture healing, or avascular necrosis.