Fracture p'yatkovoї brush - skilki goїsya, like a long time. Fracture of the calcaneus, if it is possible to start the onset Orthosis in case of a fracture of the tarsus of the tarsus

A fracture of the wrist of the p'yati is a rare type of injury. P'yatkov's brush can be lamatized under unsupported kutas and at a cost of a number of fragments. A fracture can be forgiven (without usunennia), so we fold it, zі zm_shchennyam ulamkіv.

Various factors and unfortunate depressions can lead to similar injuries. Axis most of them:

1. fall from height on straight legs;
2. destruction of safety equipment by athletes and soldiers-strokoviks;
3. road transport facilities;
4. pathological conditions of the bones (osteomyelitis).

Symptoms

The injury is most often unilateral in nature. After the blow of the victims, a strong beat was at the dealer's p'yati. It is possible to suspect a fracture even after describing the mechanism of injury (fall, blow) as the victim. The diagnosis is confirmed by the help of X-ray signs such as CT.

Celebration

Basically, for the treatment of injuries, a plaster bandage is used for the type of chobitok without reposition (installation on the mass) of the cystic ulamkiv. This type of jubilation is often characterized by poor results - atrophy of the muzzles, molding of flat feet, the development of stiffness in the homilk-foot loam.

At times of broken fractures (which are blamed for falling on straight legs), skeletal retraction often occurs. It is built up in the minds of the hospital due to the accumulation of special interests.

Also, there is a technique for exposing such kinds of injuries. For this reason, the operation is to be fought, at the hour of the hour, the bones are fixed with special outbuildings.

1. Preparing for surgery on the talus-ankle loam;
2. Break the wrists of the five, whether it be a different kind, regardless of the fact, what kind of gleeful fracture zastosovuvavsya to this.

How to practice orthosis 28f10?

Navantage on the heel changes for the rahunok rozpodіl navantazhennia between the crypts of the foot and the lower part of the gomelka. Perebuvayuchi in the cast, the foot does not take on a physiological position, which can provoke the formation of a late flat foot. In orthoses, zavdyaks in vіdpovіdnim vigins, the foot can be practically povnіstyu fіzіologichne stavishche, є є .

The earlier the patient works more actively with his leg, the lesser he will show contractures and other stagnant manifestations in tissues. After active work and m'yaziv not z'yavlyatimuyusya signs of stagnation (zocrema, venous thrombosis) in the vessels. As a result of activation of blood flow in the end, the risk of post-traumatic deforming arthrosis, osteoporosis, osteomyelitis and other illnesses is significantly reduced, and in the future they can lead to disability.

The insane pervago of a zhorst fixator is the ability to know yoga independently, for example, to remember your leg for consumption. Also, when wearing a fixator on the nose, it is allowed to apply ointments, conduct physiotherapy procedures. On vіdminu vіd gypsum, you can walk without militia.

Features

You can walk in orthoses not only near the recipient, but also on the streets; You can learn to ride a bike.

In order to make it as effective as possible with this virob, it is necessary to subdue the mind:

1. Orthotics can only be done with the doctor's written confession. Sleeping straight in such vipadkas is absolutely not acceptable.
2. The orthosis is sold by a selected person. It is unacceptable to choose yoga independently, so that the folding of the sack is guiltily carried out only by a fakhiv in the minds of an orthopedic master. The special presence of the patient is required.
3. At the time of putting on the orthosis, the patient is guilty of plaster cast, but there are no wounds.
4. Before the hour of wearing the orthosis, it is possible to put on an injured leg, and it is necessary to put it on. An important mindfulness is the presence of pain sensations when walking.
5. Zavdyaki raznomanіtnym inserts, you can step by step move forward on the brush of five.

Rosemary

An orthosis for people and women has the same shape. The yogo rozmіrna net transfers three rozmіri and forms for the right and left legs. The size of the latch is regulated by the size of the leg.

Injury to the five vertebrae rarely develops in 1.5% of all traumatic seizures. Orthosis for fractures of the wrist of the ankle is often used and brings good results. The locking of the fixator is better, lower than the plaster cast, through the external fixation of the foot in its natural position. The whole point is that the shards of the vibrate are ahead of the development of the flatness with the resurrection of the foot.

Retainer for feet

In order to speed up the recovery period after the operational introduction of the brand 28F10. Orthoses are the best fittings of a judicious and preventive nature, which are used for the jubilation of the poorest workers of the musculoskeletal apparatus. Advantages of outbuildings:

• Attach the clenched legs, hoarsely the metatarsal brush, and often transfer the support to the homilkostop.
• Reduces the pressure on the wrist of the foot, which is important for the preservation of the natural foot roll.
• Reduces pain syndrome on the feet.
• Accelerate the process of rehabilitation, the cyst grows more effectively, helping to restore the activity of the ruptures.
• Zapobіgaє atrophy m'azovih fibers, reducing swelling.

Indication before zastosuvannya

The use of an orthosis in case of a fracture of the toe allows you to comfortably and quickly go through the stage of rehabilitation after important procedures. The main indications before fixing the orthosis:

Attachments put pressure on the tip in case of a fracture of the ankle.

• wearing before surgery on the talocalcaneal plexus;
• fixation after a fracture of a unilateral or bilateral type on the wrist;
• preparation to the stage of arthrodesis of the knee joint.

See orthoses for fractures of the wrist

Fixators use a different principle:

• along the galley inflow;
• for the kind of confession;
• for the preparation method.

The area of ​​zastosuvannya - for the ridge, for gossip (knee cap, fixator for the brush of the ankle). It does not matter, bilateral or unilateral fracture of the ankle, orthosis pidide in both directions. The orthopedist writes either individual indications for special preparation of fittings, or assigns the same type of fixator. Universal orthoses are manufactured at the factory from a designated design. When indicated for a ready-made virus, the patient can choose the material and the fixator himself, relying on his ability and relish.

Instructions for vikoristan

The recovery period after injury is three months. In the period of rehabilitation, an orthosis of effective lіkuvannya suglob is prescribed. Most often, the fixator is prescribed after the removal of the gypsum to speed up the renewal of the processes. Rules for fitting an orthosis:

If the foot is not turbulent, you can step on it step by step.

• zastosuvannya for a doctor's prescription;
• individual choice of the world;
• victoria for the mind of the presence of the gypsum overlay;
• vidsutnіst vіdkritih wounds chi nabryakіv poshkodzhenіy dіlyantsі;
• step zbіlshennya forces of vanity, the foot can be navantazhuvat less in times of pain.

Sales of orthoses are carried out in an unselected way, individually fitting the leg and folding are carried out only by the fakhivtsy.

Such an injury, such as a fracture of the wrist of the five, is rarely affected, mainly young people, athletes and people from ill-healthy loam, such as osteoporosis or arthrosis. Through the impossibility of stepping on the whole foot, a person’s rickety is broken, and then, for the singing period, he spends practice. There are a number of various injuries, which can be seen as a fracture of the calcaneal cyst to the displacement, without usunennya, which closed the injury. So, the patient is constantly suffering from nutrition, if there is a fracture of the calcaneal cyst, the skils are ready and like to rejoice in yoga.

P'yatkov's brush is respected by a militant structural element, the one who has great ambition on it in life, it will not be so easy for him to be angry. As it has already been said, young people suffer more and it is connected with their activity. In order to take away the fractures of the bones of the five, it is necessary to fall from the height on the legs, and the cause of the injury is the most widespread. Apparently, people of a frail age are less frail and rarely experience such injuries, they may have a fracture with concomitant pathologies of the musculoskeletal system. Celebration of a fracture of the wrist of the five is always a trivale, a great role is played by rehabilitation after a fracture of the wrist of the five, so that in an hour of immobilization, the atrophy of the ankles and people will literally be brought up again to step on the foot.

Classification

Classification of fractures of the wrist of the five to lie down due to the causes of її viklikanoї, obyagu strikes and subdivided into a sprat of species. In Persh Cherg, there is a fracture of the wrist of the tarsus without displacement and with displacement, depending on the type of fall, the variant of treatment and the clinical picture of illness. If you blame the embarrassment, the tricks of the brush can hurt the judge, nerves, soft tissue, through which the patient can be aggravated like bleeding, neuralgia.

Fallow in the anatomical ear, subdial injury in the lateral bud, medial bud, ear stump and tubercle. In a pathological process, ligaments, mucus, tendons may appear in their own way - they may vinicate stretching, tearing, which also swells, manifesting sickness syndrome. Quite often, when falling from height, a splintered fracture is recorded, if for the sake of rejoicing the reposition is fixed, in order to turn the patient's leg laxity.

The compression fracture of the ankle bone is important for the unsafe, which is to blame for falling from the height on the legs, if the ball of the foot is crushed, with which the talus bone is injured, it can cause a homilk-foot lump. Often such an injury is accompanied by a death and for recovery, an operation may be needed. With the aggravation of such injuries, one can see the threat of injury to the ridge, metatarsal brushes, shards at the time of the fall, a strong vibration is transmitted to the body body. Zlamati can be like kicking one leg, so it’s both, which also contributes to the option of rejoicing that future period of rehabilitation.

Causes and symptoms

Like a lot of other fractures, injury to the wrist of the five folds is related to the trioma by the main reasons:

• falling from standing on your feet is the widest reason;
• zdavlyuvannya legs in case of an accident, pinched by an important object, or yogo fall on the area of ​​\u200b\u200bthe five;
• centuries of trauma through osteoporosis and after-effects of spondylitis of the cystic-loamy apparatus.

Most of the time, five times, it is seen through the streak from the heights, and even though the height is high, then there are unsafe consequences. The very fracture of both bones to the misplaced is blamed for falling from the height and is vvazhaetsya by an unsafe camp, the exaltation of which takes more than one month. Athletes, recruits in the army often suffer from such injuries.

In another place, behind the statistics, there is a road and transport fit, shards in the case of a frontal blockage in the car, the body is deformed and an overworld squeeze is made on the legs. It is not uncommon for five feet to be thrown on the floor, if an important object falls on the feet, the feet are squeezed and crushed.

Symptoms of a fracture of the wrist of the five to lie down as a traumatic factor, obviousness of the displacement, lumen and obviousness of the slipping of the man's skeletal curve. So, when the evil is injected, a wound is healed, if it bleeds and if you don’t give help at once, then people can threaten the infection. As a result, a splinter fracture occurs, due to a strong bіl through the nerve endings.

The main sign of injury is є bіl, її the nature of lying down in the step of poshkodzhen. I am in pain, the patient has a bulge of soft tissues, which gradually grows. With a closed fracture, a hematoma may develop. Ruhi is surrounded by a foot through a strong bіl. If the patient is guilty of injury without the use of a cyst or a marginal fracture, then there may be swelling or a hematoma, the symptoms of pain will not be so severe. In any case, the patient cannot step on the heel through the pain.

Diagnosis and jubilation

It is necessary to repair the fracture after diagnostics, in order to restore the ear. For which doctor to conduct an examination, it is necessary to perform X-ray diagnostics. If it is possible, then for accurate diagnostics it is possible to carry out a computer tomography, even in the presence of a diagnosis and an examination, to lay down the future of a person.

For the treatment of fractures, the method of immobilization is always established, so that the patient’s feet and homilkostop are unruly, for the growth of the cyst is possible. Immobilization is established as a conservative option after the operation. With the method of immobilization with conservative treatment, gypsum plastering is required.

In case of a simple fracture, without evidence of usunennia, the lumen is carried out with a plaster cast, starting at the fingers and ending with a knee swamp or a part of the homilkostop. Before the plaster overlays, the doctor models the squeezing of the foot, so as not to take away the complication after the plaster is removed. Before speech, the main complications after fractures of the ankles are such pathologies as valgus deformity, development of flat feet.

In case of fractures of the wrist of the five first few days, a bed rest is prescribed and only after the end of the patient may change his mind, rushing to the police. It is not possible to step on a poshkodzhenu foot. The term of immobilization is to lie down in case of injury, but rarely gypsum is taken up to 1.5 months, the middle term of immobilization is two, two and a half months. Deyakі medichnі tsentrіst zamіst gypsum bandages zastosovuyut polimerny material іmmobilіzії stegna.

The aggravated fractures of the misplaced ones, the nayavnistyu ulamkiv rejoice at the operational path. The procedure for osteosynthesis is prescribed, if the fixation of the ulama of the cyst is necessary, then a plate is inserted. Also, the cystic reposition of the ulamkiv can be stagnant.

Rehabilitation

After the removal of the plaster cast, the stage of rehabilitation begins after the fracture. The patient needs to learn how to step on the injured foot, with which you can feel the discomfort and feel the pain. A popular method of rehabilitation is the placement of orthoses. Rozvantazhuvalny orthosis in case of fracture of the wrist of the five allows to change the tension, swelling in the nose. The orthosis is used as a prophylactic method against the development of atrophy of the mucosal apparatus and it becomes easier to step on the damaged leg.

Helps promote exercise therapy. Physical education can be sparing on the back, so that it can bring light pain. A positive effect gives a luxuriant massage, which can be done during the period of immobilization, massaging the upper part of the leg, fingers, such a technique will prevent atrophy of the ulcers. For rehabilitation, there are often visits, physiotherapy procedures.

Gymnastics is due to be carried out for at least 2-3 months, in order to avoid the formation of flatness, arthrosis, deformities of the fingers. The main methods of exercise therapy are the purpose of stretching the legs in the knees, stimulation with the same hands of the fingers of the feet. It is possible to begin this period, if the leg is cast. If the gypsum is used, it is good to help right on the massage kilimka, for the help of massage bags, as it is necessary to roll on the hard surface.

Warto remember that the result of the treatment is not only found by the doctor and the method of plastering, but also by the stage of rehabilitation, if the leg sluggishness is observed. In the future, physical work can be done with a repair, so as not to restart the injured leg.

Prevention of hip fractures is based on pretrial safety techniques. It is not necessary to shoot from the heights, it is necessary to carefully drive a car and take care of the safety equipment on the picking. If, nevertheless, the injury was trapped, then head meta until the arrival of the help of the help - to create a calm nose, to get away with such comfort, like the usunennya of the ulamkiv, the distant broken brush. If you feel pain, you can change it for additional cold, with severe pain, give analgesics.

P'yatkov's brush at the crypt of the foot is rarely milked, especially from both sides. The main cause of a fracture is often a strong blow to the heels or a fall on the legs from the height. Quite often, such an injury occurs with a fracture in the thoracic and transverse vertebrae of the ridge or in the homilococcipital loin.

After the end of the radiant exhilaration, the necessary trival period of rehabilitation. An orthosis in case of a fracture of the wrist of the five allows you to significantly ease and speed up the recovery process.

The mechanism that causes a fracture

P'yatkov's brush is rightfully respected by the largest brush of the foot. When walking in a standing position, it carries a greater part of the burden, vikonu depreciation function. For anatomical data, it is customary to see a body and a bump behind it. In front, the brush may be closed with a cube-like brush, and the animal with a ram.

The very ramming brush without intermediary zadnuє p'yatu and the brushes of the gomіlki between themselves. At the time of the haircut on the legs, or the vertical fall of the vag of the whole body is transferred to the gomilkovostop, and through the new one to the ram brush. The result is a staє її wedged into the cyst of the five with the coming splitting of the rest of the part.

Fracture that її vglyad, the nature of the emplacement of the ulamkіv without any middle lie in the position of the foot and the height of the fall. Another reason for fractures can be compression of the wrist in the aftermath of an accident, or a physical impact on the post-mortem nature of professional athletes. Fracture through a blow to the wrist with a massive object is sharpened more richly.

Classification

All fractures of the wrist of the five are accepted to be divided into two great groups:

• post-angular fractures: tubercle (horizontal, vertical, in the middle hump, on the “dzyoba” kshtalt), tila;
• vnutrіshnyosuglobovі: kompresіynі, іzolovanі, kraiovі, zі zmіshchennyam ta without usunennya ulamkіv.

Do not forget about those that the fracture is often made to the point of damaging the tissues. Behind this sign, one sees fractures closed and closed.

Symptoms

The main scarga in case of a fracture in the space of the five is bіl. For an hour spent, I look around the memory of the bends, which expands to the Achilles tendon. Before other symptoms include:

• change in the shape of the foot in the area of ​​\u200b\u200bthe five (expanding and flattening);
• bloody appearance (occupying the center of the foot);
• pain on palpation;
• saving ruins at the dilyantsi of homilkovo-stop loam (like that not malice).

A characteristic sign is the fact that the patient cannot stand on his foot.

Important! Fracture the wrists of the ankles often become unremarkable due to concomitant injuries of the ridge or the homilkostop. In zv'yazku z simus patients, the injury of some cases is connected with a fall on the foot, next to obstezhit on the presence of this fracture.

Diagnosis and jubilation

For the diagnosis of a fracture of the tarsus, for the selection of scars and the obviousness of the fact of injury, it is important to have an external look and additional methods of follow-up. Conducting the significance of radiography in three projections. About the nature of the poshkodzhen to judge how to change the kuta of the brush of the pen (the kuta of Beler).

In case of a fracture without suture, conservative therapy is indicated for additional immobilization of ailments with a plaster cast. Її impose at least three types of fingertips on the nose to the knee joint. Due to the obviousness of the adoption, the tactics of the liquor change are changed - a reposition is carried out under local anesthesia.

Particular attention is paid to richly splintered fractures, which are accompanied by an ushkodzhennia of the sugular surfaces of the talus and calcaneal brushes, which means the use of cystic ulamkivs. For consumption, you can use Ilizarov's device.

When forming between fragments of the cyst of the wrong nodule, the operation of a trisugular resection with additional temporal cystic plates of the skin fragment is necessary. Then, with a special screw, the parts of the mizh join themselves together. Coming soon, perhaps the rehabilitation is competent.

Important! Independently in view of the fracture, due to the severity of that method of rejoicing, the reliance on the weak leg is tightly hung. Tse not only cause before the death will be that prolongation of the induction period, but it can also cause displacement of fragments of the brush.

Support for orthosis

For an early period in case of fractures of the ankle, it is often recommended to use a special fixator of the homilk-foot nodule, which is called “heel-rozvantazhuvalny orthosis 28f10”. Orthoses are commonly referred to as ovnishnі likuvalno-prophylactic attachments, which are vicorous in case of failure of the musculoskeletal apparatus.

Attachments can be folded from an elastic fabric with additional inserts or special materials (turbocast), which provide all the construction necessary for the hardness of maximum fixation. Often they are fastened with lacing or belts.

Advantages of using orthoses for fractures of the ankle:

• allow to lift the late clenching of the foot with a path of suffocation of the metatarsal brushes and the transfer of part of the support on the gomilkovostop;
• ensure a decrease in the cost of the penny;
• allow to change the roll of the foot, similar to the physiological one;
• to relieve the change in pain and short term rehabilitation terms;
• to help boost the movement activity;
• change the pressure on the lower end and minimize the atrophy of the mucous membranes.

When wearing an orthosis, the foot is practically in a physiological position, which acts as a preventive measure against the appearance of a flat foot.

In this case, there is the possibility of the development of active ruhivas, which will increase the blood flow. As a result, the risk of post-traumatic osteomyelitis, arthrosis and osteoporosis is reduced.

There is one more thing that is not transverse - the ability to independently remove the fixator from the legs. For example, to remember the term. Fixators of troubles to respect and not to prey on unhandedness. You can walk in orthoses without militia and freely apply various ointments. You can freely walk and learn to ride a bicycle.

Winning rules

Basically, an orthosis for fractures of the tarsus is necessary during the period of liquor-rehabilitation visits, and in the middle it takes about three months. Yoga is often prescribed after the gypsum has been relieved for an accelerated renewal.

Important! The sales of the used orthoses are arranged in a different way, without any intermediary production according to the nose and folding of the debts are made exclusively by the fakhivtsy.

Zastosuvannya lіksator vimagaє dotrimannya deyih rules:

• zastosovuetsya only with the permission of the doctor;
• rosemary is chosen individually;
• the overlay can be less for the presence of gypsum, the wounds of the wounds;
• step by step the effort on the leg can be increased, following the recommendations of the doctor and instructions to the fixator;
• under the hour of wear next to give an urge to the sickness of the kіntsіvka, but only for the daily pain.

Resurrection period

The period of rehabilitation in case of fractures in the area of ​​the cyst of the five is guilty of including the following complex of entries:

• massage;
• physiotherapy;
• likuvalna physical culture;
• proper eating.

The main goal of all procedures is the reduction of blood flow in damaged tissues, the redness of the usunennia is a sign of inflammation and the acceleration of regenerative processes. For whom there will be corny sessions of massage with cedar oil, thermal procedures with ozocerite and regular right toes and lowering on the toes. Warm baths with sea sill recommended themselves well.

As a balanced meal in case of a fracture of the ankle, there will be corny products with a great amount of vitamin D, calcium, phosphorus, silicon, midi and zinc. You can also use dairy and sour-milk products, sea fish, meat broth, legumes, eggs, potatoes and bananas.

Possibly folded

In case of inadvertently different therapy, nedotrimanny all orders of the doctor, or important cases of fracture of the ankle, hemorrhage is more complicated in the case of times. Before possible problems can be seen:

• flat feet post-traumatic character;
• the development of arthrosis in the area of ​​the talar loin and the loam, covered with the talus and talus-like cysts of the foot (Chopart);
• viniknennya pain when imposing on the foot;
• molding heel spurs and brushes;
• support damage.

In case of fractures of the old character of the temple, the deformity of the foot, the increase in the transverse expansion of the wrist of the foot, the ability to actively collapse with the thumb of the lower tip, and in especially important falls - with the mustache of the fingers on the foot.

From the rest of the rehabilitated flock, it was understood that fractures of the heel are a serious injury, which requires a respectful approach and good rejoicing.

Know about everything

Following the caution for patients with five fractures of the five orthopedists and surgeons, it was necessary to give important notes:

1. With a closed one-stage reduction, in a comminuted fracture, there is a great degree of distant disability.
2. For a specific and accurate picture, radiography is to be used in five projections and, if possible, in a high-profile specialized mortgage.
3. Skeletal retraction due to zastosovuvatisya only as a preparatory stage before surgery for trisuglobular resection.
4. Improvement in the symptoms of pain in the chronic form and a new restoration of the supporting function is possible after surgery for resection of the talocalcaneal and Choparov's subunits.

Rotation of the fingers of the lower tip of sensitivity and rukhovo activity is possible with the development of long-term growths.

Note

It is necessary to remember that after the residual restoration of all functions of the lower tip in the space of the foot, after a fracture, it is not necessary to stand up on the knee or wear a tie in the waist.

Protyag pіvroku slid vіddavati perevag orthopedic vzuttyu s presence vіdpovіdny arch support. In a few ways, this term stretches to the rock.

In case of faulty flatness or shortened feet, it is necessary to prepare a special bruise for shortened feet. Corisno will see the profile sanatorium for the sanatorium-resort luxuriance, and follow the principles of proper eating, if you want to drink food.

P'yatkov's brush to finish the mitzna, it's not easy for the wicked, but at the time of the fracture to blame serious problems, the shards of the transfer will simply become unbearable. Don’t mind that the possibilities of the human body are boundless, giving the body to the overworld ambitions. To create a fracture of one cyst can change the quality of life for a higher life. Varto take care of your body and straighten your strength in the right direction.

P'yatkova tissue may be folded, it is formed from spongy tissue, which is especially strong bleeding from the internal veins in case of fracture.

The greater change in the integrity of the foot is seen through the fall from the great heights, the heel takes the blow and is stronger from the hard surface. Also, the cause of injury can be a direct drop of any object into the area of ​​\u200b\u200bthe five or more pressure on the foot.

Before the fracture of the wrist, the five can be caused by the following factors:

• not far from the land, a fall on his feet from the heights;
• compression of the ankles in case of road traffic injuries;
• a strong blow with a blunt object;
• the intensity of the trival vanity, which leads to "internal" defects of the wrist (for example, among athletes, cadets, recently called soldiers).

The most common cause of such an injury is a fall from height. When landing, all the gravitational force of the body is projected through the brushes of the gomelka and the gomilkostop onto the talus brush, and it wedges into the heel, robbing it into the sprat parts.

The type of fracture and the nature of the displacement of the ulamkіv in such falls are determined by different factors: the height of the fall, the weight of the body, and the position of the feet when closed on the surface.

1. Falling from the heights on the well-knitted legs;
2. Injection of direct force (for example, a blow with an important object on the wrist of the foot);
3. Accident (damage to the brush from two sides).

The severity and nature of the fracture can often lie due to the fact that you have fallen victim to suffering.

Like a fall from a great height, the patient suffers a fracture of the calcaneal cyst due to the displacement of the ulamkiv and with one-hour damage to the order of rupture of the swollen, vessels and nerve endings. For such an injury, the term of recovery and rehabilitation is no less than 6 months.

In order to reduce the fracture of the wrist of the five feet to a minimum, the traumatologist is guilty of acknowledging correctly and in due time the ailing, even after the front injury.

See the broken brush of five

If you see a sprat of damage to the five brushes, the stench is classified as fallow in the degree of severity of the heads of the beats. The main type of damage to the brush is a fracture of the splinter type, with displacement and without usunennia, with a fracture of the middle orbicular growth.

Z klassifikatsiy, daniye traumas mayut raznu stupin, and navit raznu іtensivnіst manifest. If a closed fracture is taken away, it is stronger and it is impossible to get stuck on a traumatic wound.

When you see it, a characteristic sign is bleeding, tearing of soft tissues, confusion and a strong pain, even to the point of insomnia. The symptomatology is given, which makes it possible to establish the appearance of the damage when looking at the places.

On the thought of fakhіvtsіv, closed type of poshkodzhennya carried more trouble, lower vіdkritiy. The specifics of a closed fracture in the absence of symptoms, most of the victims can confuse the injury with clogs and do not get used to emergency calls, do not seek professional help.

The consequences of such a change can become irreversible - the foot can become deformed, flat feet, osteoporosis, arthrosis appear.

Therefore, in case of an injury, medical consultation and obstezhennya is recommended. Medical diagnostics includes - examination of the feet and fluoroscopic obstezhennya.

X-ray is carried out in two images - axial tabular. X-ray - the most important and overestimated method of diagnostics in case of crushed ankles.

In folded cases, computer tomography can be recognized, as it allows to reveal a more expanded picture of the miscarriage, as well as adjacent tissues.

An x-ray is necessary for recognizing the type of blow and the designation of height, dozhini that kuta frailty of the five.

The first thing to do is respect for an hour when I look around the picture of a fakhivtse tse loamy-hummocky kut. In a healthy person, the cyst is not affected by a healthy temperature of 30 - 40 degrees.

The heel is injured to bring it to a change in the kuta - in the minus. Vіd tsgogo kriterіyu stale away likuvannya.

After the diagnosis, an alternative therapy is prescribed, depending on the form of the removed injury. Most of the patients suffer from nutritional problems - a fracture of the heel, if they step on the foot and if the leg is able to fully function.

Trivality of renewal to lie down in the presence of a clogged mine, fallow in the face of a damaged mind is assigned to likuvannya, the trivality of one to lie in one’s hand due to rich factors.

In case of a fracture, the displaced cysts need to be adjusted. For this purpose, under local anesthesia, for the help of a wooden wedge, the doctor sets the brush at a large camp. After that, a cast is applied to the leg, for at least 3 months.

In case of a richly splintered cyst of the foot, a specialist should carry out prompt insertion of the ankle bones and internal metal constructions.

The operation is called osteosynthesis. The construction is being installed for a few months, in parallel, a plaster cast is applied.

Outside the dress, that ability to step on the foot is about through the door.

If a fracture of the cyst without usunennya is applied with gypsum, then the injury can give an aggravation at the sight of the atrophy of the m'yaziv homilka, which can lead to the fouling of the leg.

Plaster overlays to the knee slough should be carried out, as if during the day the ulamka was removed. Changing in such a state of mind is only possible for help from the militia. The gypsum is applied for two months, and less than one you can step on your foot.

Folding poshkodzhennya and fragmentation of the brush with a troubling odezhannі vamahayut zastosuvannya orthosis. The orthosis is a special attachment, a lighter version of plaster.

You can stop between the stages of dressing - after intensive therapy and before rehabilitation. For an additional orthosis, it is possible to prevent the development of malignant atrophy, speed up the rehabilitation hour and reduce the burden of injury.

Like all fractures, a fracture of the wrist of the five can be closed or closed. The resolution of wounds and the removal of the name of the ulamkiv in case of such injuries is more likely to be guarded.

Break the wrists of the five can be zі zmіshchennyam і without. The replacement of the ulamkіv zavzhdnju oskladnyuє overbіg traumas, її lіkuvannya її ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї її

According to the nature of the fracture of the brush, the fractures are subdivided into:

• compression without usunennia;
• compression for displacements;
• kraiovі zі zmіshchennyam that without.

According to the localization of the fractured cyst, the fractures are subdivided into:

• fractures of the tubercle of the tarsal cyst;
• fractures of the body of the wrist of the five.

For a break, fractures can be:

• internal globules (in 20% of cases);
• pozaglobovimi.

Іsnuyet such fractures of the five:

1. Fracture of the cyst of the five zі zmіshchennyam;
2. Damage to the integrity of the cyst of the five without displacement.

Also, this fracture can be:

1. Multiple;
2. Oskolchast;
3. With the ears of the medial and lateral branches.

Regardless of the type of injury, exuberance in domestic minds is not recommended, shards can cause other consequences. You bear a great need for a closed fracture, the shards of the injured can take yoga for a kill, and don’t suspect anything, boldly step on the heel, and by themselves help the situation.

Even if you don’t suddenly rejoice at injuries, it’s movability, that a person’s kulgatime is all life, and you won’t be able to resurrect it any more.

The main signs of the destruction of the strength of the kіntsіvka

This discord is accompanied by an onset of symptoms:

• The heel is very swollen and swollen
• Unacceptable, painful sightings under the hour of ruin and light pressure on the poshkodzhenny place
• Appearance of hematoma
• Deformation and zorova zbіlshennya stop
• Krovovilivi
• Impossibility to step on the end

Old fractures of the wrist of the ankle require more folding surgical treatment and often become the cause of disability. For such neglected injuries, an onset clinical picture is expected:

• flat and flat-valgus deformity of the foot appears;
• p'yatkova brush with an hour zbіshuєtsya at the transverse expansion;
• daily ruhi of the thumb (do not start);
• the rigidity of all toes of the foot is shown (do not bend);
• trophic virazki on the thumb (inodі).

When x-rays are seen, the following signs appear (one or more):

• anatomically incorrect growth of the cyst;
• presence of pseudarthrosis (khibnoy suglob);
• increase in the transverse size of the cyst;
• change in the length of the brush;
• incorrectly spreading the loamy surfaces of the talus loamy;
• raising the talus;
• signs of arthrosis in suglobі Chopard;
• the appearance of the strengthening of the crypt of the foot.

Symptoms

Three hundred skin fractures of the chotiri fall on the area of ​​the five. The apparent rarity of this problem is framed in the way of otrimanya. Few people fall from a height above the second meter and land on their feet. But it’s not easier for those who are still stuck with such a problem. About her and Rozmov.

Fracture of the five

The largest cyst of gomіlka - p'yatkov - is formed from the body of that mound. Great and її role in walking and standing, even the very brush of the five while taking on the main burden.

A ram-kistka, which zadnuє її z homilkoy, and є most often the cause of a fracture of the tarsus, embedding at the body of the tarsus of the tarsus during a fall.

How to designate a fracture of the five?

Zlamana p'yatkov kіstka, like all fractures, to declare to himself pain, bloody and swollen. As a result, the area of ​​the five is increased in obsyaz.

If you try to step on a wounded boat, you feel a sharp pain. Foot sweating in case of a fracture of the toe is a symptom that is possible for the obvious displacement of the bones.

Remaining evidence of the presence of a fracture can only be obtained by X-ray results.

How is it possible to treat a fracture in the area of ​​the five?

Under the hour of injury, the injured person develops an intense pain in the five fingers. Vaughn may have a permanent character and will be significantly strengthened if you try to move in a homilkostop, or transferring your body to a broken leg.

If so, the following symptoms appear:

• worsening the pain for an hour of matting;
• swelling at the dilyance of the foot to the Achilles tendon;
• expansion of the five;
• illumination of hematomas on the soles;
• strengthening of the crypt of the foot.

With a closed fracture of the wrist of the five, the main scar of the victim is those who cannot step on the broken leg through the bends.

In case of a severe fracture, the patient has a wound surface, which may show the wisps of the wrist. In case of closed damage to the heel of the foot, the patient develops deformity of the foot and expansion of the foot area, as well as swollen and bloody in the foot area.

Deyakі patients with a minor fracture of the wrist of the five are wrong to think that they have symptoms of clogged feet and do not go to the medical mortgage for help.

Diagnostics

X-ray investigation confirms the presence of a fracture of chi, navpak, including yogo.

X-rays are performed to reveal a fracture of the wrist of the fifth leg. This method of follow-up is the "golden" standard in the diagnosis of such injuries.

For this purpose, the signs are drawn in the lateral and direct projections, and at the same time, other brushes are added: the talus, the medial and the lateral brushes.

If there are any symptoms of such a sick person, which indicate the presence of additional injuries, radiography and CT scan of the spinal column are prescribed.

Celebration

gastrocnemius m'yazyv is impossible. m'yaz in the aftermath of a reflex call to the cob, Fracture of the body and neck to increase the rukhovu activity: singing discomfort, promenade brush to the wrong position, talar. Above the world's ambition to do something else manually from a computerized tomography.

Cause

the greater the foot of the foot of the calcaneal cyst is most likely to fracture with a fracture of the tarsal cyst - a manifestation vati pishі walks posterіgaetsya rarely. Often stiffness and walking

, є dosit brushes and dvdnovlyuvalnі zі zmіschennyamі sugl urzhenym arthritis, stop after operation vіdkritoy access. After the information, otrimana brushes.

vsogo skhilna to breaks. misplaced.

Without operational litigation, dosit rіdkіsne. However, the damage to the congruence of the front between the displacement of the hillocks proximally will need to be worn for 3 months.

On the great vіdstanі, a fracture of the phalanx is an important for a serious injury. Tse right Poshkodzhennya before the appointment without - rehabilitation is possible, arthrodesis is needed -.

can you bring before, how far away to help X-ray changes How do fractures appear? Symptoms Nearly 2% of all here, more often than not, there may be aching and posterior subglobular tuberosity, and deformity on radiographs is not less than 12

Conservative therapy

Tactics of treating a fracture of the five bones is determined by the type of injury and the degree of damage to the natural growth of the bones. For this medicine, we will use a special method to trace the points of the brushes on the x-ray image and take away the cut of Beler.

In the norm, the wines become 20-40 °, and in case of injury, they change or become negative.

Conservative treatment of fractures of the wrist of the five is assigned for the presence of displacement or an insignificant displacement of the ulamkiv along the physiological axis. In other cases, for the use of cystic defects, a surgical operation is indicated.

Particularly important are the glee of fractures with the great number of ulamkivs.

When changing the cut of Beler in the norm, no more lower by 5-7 °, the healing of injuries can be carried out with a path of applying a plaster circular bandage. For її vykonannya a small modeling of the late crypt of the foot is carried out.

The bandage is applied in the middle of the quilted fingers. If necessary, before the overlays, the closing of the reposition of the ulamkiv can be carried out.

When a plaster cast is applied, the bellies of the metal arch support can be stuck. The stench is installed between gypsum and underfoot. Їx zastosuvannya allows you to increase the effectiveness of therapy and ensure the correct formation of the callus.

Trivality of immobilization of traumatized stitches becomes close to 6-8 days. For a long time, the ailing need to fawn over the militia. After 4 months, the doctor may recommend dosing an appointment for earbuds.

To ease the pain and accelerate the growth of the cystic ulamkiv, the following medicinal preparations are prescribed:

• painkillers: Analgin, Ketanov and ing;
• preparations of calcium;
• polyvitamin complexes

Before the removal of the cast, the obov'yazkovo is checked for control radiography. After znyattya pov'yazki, scho іmmobilіlіzuє, sickness develops an individual program of rehabilitation.

Surgical treatment

With more folded fractures, the displacement of the bones of the penis and cut of Beler does not change significantly, but it can also become negative. In times for the correct reposition of the ulamkiv, special techniques are used.

Skeleton twisting

In certain vipadkas for usunennya usunennya vikoristovuetsya skeletal vityaguvannya. A surgical path is carried out with a metal needle. For a year until the її protruding season, weights are attached, which will secure the installation of the ulamkiv.

After 4-5 days, the knitting needle is twisted and a plaster bandage is applied to the tip for the correct growth of the ulamkiv. Trivality of immobilization sounds to become close to 12 days, but the terms may change in severity due to the severity of the injury.

After that, control signs are carried out, which allow you to determine the possibility of removing the plaster and the cob of navantazhen on the leg. After the growth of the ulamkiv, a rehabilitation program is assigned to the ailing.

Surgical operations

In severe and severe fractures due to a significant number of ulamkiv and pronounced displacement, it is indicated to perform a surgical operation - oval osteosynthesis. For її vykonanny vikorivuyutsya compression-distraction devices, yakі є outbuildings zі spheres and knitting needle.

If a patient is diagnosed with a fracture of five or more injuries on x-ray, it is necessary for him to make a stavka in the case of a disease and put on a plaster cast.

In quiet cases, if as a result of an injury there is a fracture of the wrist of the five without the displacement of the ulamkiv, a plaster cast is applied to the ailment up to the knee. The ailment for a long time is guilty of hanging around for the help of the police, and it is allowed to take the front part of the foot for less than a month.

Plaster cast for fractures of the ankle is taken for less than 1.5 months. After that, the patient begins a rehabilitation period, which includes physiotherapy, massage and exercise therapy.

As soon as the process of renewal is delayed, then the sick person is encouraged to wear a special orthosis like a “chobitka”.

Functions of the orthosis in case of fracture of the wrist:

• Knowing the pressure on the brush;
• Pereskodzhaє development of atrophy of m'yazіv in the lower limbs;
• Changes the swelling of the lower end;
• Soon the hour of rehabilitation.

The process of recovery after a fracture of the wrist five times three in the middle 3 months (with the improvement of treatment and rehabilitation). Only a few months later, after an injury, a person can turn to a colossal way of life and take those he loves, and also put pressure on the poor lower kintsivka.

The skin patient, in order to turn the physiological function of the five bones, is guilty of undergoing rehabilitation.

Exercise therapy for fractures of the ankle includes the offensive complex of the right:

1. It is necessary to bend that leg in a knee-high swamp, in order to bring the m'yazi into tone;
2. Carry out the bending and cutting of the fingers of the feet;
3. It is recommended to roll the jar with your foot back and forth;

Before that, as a sign of healing, the doctor should conduct an X-ray to clarify the presence of such an injury to the wrist of the five. Looking around the sign, the doctor pays respect to the cut of Beler, which is respected as the main point of assessment of the further results of exaltation.

Kut Beler of doomsdays vyhodyachi z peretina 2 singing lines. The normal indicator of kuta is 20-40 °. Vrakhovuuchi steps of injury, kut can change. In some depressions, with a severe fracture, the kut may have a negative value.

In that case, if the injury does not avenge the injury and the snow does not get worse, so that the brushes could grow, put a plaster orthosis on the heel, right up to the knee.

Gypsum orthosis, which is applied, in case of a fracture of the ankle, take the stirrup and arch support from the metal. When walking, such an attachment prevents the foot from moving and the physiological roll.

It is possible to step-by-step navantage the foot only in a month after the plaster was taken. A gypsum orthosis is worn approximately after two months of wearing, after which it will be necessary to wear an arch support (for a period of 6 months).

The operation is indicated at times, if conservative methods are ineffective, which is considered to be diagnostic. In the main operation, it is necessary to carry out the same form of injury and folded feet of a closed fracture, if there is a significant loss of the ulamk_v kіstki.

When it is necessary to carry out ovnіshny osteosynthesis, vicorist compression-distraction apparatus of the Ilіzarov type. In the course of the operation, pierce the needles of the apparatus in different directions, fasten them to the napіvsfers, after which, with a stretch, stepwise produce the tricks of the brushes at their physiological position.

It is necessary that the injury should heal more quickly.

As if the foot is injured, the process of injury has become dislocated, but it is not possible to carry out a one-time manual reposition due to the stagnation of the local anesthesia. After the reposition is carried out, a circular bandage is applied to avenge the metal arch support and stirrup.

Vіdkrit reposition ulamkі v polagaє v zdіisnnі nadrіzu on shkіrі і vіdnіnі snovі z metal. Shtir zalishayut until the full growth of the brush. Actual forms of trauma affect the constant presence of a pin at the brush, without any removal. In other situations, the presence of Timchasov's pin.

There are three stages in the treatment of a fracture:

1. Come in first and help the injured.
2. Immobilization - the creation of restlessness, peace (gypsum).
3. Rehabilitation therapy (little gymnastics, massage) and total rehabilitation.

For any breaks in the day, directed to the first help, of the same type:

• create peace for the poor part of the body;
• take away the symptoms of pain - take an analgesic zasib.

In times of severe fracture, the shvidka helped to build up to the entry:

• Put on an aseptic bandage, you won't let the infection get into the wound;
• Minimize the ruh in the snowdrifts for the help of handymen or Cramer's tires (sold in pharmacies - grati with darts, covered with a bandage or with cloth, fallow in the situation for the rahunok of the bunting and filling the necessary form);
• Cool the place of ushkodzhennya for additional ice, or dances with cold water.

Fallow in view of the fracture, the stage of folding and the obviousness of the adoption of the doctor can be recognized either as conservative treatment, or as far as surgical insertion.

If there is no displacement of the brush (it is not significant), the operation is not necessary, conservative treatment is prescribed. The standard richness in such cases is a plaster cast on an injured leg.

Superimposed in the form of fingers of the foot to the knee deep. In order to step by step, it was possible to navantage the foot, with the method of changing the possibility of developing a flat foot, gypsum under the sole, a metal or gypsum instep support is placed.

For transferring the necessary police. The hour of wearing plaster is determined by the doctor.

After 4 days of treatment, I may have the right to allow an insignificant intrusion of the anterior part of the foot. Step on the heel of the poshkodzhenoy leg is fenced.

Due to the complexity and contraindication of gypsum, it is possible to take it after 6-8 days. It is possible to restore the whole leg in 2-3 months.

In case of a fracture of five or more displaced leukars, the doctor will reposition - the restoration of the elements of the ruptured cyst. Don't be afraid of war, the procedure is carried out under the conditions of local anesthesia.

After 3-4 months, it will be time for the restoration of rukhovy functions.

Visnovki need to promptly introduce the doctor to kill the casualties in sight of the ushkodzhennya. Symptoms of an acute fracture of the cyst of the five - part of the indication for emergency surgery.

As soon as it is needed to protect the infection, the infection becomes the cause of further complications. As if the tricks of the brush are significant, they are set manually and fixed with special knitting needles, plates and bolts.

Potim pіde іmmobilіzаtsіya for spryannya gypsum.

Plaster of indications for closed fractures of the wrist of the five. If the inflamed blisters pass, the operation is possible.

If before the fracture of the displaced the symptoms of the subsidence of the snow are added, the surgeons use the term 6 to 8 days to carry out the knitting needle of the wrist. At the bracket from the metal, the oval knitting needles are stretched, then for the correction of the usunennia, traction is established in two different straight lines.

To talk about renewal of practice in 4-5 months.

In difficult situations, if the masses are strong, the doctors install Ilizarov's apparatus. The spokes are moved through the heel, the cuboid and metatarsal brushes are fixed in the apparatus.

The tightness of the spokes is regulated step by step, tightening the brushes and additionally helping to form the squeezing of the foot. Ilizarov's apparatus - two rings, connected one by one with shears and barbells.

The device needs to be worn for 2-3 months.

persha dopomoga

If there is a suspicion of a fracture of the wrist, it is necessary to carry out the following steps:

1. Protect the same inviolability of the patient's wounds.
2. For obvious wounds, apply an antiseptic dressing and apply a bandage with a sterile bandage.
3. Apply cold before injury.
4. Give the victim an analgesic drug (Analgin, Ketorol, Ibufenchi in.).
5. Make sure the shvidka transports the sick to the medical mortgage.

What are the remedial procedures?

Trivalіst that perebіg vіdnovlyuvalnogo period lie down due to the severity of injury. After small downtrodden miles and fractures without the adoption of ailments, it is remembered for a few years, and rehabilitation after important multiple fractures due to the misalignment of the ulamkiv will pass for decades.

Irrespective of the severity of injuries of the wrist, five times for severity, it is essential to directly rehabilitate if there are any ailments of the lower extremities.

Complicated forecast

1. flat feet;
2. Deforming arthrosis;
3. valgus deformity of the foot;
4. Osteoporosis;
5. Osteomyelitis.

Massage can be done by the patient himself with a fracture of the wrist of the toe and rub the foot at least 10-15 strands per day.