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Radius shaft fracture

  Radius shaft fractures account for only 12% of the total number of forearm fractures, and are most common in young and middle-aged people. After the injury, the patient's forearm may swell and hurt, and there may be no significant deformity. The injured area has obvious tenderness, and the movement of the forearm is significantly restricted.

Contents

1. What are the causes of radius shaft fractures
2. What complications are easy to cause radius shaft fractures
3. What are the typical symptoms of radius shaft fractures
4. How to prevent radius shaft fractures
5. What laboratory tests are needed for radius shaft fractures
6. Dietary taboos for radius shaft fracture patients
7. Routine methods of Western medicine for the treatment of radius shaft fractures

1. What are the causes of radius shaft fractures

  Radius shaft fractures can be caused by both direct and indirect violence. Direct violence such as beating, smashing, and stress transmission such as falling and supporting the ground with the hand can all cause radius shaft fractures. Fractures are mostly transverse, short oblique, or wedge-shaped. Due to the support of the ulna, there is no obvious shortening and displacement, but due to the traction of the muscles, there is often rotational deformity at the fracture end. The distal end of the radius has an attachment of the pronator quadratus muscle, the middle segment has an attachment of the pronator teres muscle, and the proximal end has an attachment of the supinator muscle. After the fracture, due to the traction of the aforementioned muscles, different fractures at different locations will show different rotational deformities.

2. What complications are easy to cause radius shaft fractures

  After the injury, the patient's forearm may swell and hurt, and there may be no significant deformity. The injured area has obvious tenderness, and the movement of the forearm is significantly restricted. Complications of radius shaft fractures may cause traumatic ossification and traumatic osteoarthritis.

3. What are the typical symptoms of radius shaft fractures

  After the injury, the patient's forearm may swell and hurt, but there is no significant deformity. The injured area has obvious tenderness, and the movement of the forearm is significantly restricted. For displaced fractures, abnormal movement and bone grinding sound can be felt, but there is no need to check specifically to avoid aggravating the injury.

4. How to prevent radius shaft fractures

  Radius shaft fractures are caused by direct violence, and indirect violence can also cause them. To prevent radius shaft fractures, it is necessary to avoid trauma as much as possible, strictly follow operational specifications, and seek medical attention in case of an emergency.

5. What laboratory tests are needed for radius shaft fractures

  X-ray can clearly show the fracture and its type. In the straight type, the distal end of the radius fracture moves to the dorsal radial side, and the palmar and ulnar angles of the joint surface become smaller, disappear, or even reverse. The distal end of the radius fracture is interlocked with the proximal end, and some cases are accompanied by fractures of the ulnar styloid process and separation of the ulnar and radial joints. In the flexion type fracture, the distal end of the radius moves to the palmar side. For elderly patients with minor injuries caused by external force, bone density examination should be performed to understand the condition of osteoporosis.

6. Dietary taboos for radius shaft fracture patients

  Patients with radius shaft fractures should eat more vegetables rich in fiber, and consume foods that promote gastrointestinal digestion and defecation, such as bananas, honey, and other foods. In the early stage of radius shaft fracture, it is recommended to eat foods that promote blood circulation and remove blood stasis, and improve Qi and dissipate toxins, such as vegetables, soy products, fish soup, eggs, and so on. In the middle stage of radius shaft fracture, it is advisable to eat foods that help nourish the body, relieve pain, remove blood stasis and generate new blood, and promote bone healing and muscle repair, such as bone soup, Cordyceps chicken stewed with Puerariae Lobatae, and animal liver. In the late stage of radius shaft fracture, it is better to eat more foods that nourish the liver and kidney, tonify Qi and nourish blood, and relax tendons and activate collaterals, such as chicken soup, pork bone soup, and sheep bone soup.

7. Conventional Western treatment methods for radius shaft fractures

  Fractures of the radius account for only 12% of all forearm fractures, and are most common in young and middle-aged people. Patients with this condition may experience swelling and pain in the forearm after injury, without significant deformity. There is marked tenderness at the site of injury, and the movement of the forearm is significantly restricted. So, how to treat radius shaft fractures? The following introduces the treatment methods for radius shaft fractures:

  1. Fractures without Displacement

  The wrist joint is fixed in the functional position for 3 to 4 weeks with a plaster four-head bandage or a small splint.

  2. Fractures with Displacement or Flexion-type Fractures

  Most can be successfully reduced by manipulation. For straight-type fractures that are not comminuted and do not involve the articular surface, the pull-shake reduction method is often used; for elderly patients, comminuted fractures, and those involving the articular surface, the lift-and-push reduction method is often used. After reduction, the wrist joint is kept in the掌屈 and ulnar deviation position, and the cast or external fixation frame is fixed for 4 weeks. For flexion-type fractures, the reduction direction is opposite after longitudinal traction, and the wrist joint is fixed in the extension and supination position for 4 weeks. In addition to taking X-ray films to check the alignment after fixation, X-ray films should be taken for review about a week after the edema subsides. If redisplacement occurs, it should be treated promptly.

  3. Comminuted Fractures

  For those with difficult reduction or those who are difficult to maintain after reduction (such as Blount's fracture), surgical reduction is often required, and internal fixation with Kirschner wires, screws, or T-shaped plates is performed. The cast is fixed for 6 weeks after the operation.

  4. Management of Complications Fracture Malunion

  For those causing functional impairment, surgical correction of deformity and internal fixation should be performed. For those with dislocation of the carpal and radial joints affecting the rotation of the forearm, the head of the ulna can be excised. For those with concurrent median nerve injury that does not recover after 3 months of observation, exploration and decompression of the nerve should be performed, and the prominent bone ends should be smoothed. For those with delayed rupture of the extensor pollicis longus tendon, the osteophytes should be removed and the tendons should be repaired. For those with osteoporosis, appropriate treatment should be given to prevent the occurrence of complications of other serious fractures (such as femoral neck fracture).

  5. Functional Exercise

  During the period of fracture fixation, attention should be paid to the exercise of shoulder, elbow, and finger movements. Especially for the elderly, it is necessary to prevent stiffness of the shoulder joint.

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