Humeral lateral condyle neck fracture

　　The etiology of this disease includes the following situations:

　　1. Smaller direct force:It can produce fissure fractures; if the palm lands when falling, a smaller indirect force is transmitted upwards, and a non-displaced impacted fracture can be formed.

　　2. Abduction-type fracture:When falling, the upper limb is abducted, the palm lands, and the indirect force is transmitted upwards to cause the fracture. The proximal end of the fracture is adducted, and the distal end is abducted, forming an anterior and internal angulation deformity or overlapping displacement deformity. It is more common in clinical practice.

　　3. Adduction-type fracture:Opposite to the abduction-type fracture, when falling, the hand or elbow lands, the upper limb is adducted, the proximal end of the fracture is abducted, and the distal end is adducted, forming an outward angulation deformity. It is less common.

　　The humeral epicondyle neck fracture is a fracture adjacent to the joint, and the muscles around the shoulder joint are relatively developed, the joint capsule and ligaments are relatively loose, so soft tissue adhesions are easy to occur after the fracture, and complications such as tendinitis of the long head of the biceps brachii muscle are more common, especially the incidence of periarthritis of the shoulder. The treatment in the middle and later stages is mainly the rehabilitation of shoulder joint function. Acute attacks generally belong to the early stage, with persistent spontaneous pain symptoms, most patients are chronic pain, but there are also acute attacks, and some patients only feel discomfort and束缚感 in the shoulder. If the shoulder pain is not treated in time, it will quickly worsen, with symptoms such as muscle spasm and pain, especially at night, the pain worsens, it is impossible to turn over, and it affects sleep.

　　The patient mainly presents with swelling of the affected shoulder, ecchymosis on the anterior and medial sides, and when the fracture is displaced, the upper arm is slightly shorter than the healthy side, with possible abduction or adduction deformity. There is marked tenderness at the lower part of the greater tuberosity, and the range of motion of the shoulder joint is limited. If there is impaction at the fracture end, the shoulder joint can be moved under protection, and attention should be paid to differentiate it from shoulder joint dislocation. If there is associated with brachial plexus, axillary artery and vein, and axillary nerve injury, corresponding signs may appear.

　　This disease is caused by traumatic factors, without special preventive measures. In daily life, attention should be paid to safety to avoid trauma. The prevention and treatment mainly focus on the care in the middle and later stages, through some methods of massage and functional exercise in traditional Chinese medicine, which can effectively relieve shoulder joint adhesions, increase the range of motion of the shoulder joint, and achieve satisfactory therapeutic effects on the rehabilitation of shoulder joint function after the fracture of the surgical neck of the humerus, and improve the quality of life of patients.

　　The auxiliary examination of this disease is mainly imaging, which can be divided into three types: adduction or abduction, extension, and flexion.

　　1. Adduction or abduction-type injury:This type is the most common, with the X-ray film showing transverse fracture lines, fractures with mild internal or external angulation, distal ends showing adduction or abduction, and no obvious anterior or posterior angulation or displacement changes on the lateral view. Fractures of the surgical neck of the humerus often accompany fractures of the greater tuberosity of the humerus, manifesting as avulsion butterfly fracture fragments.

　　2. Extension-type injury:It is an injury caused by indirect external force, with the X-ray characteristics of transverse fracture lines, fractures with anterior angulation, distal fracture end with anterior displacement, posterior inclination of the humeral head, and the articular surface posteriorly.

　　3、屈曲型损伤：3. Flexion-type injury:

　　Dietary taboos for patients with radial condyle neck fracture of the humerus:

　　Firstly, what is good for the body for the radial condyle neck fracture of the humerus:1. Early stage (1-2 weeks):

　　During this period, the injured area has ecchymosis and swelling, meridians and collaterals are blocked, and Qi and blood are stagnant. The treatment during this period focuses on promoting blood circulation and removing blood stasis, and dissipating Qi. Traditional Chinese medicine believes that "if the blood stasis is not removed, the bone cannot grow" and "if the blood stasis is removed, new bone will grow." It can be seen that removing swelling and blood stasis is the primary task for fracture healing. The principle of diet coordination should be light, such as vegetables, eggs, soy products, fruits, fish soup, lean meat, etc.2. Middle stage (2-4 weeks):

　　Most of the ecchymosis is absorbed, and the treatment during this period focuses on harmonizing the camp, relieving pain, removing blood stasis, and promoting the formation of new tissues. In terms of diet, it should shift from light to moderate high-nutrient supplementation to meet the needs of callus growth. The diet in the early stage can be supplemented with bone soup, Tianqi braised chicken, animal liver, etc., to provide more vitamin A, D, calcium, and protein.3. Late stage (5 weeks and above):

　　After 5 weeks of injury, the local swelling and ecchymosis of the fracture have basically been absorbed, and the callus growth has begun, which is the late stage of fracture. Treatment should focus on tonifying the liver and kidney, Qi and blood, to promote the formation of a more solid callus, and to relax the tendons and collaterals, so that the adjacent joints of the fracture can move freely and flexibly, restoring the previous function. In terms of diet, the taboos can be lifted, and the diet can be supplemented with old hen soup, pork bone soup, sheep bone soup, deer tendons soup, braised water fish, etc. Those who can drink can choose Du Zhong Guisui wine, Jixueteng wine, Hu Guo Guava wine, etc.

　　Secondly, what foods should be avoided for the fracture of the radial condyle neck of the humerus:1. Early stage: Avoid spicy, dry and hot, and greasy foods, especially do not eat fatty and nourishing foods too early:

　　2. Avoid eating too many meat bones: such as bone soup, fatty chicken, braised water fish, etc., otherwise, blood stasis will accumulate and be difficult to disperse, which will inevitably delay the course of the disease, slow down the growth of callus, and affect the recovery of joint function in the future.Some people believe that eating more meat bones after a fracture can promote early healing. In fact, this is not the case. Modern medicine has proven through multiple practices that eating more meat bones by fracture patients not only cannot promote early healing but may also delay the healing time of fractures. The reason for this is that the regeneration of bone after injury mainly relies on the functions of the periosteum and bone marrow, and the periosteum and bone marrow can only better exert their functions under the condition of increasing bone collagen. The main components of meat bones are phosphorus and calcium. If a large amount is consumed after a fracture, it will promote the increase of inorganic components in the bone, leading to a disorder in the proportion of organic matter in the bone. Therefore, it will have a hindering effect on the early healing of fractures. However, the fresh meat bone soup tastes delicious and has a stimulating effect on appetite, so eating a little is not harmful.

　　3. Avoid one-sided dieting:Fracture patients often have local edema, congestion, hemorrhage, and muscle tissue damage, and the body itself has resistance and repair capabilities for these conditions. The raw materials for the repair of tissues, the growth of muscle in long bones, the formation of callus, and the removal of blood stasis and swelling rely on various nutrients. Therefore, it can be known that the key to ensuring the smooth healing of fractures is nutrition.

　　4. Avoid indigestible foods:Fracture patients are restricted in activity due to the fixation of plaster or splints, and the swelling and pain at the injury site, as well as mental anxiety, often lead to a decrease in appetite and constipation.

　　5. Avoid overeating sugar:After consuming a large amount of sugar, a sharp metabolism of glucose will occur, thus producing intermediate substances of metabolism, such as pyruvate, lactic acid, etc., causing the body to be in an acidic poisoning state. At this time, alkaline calcium, magnesium, sodium, and other ions will immediately be mobilized to participate in neutralization to prevent the blood from becoming acidic. Such a large consumption of calcium is not conducive to the recovery of fracture patients. At the same time, excessive sugar will also reduce the content of vitamin B1 in the body, which is because vitamin B1 is an essential substance for the conversion of sugar into energy in the body. Insufficient vitamin B1 will greatly reduce the activity of nerves and muscles, and also affect the recovery of function. Therefore, fracture patients should avoid eating too much sugar.

　　6. Avoid long-term use of Sanqi tablets:In the early stage of fracture, internal hemorrhage occurs locally, blood stasis, swelling, and pain occur. At this time, taking Sanqi tablets can contract local blood vessels, shorten the coagulation time, increase thrombin, which is very appropriate. However, after the fracture is reduced for one week, bleeding has stopped, and the damaged tissue begins to repair. Since the repair requires a large amount of blood supply, if Sanqi tablets are continued to be taken, the local blood vessels are in a state of contraction, and blood circulation is not smooth, which is not conducive to the healing of the fracture.

　　7. Avoid drinking fruit juice after fracture:The raw materials of fruit juice are made by mixing sugar water, flavoring, pigments, and other ingredients. It does not contain vitamins and minerals needed by the human body. Because it contains a lot of sugar, it presents a physiological acidic state in the body after drinking.

　　Prevention:This disease is caused by traumatic factors and has no special preventive measures. Daily attention should be paid to the safety of production and life to avoid trauma.

　　In terms of prevention and treatment, it mainly focuses on the care in the middle and later stages. Through some traction techniques of traditional Chinese medicine and functional exercises, it can effectively relieve the adhesions of the shoulder joint, increase the range of motion of the shoulder joint, and achieve satisfactory therapeutic effects on the rehabilitation of shoulder joint function after the fracture of the surgical neck of the humerus, and improve the quality of life of patients.