Radial and ulnar styloid fractures

　　This condition is mainly caused by traumatic factors. When falling, if the palm of the hand lands on the ground, the impact force passes through the navicular bone to act on the distal end of the radius, causing a transverse fracture of the radial styloid process. There are also cases where the injury is caused by direct impact, such as being hit by the reverse force of the car's ignition handle. In addition, strong ulnar deviation of the wrist joint and strong traction of the radial collateral ligament can cause avulsion fractures of the radial styloid process.

　　This disease mainly causes deformity of the elbow and limited movement of the wrist joint, with dysfunction as the main complication. At the same time, attention should be paid to the overall treatment of the wrist joint. There are reports that due to the dorsal extension injury of the wrist joint, the triangular fibrocartilage of the lateral column of the wrist joint can be ruptured and the styloid fracture can be复位不良, leading to chronic wrist pain and limited movement of the wrist joint function.

　　The main manifestations of this disease are local swelling, pain, marked tenderness, palpable bone rubbing sound, subcutaneous ecchymosis, and in severe cases, hematoma inside the wrist joint, with limited wrist joint movement. This disease is mainly caused by traumatic factors. When falling, if the palm of the hand lands, the shock force passes through the navicular bone to act on the distal end of the radius, causing a transverse fracture of the radial styloid.

　　This disease is mainly caused by traumatic factors, so paying attention to safety in production and life, avoiding trauma, and ensuring personal safety is the key to preventing this disease. In addition, attention should be paid to treating the disease from an overall perspective and trying to restore the function of the affected limb of the patient.

　　The main auxiliary examination method for this disease is X-ray examination:When the radial styloid is fractured, it is difficult to see the fracture line on the lateral X-ray film, but a transverse fracture line can be seen on the anteroposterior X-ray film, starting from the intersection of the scaphoid bone and the lunate joint surface and extending outward to the top of the radial styloid about 1 cm away. In the case of ulnar styloid fracture, slight displacement can be seen.

　　1. Foods that are good for fracture patients:

　　1. High-energy, high-protein diet:It is helpful for recovery, but it is best to eat it after 2 weeks after a fracture. In the early stage of a fracture, light and bland food should be preferred.

　　2. Vitamin D:If fracture patients always rest indoors and cannot get enough sun exposure, they are prone to a lack of vitamin D. Therefore, after a fracture, it is advisable to eat more foods rich in vitamin D (such as fish, liver, egg yolks, etc.) and try to get more sun exposure.

　　3. Vitamin C:Fruits rich in vitamin C include hawthorn, fresh jujube, kiwi, strawberry, longan, lychee, tangerine, etc., and vegetables include millet sprouts (grass head), chili, bell pepper, rapeseed sprouts, cauliflower, brussels sprouts (soup vegetables), bitter melon, bok choy, green cauliflower, and green amaranth.

　　4. Water:After a fracture, due to sitting for a long time and not moving, constipation is easy to occur, so more water should be drunk to ensure the smoothness of the intestines.

　　5. Stage-by-stage regulation:Two weeks after a fracture, the diet can be supplemented with bone soup, cordyceps chicken stew, animal liver, etc., to provide more vitamin A, D, calcium, and protein. More than 5 weeks after a fracture, the diet can be further supplemented with old hen soup, pork bone soup, sheep bone soup, deer tendon soup, stewed fish, etc. Those who can drink can choose Du Zhong bone碎补 wine, chongxue wine, hu gua gua wine, etc.

　　2. Foods that fracture patients should not eat:

　　1. Bone soup:Many people believe that bone soup can help supplement calcium, but in fact, the calcium in the bones cannot be absorbed directly by humans. The main nutrients in bone soup are collagen, and eating more collagen is beneficial for fracture patients, but it is not advisable to eat too much in the first 1-2 weeks after a fracture because it is too greasy, which may cause blood stasis and affect recovery.

　　2. Calcium Supplementation:Although calcium is an important component of bones, supplementing calcium is not beneficial for treating fractures and may even cause increased blood calcium levels. Fracture patients who do not have a calcium deficiency can promote the absorption of calcium by the body through functional exercise, accelerate the healing of broken bones, and should not supplement calcium blindly.

　　3. Indigestible Foods:Due to long-term rest at home and the swelling and pain at the injury site, the appetite of fracture patients is often poor. Eating too much nutritious and greasy food will not only make the appetite worse but also cause constipation. Therefore, after a fracture, it is advisable to eat more foods that are easy to digest and defecate, and avoid eating foods that are easy to cause bloating or are difficult to digest, such as sweet potatoes, taro, and glutinous rice.

　　4. Sugar:Excessive intake of carbohydrates after a fracture can lead to the loss of a large amount of calcium, which is not beneficial to the recovery of fracture patients. Too much sugar can also reduce the content of vitamin B1 in the body. A deficiency of vitamin B1 will greatly reduce the activity of nerves and muscles, affecting the recovery of function.

　　5. Sanqi Tablets:Taking Sanqi tablets at the initial stage of a fracture can contract local blood vessels and treat fracture hemorrhage. However, after one week of fracture recovery, the bleeding has stopped, and the injured bone needs fresh blood supply to recover quickly. If Sanqi tablets are still taken at this time, it will cause the blood vessels to remain contracted, resulting in poor blood circulation and being detrimental to fracture healing.

　　(The above information is for reference only, please consult a doctor for details)

　　The treatment of this disease is mainly divided into two situations:

　　1. Displaced Fracture of the Radial Styloid Process:Traction the wrist joint in ulnar deviation and push the displaced fracture fragment towards the ulnar side to achieve a satisfactory reduction. It can be fixed with a short arm cast for 3 to 4 weeks. If the reduction is unstable or the fracture moves again after reduction, Kirschner wires or screws can be used for fixation.

　　2. Fracture of the Styloid Process of the Ulna:It can be fixed with a plaster splint on the forearm in a neutral position and the wrist in ulnar deviation for 4 weeks. Since the styloid process of the ulna is often difficult to heal, if the pain worsens, excision can be performed.