Radial styloid process fracture

　　1. Causes of disease

　　Mostly caused by indirect violence and traction violence.

　　2. Pathogenesis

　　Clinically, simple radial styloid process fractures are often encountered, mostly caused by falling and the palm of the hand landing, with the force transmitted through the navicular and lunate bones. Fracture fragments are often transverse or slightly oblique and dislocated towards the distal and radial sides. In addition, if the wrist is excessively ulnarly deviated, the sudden traction of the radial collateral ligament can also cause styloid process fracture, appearing as a tearing shape.

　　1. Swelling

　　After trauma, local swelling occurs, reaching a peak after 72 hours, and then gradually subsiding. After swelling occurs, the affected limb should be elevated, preferably above the heart level, and appropriate ice packs should be applied to promote the subsidence of swelling.

　　2. Plaster pressure

　　After simple fractures, manipulation reduction and plaster fixation, as the limb swelling gradually increases, there may be plaster pressure, leading to significant swelling, bruising, and numbness at the distal parts of the limbs such as fingers and toes. It is necessary to go to a medical institution to relieve pressure in a timely manner to avoid limb necrosis due to compression.

　　3. Joint stiffness

　　Long-term immobilization of the affected limb leads to poor venous and lymphatic return, serous fibrous exudation and fibrin deposition in the joint cavity, resulting in fibrous adhesions, accompanied by soft tissue contracture around the joint, leading to joint dysfunction. This is the most common complication of fractures and joint injuries. Timely removal of fixation and active functional exercise are effective methods for preventing and treating joint stiffness.

　　1. General fracture signs:The radial distal end of the injured wrist shows swelling, pain, and tenderness symptoms.

　　2. Positive ulnar deviation test:Severe pain on the radial side occurs when the wrist joint is tilted towards the ulnar side.

　　1. Regular follow-up, with the frequency and time of follow-up varying according to the different treatment conditions.

　　2. In case of the following emergency situations, it is necessary to return to the hospital or local hospital for treatment in a timely manner:石膏松脱; poor blood circulation and numbness at the fingertips and toes; local pain or significant pressure; pain relief for a period of time followed by recurrence of pain.

　　3. Before removing the external fixation or before the lower limb bearing weight, seek the doctor's advice.

　　4. Pay attention to the protection of the affected area, and avoid any further injury to the affected area.

　　At the time of diagnosis, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. There is no related laboratory examination for this disease. X-ray examination: can make an accurate diagnosis. This disease seriously affects the daily life of patients, so it should be actively prevented.

　　Firstly, what foods are good for radial styloid fracture

　　1. It is advisable to eat more vegetables rich in fiber, and eat bananas, honey, and other foods that promote gastrointestinal digestion and defecation.

　　2. In the early stage, you should eat some foods that promote blood circulation, remove blood stasis, and dissipate qi, such as vegetables, soy products, fish soup, eggs, etc.

　　3. In the middle stage, you can eat some foods that help nourish and relieve pain, remove blood stasis and produce new things, and connect bones and tendons, such as bone soup, Cordyceps chicken stew, animal liver, etc.

　　4. In the later stage, you can eat more foods that nourish the liver and kidney, tonify the qi and nourish the blood, and relax the tendons and collaterals, which can help the formation of bone callus, such as chicken soup with old hen, pork bone soup, sheep bone soup, etc.

　　Secondly, what foods should be avoided for the best of radial styloid fracture

　　1. Avoid blindly supplementing calcium.

　　2. Avoid indigestible foods.

　　3. Avoid eating too much meat and drinking braised bone broth.

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

　　1. Treatment

　　Treatment should mainly be non-surgical, after local anesthesia, the palm is slightly deviated towards the ulnar side under traction, the operator uses the thumb to push the fracture fragment from the radial side to the ulnar side, when touching the fracture site and showing the disappearance of the crack, the affected hand is placed back in place, which can generally achieve satisfactory reduction. In case of failure of closed reduction, open reduction is performed, and it is fixed with screws or Kirschner wires. The forearm splint is used for protection after the operation.

　　2. Prognosis

　　The prognosis of this kind of injury is generally good, as it belongs to intra-articular fracture, there is a possibility of traumatic arthritis, and prevention should be noted. Especially, attention should be paid to anatomical alignment as the key to obtaining good efficacy.