Radius head ossicle separation

　　The radius head ossicle separation is mostly caused by shoulder joint abduction, elbow joint extension and external rotation, and the radius head impacting the capitulum of the humerus during a fall. It is common in children's elbow joint injuries and has a similar injury mechanism to the fracture of the radius head. It mostly belongs to Salter-Harris type II and type I injuries.

　　This disease can be divided into 4 types: Type I: Cap-type, accounting for about 50%; Type II: Compression type; Type III: Fracture type; Type IV: Compression fracture type.

　　The influence of epiphyseal separation on the growth and development of epiphysis and whether it can affect the deformity of the bone ends mainly depends on the location, degree, and treatment of the injury. Early diagnosis and treatment can effectively prevent the occurrence of complications, but if the treatment is not timely or the injury is severe, other diseases may occur, such as elbow deformity and upper arm dysfunction.

　　This disease mainly occurs after an elbow injury, manifested as swelling, pain, compression, and dysfunction of the elbow. For such patients, X-ray examination should be performed to clarify whether the separation of the radius head ossicle has occurred.

　　1. Avoid protecting the radius head ossicle and avoiding factors such as shoulder joint abduction, elbow joint extension and external rotation of the radius head impacting the capitulum of the humerus.

　　2. If there are symptoms such as pain and swelling in the affected area, timely X-ray and MRI examinations of the affected area should be carried out to determine whether it is radial head epiphysial separation as soon as possible, and take nursing measures as soon as possible.

　　3. There are many aerobic exercises, and appropriate reasonable exercise should be carried out.

　　The auxiliary examination of this disease is mainly X-ray examination, and the following three points should be noted:

　　1. Radial head epiphysial separation often moves towards the dorsal or palmar side, and the epiphysial separation is often not seen on the anteroposterior X-ray film, only the lateral film can see it. For this, the child's position should be corrected first when taking the film, and then different angle positions can be added.

　　2. For mild epiphysial separation with no obvious displacement of the epiphysis, only slight cortical皱纹 can be seen on the X-ray film, and it should be carefully read to prevent missed diagnosis.

　　3. If there is an abnormal high density shadow in the metaphysis, a contrast radiograph of the healthy wrist joint should be taken, and if there is no such change on the healthy side, epiphysial separation can be diagnosed; and it is recommended that children have regular follow-up examinations, and if there is callus formation, the diagnosis can be confirmed.

　　1. What foods are good for the body for radial head epiphysial separation?

　　Eat light and nutritious food, pay attention to dietary balance.

　　2. What foods should be avoided for radial head epiphysial separation?

　　Avoid spicy foods.

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

　　1. Manipulation Reduction:Most cases have good effects, the elbow can be extended and rotated forward, the elbow can be flexed, and the radial head can be reduced by pressing. The elbow is externally fixed with a cast for 3 weeks after reduction.

　　2.撬拨复位：Applicable to oblique helmet compression fractures that are not reduced by manipulation and are separated.

　　3. Open Reduction:Applicable to those who are not satisfied with the reduction methods mentioned above. Generally, there is no need for Kirschner wire fixation after reduction, but for old fractures, Kirschner wire internal fixation is required to prevent postoperative displacement.

　　It is not advisable to excise the radial head before the ossification of the radial head, as it can significantly affect the development of the forearm.