Oh, yu bin fol somwe en wund yu wrist bad bad wan? Ɔ sɔntɛm yu bin stɔp pan sɔntin lɛk we yu fɔdɔm frɔm baysikul ɛn yu an bin swɛt? Imajin, we tin lɛk dis, nɔto jɔs wan bon na yu an kin brok, bɔt di sem tɛm, wan jɔyn na da say de kin kɔmɔt, ɛn dɛn kin trowe sɔm pat dɛn pan bon ya ɛn de. Na dat wi kin kɔl Barton Fracture, we na fraktrɔs we kɔmplikt smɔl. Sins dis kin bi bit serious, mek wi tok abaut am ditail, okay?
Wetin rili na Barton Fracture?
Fɔ tɔk am simpul wan, Barton Fracture na we wan pat pan yu an brok ɛn ɔda pat kɔmɔt na di say we i bin de fɔs. Fɔ tɔk di kɔrɛkt tin, di rayus, we na di bon we de nia di an pas ɔl, na in de brok . I kin kɔnɛkt bak to di wrist jɔyn, so dis prɔblɛm kin apin wit da jɔyn de.
Bɔku tɛm dis kin apin we yu bɛn yu an, we min yu an, ɛn fɔdɔm wit yu wet na da say de. Imajin, yu bin de rɔn ɛn wantɛm wantɛm yu slip ɛn nak yu an na grɔn, na da tɛm de dis fraktrɔs kin apin. Infakt, di rayus bon na di bon we kin brok pas ɔl na wi an. כlsay, na כnli 20% pan כl di כda frakshכn dεm na rayus frakshכn!
Yu tink se kayn kayn Barton Fractures de?
Yes, tu men kayn Barton frakshכn de, i dipכnt pan us sayd di bon fragmεnt de displεs.
1. Dכsal Baton Frakshכn: Dis na we di bon we brok de kכmכt na di bak pat pan yu an, usay di nel de. Dis kin mek smɔl swɛlin de na yu an bak.
2. Volar Barton Fracture (dεn kin kכl am bak Rivas Barton Fracture): Dis na di say we di bon we brok de kכmכt na yu an. I sɔprayz fɔ no se na dɛn kayn tin ya we kin apin we kin mek pɔsin frayd bak we dɛn kɔl rivas Batɔn.
Udat kin gɛt di sik we dɛn kɔl Barton Fractures?
Fɔ tru, ɛnibɔdi kin gɛt fraktrɔs lɛk dis. Bikɔs udat no ustɛm ɔ aw i go apin, nɔto so? Bɔt, akɔdin to sɔv, 70% pan dɛn Barton fraktrɔs ya na yɔŋ man dɛn . Dis kin apin mɔ to pipul dɛn we de wok wit dɛn an ɔ pipul dɛn we de rayd motoka. Dis injury kin apin na di wokples ɔ na baysikul aksidɛnt.
Dɔn bak, yu gɛt ɔstioporosis.If yu gɛt wan sik we dɛn kɔl ɔstioporosis, yu kin gɛt dis frakshɔn. Ɔstioporosis na jɔs wan sik we di bon dɛn kin wik ɛn i kin izi fɔ brok. So, we di bon dɛn wik, ivin we pɔsin fɔdɔm smɔl, i kin pwɛl bad bad wan. Di risk fɔ gɛt dis sik kin bɔku afta yu dɔn ol 50 ia.
Aw kɔmɔn tin na Barton Fractures?
Fɔ tɔk tru, Barton fraktrɔs na wan kayn fraktrɔs we nɔ kin apin so ɔltɛm . Bɔku ɔda kayn we dɛn de we kin mek pɔsin brok na di an. So, nɔto ɔl di an dɛn we brok na Barton fraktrɔs.
Wetin na di men rizin dɛn we kin mek dɛn skata dis kayn we?
Bɔku tɛm, dat min se bɔku tɛm, dis kin apin bikɔs pɔsin fɔdɔm . As wi bin dɔn tɔk, dis kin apin we yu fɔdɔm so dat yu an go tɔch di grɔn. Apat frɔm dat, dɛn kayn fraktrɔs ya kin apin bak pan siriɔs aksidɛnt lɛk motoka aksidɛnt ɛn motoka aksidɛnt.
Wetin na di sayn dɛm fɔ Barton Fracture?
di simptom dεm fכ wan Barton frakshכn rili sכm lεk di wan dεm fכ כda frakshכn dεm na di distal radius we wi bin tכk bכt. Yu kin gɛt tin dɛn lɛk:
- Brus ɛn brus rawnd di an: Afta yu dɔn fɔdɔm, di say kin blu ɛn brus.
- Wan swel ɔ bɔmp na di an eria: We di bon pat de muf, i kin swel ɛn tan lɛk bɔmp.
- Nɔ ebul fɔ muv yu an we yu nɔ de fil pen: Di pen kin so bad dat yu nɔ kin ivin ebul fɔ muv yu an.
- Finga dɛn we de swɛt ɔ we de swɛt: Sɔntɛnde, if prɛshɔ smɔl de pan di nɛv dɛn, di finga dɛn kin fil lɛk se dɛn nɔ gɛt bɛtɛ trɛnk.
- Swel: Di an kin swel bad bad wan.
- Bɔrku pen na yu an: Dis na di men sayn. Di pen kin mek pɔsin nɔ ebul fɔ bia.
Imajin, if yu fɔdɔm we yu de ple kriket ɛn wund yu an lɛk dis, yu nɔ go ebul fɔ du di tin dɛn we yu de du ɛvride. So, e fayn fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm kayn sik lɛk dis.
Aw dɔktɔ dɛn kin no se pɔsin gɛt Barton Fracture?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt, aw dɛn bad, ɛn aw di wund apin. Dɔn, di dɔktɔ go ɔda fɔ mek dɛn tek ɛkstrem rayt fɔ si if yu gɛt bon we brok ɛn us kayn we i brok. Di X-ray kin ɛp di dɔktɔ fɔ si:
- Ɛni ɔda bon dɛn de we brok?
- Aw fa di bon dɛn we dɔn brok de fa frɔm dɛnsɛf?
- If di say we di bon we dɔn brok, rɔf ɔ i smɔl.
Sɔntɛnde, chɛk yu tɛndon, mɔsul, ɛn ligamɛnt fɔ si if ɛnitin dɔn pwɛl.Dɛn kin du CT skan ɔ MRI bak.
Kwɛstyɔn dɛn we di dɔktɔ kin aks yu
- "Aw bɔku pen yu de insay?"
- "Aw yu simptom dɛn rili bad?"
- "Yu kin wiggle yu wrist?"
- "Aw yu wund dis wrist?"
- "Wetin dis injuri apin?"
Di dɔktɔ go ebul fɔ ɔndastand di tin we de apin kɔrɛkt wan bay aw yu ansa kwɛstyɔn dɛn lɛk dis.
Aw yu kin trit fraktrɔs lɛk dis?
Yu dɔktɔ go fɔs put splint na yu an fɔ mek i nɔ muf. Dɔn, i go rifer yu to dɔktɔ we de mɛn ɔtpidik. Ɔtpidik ɔspitul dɔktɔ dɛn kin trit di wan dɛn we wund na di bon dɛn, di mɔsul dɛn, di tɛndon dɛn, ɛn di ligamɛnt dɛn.
I go mɔs bi se yu go gɛt fɔ du ɔpreshɔn we dɛn kɔl Open Reduction and Internal Fixation (ORIF) . Dis kin tan lɛk se na kɔmplikɛt nem, bɔt fɔ tɔk am simpul wan, i kin wok lɛk dis:
1. Opin Ridyushɔn: Di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl pat na di skin, fɛn di bon pat dɛn we dɔn brok, ɛn put dɛn bak usay dɛn bin de fɔs.
2. Intanɛt Fikseshɔn: Dɔn, dɛn kin ol di bon pat dɛn we dɛn dɔn briŋ kam na di rayt ples togɛda bay we dɛn de yuz smɔl smɔl waya (pin), stik, plet, skru, ɛn ɔda tin dɛn.Sɔntɛnde dɛn kin yuz sɔm pan dɛn tin ya togɛda.
Fɔ ridyus pen afta dis ɔpreshɔn, yu dɔktɔ kin se yu fɔ tek mɛrɛsin fɔ mɛn pen lɛk asetaminofɛn (e.g. Tylenol®) ɛn ibuprofen (e.g. Advil®, Motrin®) .
Aw lɔng i kin tek fɔ mek wan Barton Fracture wɛl?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt in jɔnal, .
- If yu nɔ gɛt ɔpreshɔn (we nɔ kin nid fɔ du am na sɔm kes dɛm, bɔt bɔku tɛm i kin nid fɔ du ɔpreshɔn fɔ Barton fraktrɔs), yu go nid fɔ wɛr kɔst rawnd yu an fɔ lɛk siks wiks.
- Ivin afta dɛn dɔn du di ɔpreshɔn, yu kin nid fɔ wɛr plasta ɔ splint fɔ sɔm tɛm.
- Afta dat, yu go nid fɔ du fizik tɛrapi , usay yu go ebul fɔ muv ɛn gɛt trɛnk bak smɔl smɔl na yu an.
Yu go bigin fɔ fil fayn afta sɔm mɔnt. Bɔt i kin tek wan ia fɔ mek yu an wɛl ɛn gɛt trɛnk bak. So, i impɔtant fɔ peshɛnt ɛn tek pat pan tritmɛnt. Mek shɔ se yu aks yu dɔktɔ ustɛm yu kin bigin fɔ du ɛksɛsayz bak ɛn ustɛm yu kin ple kɔntakt spɔt lɛk futbɔl ɛn ɔki.
Aw dɛn go ebul fɔ ridyus dis prɔblɛm?
Wi nɔ kin ebul fɔ no ustɛm ɛn aw dɛn denja ya go apin. Bɔt wi kin tek tɛm smɔl:
- Tek tɛm mɔ we yu de ple spɔt, du wok wit yu an, we yu de rayd motoka, ɔ klaym ay ples dɛn lɛk lada.
- If yu gɛt ay risk fɔ gɛt ɔstioporosis (especially if yu dɔn pas 50 ia), pul di tin dɛn we kin mek yu trip na yu os.
- If yu de yuz ken ɔ waka, nɔ fɔgɛt fɔ yuz dɛn ɔltɛm.
Wetin na di lukin-grɔn afta wan Barton Fracture? (Autluk/Prɔgnosis)
Di gud nyus na dat bɔku pipul dɛn kin go bak to dɛn nɔmal tin dɛn we dɛn kin du ɛvride afta we Batɔn frakt. Bɔt i kin tek tɛm, di rayt tritmɛnt, ɛn di rayt tritmɛnt fɔ di bɔdi.
Wetin na di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn?
Sɔntɛnde, prɔblɛm kin apin afta dɛn dɔn du di ɔpreshɔn. Smɔl chans de fɔ mek dɛn tin ya apin afta dɛn dɔn du ɔpreshɔn fɔ wan Batan in frakshɔn:
- Acute Compartment Syndrome (ACS): Dis na we dɛn kin kɔt di blɔd we de go na di impɔtant pat dɛn na di bɔdi. Dis kin mek di nerv ɛn mɔsul dɛn pwɛl. Dis na imejensi.
- Osteomyelitis: If yu gɛt opin fraktrɔs – we min se di bon dɔn brok tru di skin – yu de pan ay risk fɔ gɛt infɛkshɔn.
- Carpal Tunnel Syndrome: Dis sik kin apin if di an we brok nɔ wɛl fayn fayn wan. I kin mek pɔsin fil pen, wikɛd, ɛn i kin mek i nɔ fil fayn. Bɔt tritmɛnt dɛn de fɔ dis.
- Kɔmpleks Rijinal Pen Sindrom (CRPS): Dis na wan sik we de mek pɔsin fil pen bad bad wan. I kin apin we di nɛv dɛn kin wok pasmak afta pɔsin dɔn wund, ɛn dis kin mek dɛn nɔ de wok fayn.
- Malunion: Dis min se we yu brok bon pis dɛn wɛl, dɛn nɔ de fit togɛda fayn ɛn dɛn nɔ de alaynɛd fayn.
- Ɔda tin dɛn we kin pwɛl di tisu dɛn we de rawnd: Di bon dɛn we brok kin pwɛl di mɔsul dɛn we de rawnd, di blɔd vesel dɛn, di nɛv dɛn, di ligamɛnt dɛn, ɛn di tɛndon dɛn bak.
If yu de wɔri ɔr gɛt ɛnitin fɔ wɔri bɔt dɛn prɔblɛm ya, mek shɔ se yu tɔk to yu dɔktɔ. Gud tritmɛnt dɛn de fɔ sɔm tin dɛn.
Wetin na di bɛst tɛm fɔ go to dɔktɔ?
- If yu dɔn pas 50 ia ɛn yu dɔn ɛva brok yu bon, yu praymar wɛlbɔdi prɔvayda kin want fɔ chɛk yu fɔ ɔstioporosis. We yu brok bon, dat min se yu bon dɛn kin wik.
Ustɛm yu nid fɔ go na di Imejɛnsi Dipatmɛnt?
If yu tink se yu dɔn brok yu an, i go fayn fɔ go na di imejensi rum we de nia yu wantɛm wantɛm . Ɛspɛshali if:
- If yu pen rili bad.
- If yu wrist luk strenj (lɛk se i defɔm).
- If di an nɔ de wok fayn.
- If yu finga dɛn dɔn chenj kɔlɔ (lɛk blu, wayt, ɔ pale).
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:
- "A rili nid ɔpreshɔn?"
- "Us kayn fraktrɔs a gɛt?"
- "Wetin a go ebul fɔ pul mi plasta?"
- "Ustɛm a go go bak to mi nɔmal aktiviti dɛn?"
Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Mɛmba se if yu fɔdɔm wit yu an we bɛn, wan pat pan am kin brok ɛn pat pan am kin kɔmɔt. Dis min se yu kin gɛt Barton Fracture. If di jɔyn luk lɛk se i nɔ de na in ples, i kin bi Barton Fracture. X-ray kin ɛp dɔktɔ dɛn fɔ no uskayn frakshɔn i bi. Bɔku tɛm, ɔpreshɔn na di bɛst tritmɛnt.
If yu gɛt sayn dɛn fɔ Barton Fracture, go na di imejensi rum we de nia yu wantɛm wantɛm . Dɛn kin trit dɛn fraktrɔs ya, ɛn if dɛn trit am kwik, yu kin ridyus di pen ɛn bigin fɔ wɛl kwik kwik wan. Wi de wish yu fɔ wɛl kwik kwik wan!
` Barton fraktכs, wrist fraktכs, an fraktכs, wrist pen, bon כpεrayshכn, ORIF כpεrayshכn, bon hεlin











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