Yu an dɔn wund lɛk dis? Mek wi lan bɔt Boxer’s Fracture!

Yu dɔn ɛva slam yu an na wɔl wit wamat? Ɔ dɛn dɔn ɛva bit yu bad bad wan we yu de ple spɔt? Sɔntɛnde, we dat kin apin, yu kin brok wan bon na yu an, mɔ di bon we de na di sayd we yu ring finga de. Tide, wi go tɔk bɔt dis kayn fraktrɔs, we dɔktɔ dɛn kin kɔl ‘Boxer’s Fracture.’

Wetin na Bɔksa in Fraktrɔs?

Fɔ tɔk am simpul wan, we bɔksa brok, na we yu an brok. Na wan kayn mɛtakarpal fraktrɔs.

di bak pat pan yu an gεt lכng kכb bon dεm we yu kin fil we yu tכch dεm, εn na dat wi kin kכl di mεtakarpal dεm. dis na di bon dεm we de kכnekt yu tכmb εn di phalanges fכ yu כda finga dεm to yu an.

Bɔksa in fraktrɔs na we di fayv mɛtakapal bon we de brok we de kɔnɛkt yu pinki finga to yu an . spεshal wan, di εnd pan da bon de we de kכnekt to di kכl, di ‘nεk’ pat, de brok.

Bɔrku tɛm, tritmɛnt fɔ fraktrɔs lɛk dis kin involv fɔ mek di an nɔ muv wit splint ɔ kast. Bɔt if di frakshɔn rili bad, mɔ if ɔda injuri dɛn de wit am, i kin nid fɔ du ɔpreshɔn.

Opin ɛn Klos Bɔksa in Fraktrɔs

Naw yu dɔktɔ go klas dis fraktrɔs as ‘open’ ɔ ‘closed’ fracture.

Open fracture na we di bon we brok brok tru yu skin ɛn stik aut. Dis kin denja smɔl bikɔs i kin tek lɔng tɛm fɔ mek di wund wɛl ɛn chans de fɔ mek i gɛt di sik.

We dɛn brok brok, di bon kin brok, bɔt di skin nɔ kin brok. I siriɔs bak, bɔt di risk fɔ gɛt prɔblɛm dɛn smɔl pas di wan we pɔsin kin gɛt we i brok brok.

Displaced Bɔksa in Fraktrɔs

Tu ɔda wɔd dɛn we dɔktɔ dɛn kin yuz na ‘displaced’ ɛn ‘nodisplaced’.

Displaced fracture na we di tu pat dεm na wan bon brok εn dεn push am bak εn go bifo, kכmכt na di ples, we de lεf big gap bitwin dεm. Fɔ tɔk am simpul wan, di bon strɛch ɛn i nɔ stret.

insay wan nondisplaced fracture , di bon de brok, bכt di pis dεm nכ muv tu fa, εn stil de insay roughly di sem alaynmεnt. Bɔku tɛm, di wan dɛn we brok we dɛn dɔn displeys, dɛn kin nid ɔpreshɔn.

Aw kɔmɔn tin we bɔksa kin brok?

Dis bɔksa in fraktrɔs na rili di kayn mɛtakapal fraktrɔs we kin apin pas ɔl na di an. infakt, lεk wan kwata (bכt 25%) pan כl di mεtakarpal frakshכn dεm na di an na dis kayn.

Wetin na di sayn dɛm we pɔsin kin gɛt we i de brok bɔksa?

Okay, naw lɛ wi si wetin na di sayn dɛn we bɔksa kin gɛt we i brok.

• I kin fil bad bad wan:Dis na di men tin. I de at usay mi an bin de.
• Swel: Di pat we wund na di an kin swel bɔku.
• Pinki finga we de go oba di ɔda finga: Yu pinki finga kin tan lɛk se i de go oba ɔ biɛn yu ring finga. dis dεn kכl am ‘rכteshכnal difכmiti’ . I min se di finga dɔn twist.
• Tɛnd: Di say we yu wund go at if yu tɔch ɔ pres am.
• I nɔ izi fɔ muv ɔ yuz di an: I nɔ izi fɔ du wok wit di an, fɔ bɛn ɔ ɛkstɛnd di finga dɛn.
• Bluish discoloration: Di skin na di say we di injury de kin tɔn blu ɔ pepul.

Wetin kin mek bɔksa frakt?

Di men tin we kin mek dis apin na we yu nak yu an tranga wan pan wɔl ɔ domɔt wit yu fist . Sɔm pipul dɛn kin du dis we dɛn vɛks. Dis na di tɛm we i kin apin mɔ. Di nem ‘boxer’s fracture’ kɔmɔt frɔm di fact se bɔksa dɛn kin sɔfa bɔku tɛm wit dis injuri. Dɔn bak, if yu blo yu an tranga wan, dat kin mek yu brok dis kayn we.

Udat de pan denja fɔ dis?

enibodi kin brok di fayv mεtakarpal bon na di sayd fכ di big tכ. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl. Chek out udat na dis:

• Pipul wae de bitwin 10 ɛn 40 ia: Dɛn kin si dis smɔl smɔl na dis ej grup.
• Atlet dɛn: Ɛspɛshali di wan dɛn we de ple kɔntakt spɔt lɛk bɔksin ɛn martial arts.
• Pipul wae gɛt ɔstioporosis: Ɔstioporosis na sik wae kin mek dɛn bon dɛn kin brok ɛn wik. Pipul wae gɛt dis sik kin brok dɛn bon ivin if dɛn gɛt smɔl injury.

Aw yu kin no se bɔksa dɔn brok?

We yu go to dɔktɔ, dɛn go chɛk yu an fɔs. Di dɔktɔ kin tink se na bɔksa in frakt jɔs bay we i tɔch am ɔ jɔs we i luk am. Yu nid fɔ tɛl di dɔktɔ di rayt tin we apin bifo yu wund yu an ɛn aw yu bin notis di sik fɔs.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Di dɔktɔ go tek ɛkstrem rayt na yu an. di εks-ray go sho εksakכt usay di fayv mεtakapal bon brok εn aw di frakshכn luk.

Sɔntɛnde, mɔ if yu nid fɔ du ɔpreshɔn, yu kin gɛt CT skan bak (Computed Tomography - CT scan) . CT skan kin tek tri dimɛnshɔnal (3D) pikchɔ fɔ yu bon dɛn ɛn di tisu dɛn we de rawnd.

Aw dɛn kin trit di bɔksa in fraktrɔs?

Yu dɔktɔ go tɛl yu bɔt tritmɛnt dɛn fɔ ɛp yu bon fɔ wɛl. Di kayn tritmɛnt we yu nid go dipen pan di kayn bɔksa in frakshɔn we yu gɛt ɛn if yu gɛt ɔda injuri. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

Immobilizayshɔn fɔ mek pɔsin nɔ muv

If di bɔksa in frakt nɔ tu bad, we min se di bon fragmɛnt dɛn nɔ tu fa frɔm dɛnsɛf (nondisplaced fracture), yu kin jɔs nid fɔ kip yu an insay splint ɔ kas. Bɔrku pipul dɛn go nid fɔ kip dɛn an na dis pozishɔn fɔ tri to siks wik . bitwin dɛn, dɛn go tek ɛkstrem rayt fɔ mek shɔ se di bon dɛn de wɛl fayn fayn wan.

Manual kɔrɛkshɔn (Klos ridyushɔn) .

fכ wan mכr siriכs bכks frakshכn, yu kin nid fכ gεt wan prכsidכs we dεn kכ l ‘klos rεdukshכn’ fכ rialayn di bכn fragmεnt dεm we brok. Insay dis prɔsidyu, di dɔktɔ go pres di bak pat pan yu an ɛn briŋ di bon pat dɛn we dɔn brok bak na dɛn ples. We yu de du dis, yu nɔ go fil ɛni pen ɛn yu kin du wan pan dɛn tin ya:

• Lokal anestetik: Dis kin mek di say we de rawnd di wund nɔmɔ nɔ gɛt natin .
• Di tin dɛn we de mek yu fil fayn: Dis go mek yu fil fri.
• Jɛnɛral anestezi: Dis min se yu nɔ go fil natin, yu go de slip.

Afta yu dɔn layn di bon dɛn bak dis we, di dɔktɔ go put splint ɔ wan kast na yu an.

Boxer in fraktrɔs ɔpreshɔn

Bɔku pipul dɛn nɔ nid ɔpreshɔn fɔ mek bɔksa brok.

Bɔt if yu gɛt opin frakt, yu gɛt displace fracture, ɔ yu gɛt comminuted fracture, yu dɔktɔ go se yu fɔ du ɔpreshɔn. Dɔn bak, if di bon ɛn ɔda tin dɛn we de rawnd am dɔn pwɛl, i kin nid fɔ du ɔpreshɔn. Na mɔtalman if di fraktrɔs dɔn mek yu big fut muf oba di ɔda fut (malrotation), i go mɔs bi se dɛn go nid fɔ du ɔpreshɔn.

Di dɔktɔ we de du di ɔpreshɔn kin put yu bon pat dɛn bak na dɛn ples ɛn fiks dɛn togɛda, so dat dɛn go fit togɛda fayn fayn wan. dis kin bi tru wan ‘internal fixation’ . Dis min se di dɔktɔ we de du di ɔpreshɔn kin put pin, skru, ɔ plet insay yu bon fɔ ol di pat dɛn togɛda. Afta di bon dɔn wɛl, yu go nid fɔ du ɔda ɔpreshɔn fɔ pul di fikseshɔn.

Sɔm prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn

Di men prɔblɛm dɛn we kin apin afta dɛn dɔn ɔpreshɔn di bɔksa in frakshɔn na:

• Malunion: Dis kin apin we di bon fragmεnt dεm we brok nכ fit togeda fayn fayn wan as dεn de hεl. Dis kin chenj di shep fɔ di an ɛn ridyus di wok we di an de du.
• Nɔnunion: Sɔntɛnde di bon pat dɛn nɔ kin fit togɛda fayn, ɔ dɛn nɔ kin fit togɛda atɔl.
• Bon infεkshכn (Osteomyelitis): .If yu bin gɛt opin fraktrɔs, we min se di bon dɔn brok tru di skin, yu de pan ay risk fɔ gɛt baktriyal infɛkshɔn.
• Stif na di an: Pipul dɛn we dɔn gɛt bɔksa frakt kin fil stiff arawnd di bon we brok. Dis stiffness kin ridyus wit haus eksasaiz en occupational therapy .
• Acute Compartment Syndrome (ACS): Dis na wan sik we de mek pɔsin denja. Di prɛshɔn we de insay di mɔsul dɛn na di an kin go ɔp, ɛn di blɔd kin pwɛl. Dis kin mek di mɔsul ɛn nerv dɛn pwɛl sote go.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

E kin tek sɔm wiks fɔ mek yu sayn dɛn nɔr de igen. Di pen go bigin fɔ stɔp insay sɔm dez. Bɔt i go tek lɛk siks wik so fɔ mek yu bon gɛt ful trɛnk bak.

Dipen pan di kayn tritmɛnt we yu bin gɛt, yu kin ebul fɔ muv ɛn yuz yu an bak insay sɔm wiks.

Bɔt mɛmba se if yu gɛt pen we yu nɔ go ebul fɔ bia ɛn i nɔ stɔp, yu fɔ go to dɔktɔ wantɛm wantɛm.

Wetin yu go ɛkspɛkt if yu gɛt bɔksa in frakshɔn?

Yu kin mɔs mek yu wɛl ful wan frɔm we bɔksa frakt.

Yu kin nid ɔkupeshɔn tɛrapi bak fɔ mek yu gɛt trɛnk ɛn muv bak na yu an.

Aw lɔng i kin tek fɔ mek di bɔksa in fraktrɔs wɛl?

Bɔrku pipul kin tek lɛk wan ɔr tu mɔnt fɔ wɛl frɔm bɔksa in frakshɔn. Aw lɔng i kin tek fɔ yu kin dipen pan aw di fraktrɔs kin tranga ɛn di tritmɛnt we dɛn bin gɛt.

Infakt, di tɛm we bɔdi kin tek fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Aks yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn aw lɔng i go tek dipen pan yu kɔndishɔn.

A nɔ go ebul fɔ go wok/skul bikɔs ɔf dis?

Sɔntɛm yu nɔ go ebul fɔ go wok ɔ skul te yu an wɛl. Dis kin tranga mɔ if di frakshɔn apin na yu an we de kɔntrol, we na di an we yu kin yuz mɔ, lɛk di an we yu de rayt wit ɔ du ɔda wok wit.

Bɔrku pipul kin bigin fɔ du bɔdi wok bak (lɛk fɔ spɔt) afta lɛk et wiks .

Bɔt yu fɔ go to dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn ɔltɛm bifo yu bigin ɛnitin bak. Ɛspɛshali if yu bon bin brok we yu de ple spɔt ɔ we yu de du sɔm patikyula tin, mek shɔ se yu aks fɔ advays bifo yu bigin bak.

Aw wi go ridyus di risk fɔ dis kayn aksidɛnt?

Fɔ ridyus di risk fɔ dis kayn injury, fala dɛn simpul sefty advays ya:

• We yu vɛks ɔ vɛks, nɔ ɛva nak di wɔl, di flɔ, ɔ ɛni ɔda tin we at. Dis na di tin we impɔtant pas ɔl.
• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka.
• Wear di rayt tin fɔ protɛkt yusɛf fɔ ɛni aktiviti ɛn spɔt.
• Fɔ fala wan plan fɔ it ɛn ɛksesaiz we go ɛp fɔ mek yu bon dɛn gɛt wɛlbɔdi.
• If yu dɔn pas 50 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ ɛn tink bɔt fɔ mek dɛn du tɛst fɔ no if yu gɛt bon dɛn .

Ustɛm yu nid fɔ go na ɔspitul kwik kwik wan?

If yu tink se yu gɛt bɔksa frakt (ɔ ɛni ɔda bon frakt), yu fɔ go to dɔktɔ kwik kwik wan. If yu gɛt ɛni wan pan dɛn sayn ya, go na di imejensi rum wantɛm wantɛm:

• Pen we pɔsin nɔ go ebul fɔ bia.
• If yu nɔ ebul fɔ muv yu an ɔ finga dɛn nɔmal wan.
• If di we aw yu an de luk dɔn chenj bad bad wan.
• If yu bon de stik aut tru yu skin.
• De swɛl.
• If yu dɔn bigin fɔ gɛt nyu blunɛs wit dɛn ɔda sayn ya.

Wetin a fɔ aks di dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Us kayn fraktrɔs a gɛt?
• Yu tink se a go nid ɔpreshɔn?
• Aw lɔng a go gɛt fɔ wɛr splint ɔ kast?
• Ustɛm i sef fɔ bigin fɔ du bɔdi wok bak lɛk spɔt?

Yu tink se di bɔdi we bɔksa in bɔdi brok go wɛl fɔ insɛf?

Nɔ, di bɔdi we bɔksa in bɔdi brok nɔ go ɛva wɛl fɔ insɛf. Ɛni frakshɔn we pɔsin brok, dɔktɔ fɔ chɛk am fayn fayn wan ɛn trit am. If yu lɛf bɔksa in fraktrɔs we dɛn nɔ trit, yu go gɛt bɔku prɔblɛm dɛn lɛk malunion.

‘malunion’ na we di bon we brok fit togeda, bכt nכ de insay di kכrekt posishכn, insay di kכrekt alaynsmεnt. I fit togɛda. If dat apin, i nɔ go izi fɔ yu fɔ yuz yu big an leta, ɛn yu go ebul fɔ brok di sem bon bak tumara bambay.

If yu wund yu an ɛn notis sayn dɛn we de sho se bɔksa dɔn brok, go na di imejensi rum wantɛm wantɛm. Ivin if yu bon nɔ brok, dɔktɔ fɔ rili chɛk yu injury.

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Bɔksa in frakshɔn na bon we brok na yu an. I gɛt in nem frɔm aw i kin apin – we yu hit yu an wit yu fist agens sɔntin we at. Pan ɔl we dis na kɔmɔn injuri we yu de du spɔt, i kin apin bak we yu nak wɔl ɔ ɔda tin we at fɔ mek yu vɛks.

I kin mek yu at pwɛl fɔ mis sɔm wiks fɔ tren, kɔmpitishɔn, ɔ ɔda tin dɛn. Bɔt yu kin mek yu wɛl ful wan frɔm we bɔksa frakt. Nɔ ignore di sayn dɛm lɛk aw yu de fil pen na yu an ɛn swel, mɔ afta yu dɔn wund.Si dɔktɔ wantɛm wantɛm fɔ no if yu gɛt di sik. Di kwik we di dɔktɔ no se bɔksa dɔn brok, na di mɔ yu mɛtakapal bon we dɔn brok go bigin fɔ wɛl kwik kwik wan.

` Bɔksa in frakt, an frakt, mɛtakapal frakt, an pen, an swel, spɔt injuri, bon tritmɛnt