Nɔto ɔl di an dɛn we kin brok na di sem! Mek wi tok abaut di Smith Fracture

Yu dɔn ɛva fɔdɔm ɛn wund yu an bad bad wan? We dat apin, sɔntɛnde yu kin brok wan bon na yu an. Dɛn fraktrɔs ya difrɛn, ɛn dɛn nɔ kin apin to ɔlman di sem we. Tide wi go tɔk bɔt wan pan dɛn kayn fraktrɔs ya, we na di Smith Fracture . If yu no bɔt am, yu kin gɛt kol at ɛn gɛt di rayt tritmɛnt kwik kwik wan if sɔntin lɛk dis apin to yu ɔ pɔsin we yu sabi.

Wetin na Smit Fraktrɔs?

Fɔ tɔk am simpul wan, Smit fraktrɔs na spɛshal kayn fraktrɔs na yu an. Bɔku tɛm i kin apin we yu fɔdɔm we yu an de fleks, we min se yu an bɛn to yu an, ɔ if dɛn bit yu tranga wan na yu an bak.

Naw yu go de tink, ɔlkayn nem de fɔ dɛn bon dɛn ya we brok, ɛn i de kɔnfyus. Na tru. yu go bכn yεri bכt Smit frakshכn, we na ``distal rayus frakshכn,'' we na frakshכn na di distal εnd fכ di rayus, di big wan pan di tu bon dεm na yu fכs an, we de na di sayd fכ yu tכmbכl.

Ɔl dɛn tin ya impɔtant fɔ mek di dɔktɔ no ustɛm di bon dɛn na yu an brok, usay dɛn brok, aw dɛn brok am, ɛn aw i tan insay. Tink bɔt dɛn tin ya as tin dɛn we yu kin yuz fɔ mek yu bɔdi big pasmak na maykroskɔp, we kin mek di dɔktɔ ebul fɔ si dip dip say dɛn we yu wund. Bɔt di tin we impɔtant pas ɔl na fɔ sho yu an to dɔktɔ kwik kwik wan.

Aw dis difrɛn frɔm ɔda tin dɛn we kin brok in an?

Di kayn we aw yu an brok de dipen pan aw yu bon brok ɛn aw di brok brok luk. Smit fraktrɔs kin apin we yu fɔdɔm wit yu an fleks insay ɔ we yu gɛt had blow na di bak pat pan yu an.

Difrεns bitwin Smith frakshכn εn Colles frakshכn

naw, if di dכkta tεl yu se yu gεt ``Colles fracture,'' wetin kin apin na di brok pat pan bon na yu an (di ``radius'') dεn de push am bak (dorsally). Dat min se, to di bak pat pan di an. bכt insay wan Smit frakshכn, i de di כda we: dεn de push di brok pat pan bon fכ fכd (volarly), dat na, tכwεd di palm. Yu ɔndastand di difrɛns? Dis na di men difrɛns.

Difrɛns bitwin Smit fraktrɔs ɛn Barton fraktrɔs

Barton fraktrɔs tan lɛk Smit fraktrɔs. Dɛn tu kin apin we di an bɛn insay ɛn fɔdɔm. Bɔt we Batɔn frakt, di bon we brok kin tilt ɔp ɔ fa frɔm yu an, ɛn dis kin gɛt fɔ du wit di jɔyn bak.

Udat kin gɛt di sik we dɛn kɔl Smith Fractures?

Infakt, ɛnibɔdi kin gɛt Smit fraktrɔs, bikɔs bɔku tɛm dɛn kin gɛt dɛn tin ya bikɔs ɔf aksidɛnt ɔ wan bad bad blo.

Bɔt wan impɔtant tin de we kin mek pɔsin gɛt prɔblɛm. Dat na ɔstioporosis.If yu gɛt ɔstioporosis, yu bon dɛn kin brok izi wan pas di avɛrej pɔsin. Pan ɔl we i kin apin to ɛnibɔdi, i kin apin to uman dɛn lɛk 4 tɛm pas man dɛn. Dɔn bak, pipul dɛm wae dɔn pas 50 ia kin gɛt bɔrku risk fɔ gɛt ɔstioporosis.

Aw dis sik kin kɔmɔn?

pan avrej, di an fraktכs de mek 20% pan כl di frakshכn dεm we dεn kin si na di imejensi dipatmεnt dεm. Dɛn kin bi bak di sɛkɔn bon we kin brok pan pipul dɛn we dɔn pas 50 ia.

Bɔt we yu kɔmpia am to ɔda an dɛn we kin brok, Smit kin brok nɔ kin bɔku . dεn de mek lεk 5% pan כl di wrist frakshכn dεm. Dat na less dan Colles fraktrɔs.

Wetin na di sayn dɛm fɔ dis?

Yu kin gɛt sɔm kayn sik lɛk dis wae yu gɛt Smit fraktrɔs:

• Bɔku pen na di an.
• Wan swɛlin .
• Tɛnd we pɔsin tɔch am.
• Nɔ ebul fɔ muv yu an we yu nɔ de fil pen.
• Brus arawnd di wrist, possibly blu/pepul diskכlareshכn.
• Wan ɔnusual difɔmiti ɔ lump de si na di an. I tan lɛk se di shep fɔ di an dɔn chenj.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Fɔdɔm na di tin we kin mek pɔsin fɔdɔm pas ɔl. כl di pipul dεm we gεt Smit frakshכn kin fכl wit dεn an we fleks insay, we de slap di dכsum na di an.

Apat frɔm dat, motoka aksidɛnt, spɔt injuri (fɔ ɛgzampul, we pɔsin fɔdɔm frɔm baysikul, we pɔsin fɔdɔm frɔm sketbɔd), ɛn ɔda bad bad aksidɛnt dɛn kin mek bak Smit brok.

di dכkta kin yuz wan tεm lεk ``mεkanism fכ injuri'' fכ dεskrεb di kכz fכ yu an brok. Na jɔs wan wɔd we dɔktɔ dɛn kin yuz, ɛn i kin ɛp dɛn fɔ ɔndastand aw yu bin wund.

Aw dɔktɔ kin fɛn dis?

di onli we fכ no fכ sכri if yu gεt Smit frakshכn na wit ``(X-ray)`` tεst . Dis kin tɛl di dɔktɔ ustɛm yu dɔn brok, us kayn we yu brok, ɛn usay di brok brok pat dɛn de go. wan ``((X-ray)`` dεn kin tek am fכ eni wrist frakshכn.

Apat frɔm we yu kin kɔnfirm se yu an dɔn brok, we yu tek ɛkstrem rayt, i kin gi di dɔktɔ bɔku ɔda impɔtant tin dɛn. Fɔ ɛgzampul, aw di brek klin, ɔmɔs pat dɛn de, ɔmɔs ples de bitwin di bon dɛn, ɛn if ɔda bon dɛn dɔn pwɛl.

Sɔntɛnde, dɛn kin du CT skan ɔ MRI fɔ kɔnfirm ɔ fɔ mek ɔda pat dɛn na di an, lɛk di mɔsul dɛn, di tɛndon dɛn, ɛn di ligamɛnt dɛn nɔ pwɛl.

Di tɛst dɛm we yu nid fɔ du go dipen pan di tin we mek yu wund ɛn aw i bad. If na siriɔs aksidɛnt mek yu an brok, lɛk motoka aksidɛnt ɔ we yu fɔdɔm frɔm lada, yu go nid fɔ du ɔda tɛst dɛn.

Wetin na di tritmɛnt dɛn we dɛn kin gɛt?

Di tritmɛnt fɔ yu Smit fraktrɔs go dipen pan aw di ɔrijinal fraktrɔs bin siriɔs. Yu bon dɛn we dɔn brok nid fɔ wɛl ɛn kam bak togɛda. Bɔku we dɛn de fɔ mek dɛn kɔntinyu fɔ strɔng.

Immobilization na di akt we yu nɔ de muv di an.

If yu frakt nɔ rili bad, ɛn di bon dɛn nɔ de fa frɔm dɛnsɛf (dɛn nɔ de kɔmɔt na di say we yu de ɔ we nɔ de kɔmɔt na yu an smɔl), yu kin jɔs nid fɔ wɛr splint ɔ kɔst na yu an. Bɔku tɛm, wan splint kin las fɔ tri to fayv wiks. Wan kast kin las fɔ lɔng tɛm, bɔku tɛm na siks to et wiks . Yu kin nid bak fɔ du ɔda ɛkstrem rayt fɔ mek shɔ se yu bon dɛn de wɛl fayn fayn wan.

Klos ridyushɔn

fכ mכr siriכs frakshכn, we min fכ displεs frakshכn, yu kin nid fכ gεt sכmtin we dεn kכl ``klos rεdukshכn'' fכ put yu bon dεm bak na dεn ples. Dis nɔto ɔpreshɔn. Insay dis, di dɔktɔ go ol yu an ɛn yu an ɛn pul dɛn fɔ mek di bon dɛn we dɔn brok alaynɛd ​​bak. Fɔ ɛp yu nɔ fɔ fil pen we yu de du dis, dɛn kin gi yu wan pan dɛn tin ya:

• Wan lokal anestetik go mek yu an ɛn yu an nɔmɔ nɔ gɛt natin.
• Sedativ (mεdikal dεm wae de mek yu fil slip) de mek yu wan ol bכdi fil rilaks.
• Dɛn go put yu na slip (jɛnɛral anestezi) ɔl di tɛm we dɛn de du di wok.

Afta we dɛn dɔn ridyus yu klos, yu dɔktɔ go put kast ɔ splint na yu an. Dɔn yu go nid fɔ go to spɛshal pɔsin fɔ tɔk bɔt di tritmɛnt we yu go gɛt.

Yu nid fɔ gɛt ɔpreshɔn?

fכ frakshכn we rili siriכs, dat na frakshכn we dεn nכ kin sεt fayn wit ``klos rεdukshכn'', כ fכ frakshכn we nכ stebul, dεn nid כpεrayshכn. Yu dɔktɔ go rialayn di bon dɛn we dɔn brok (open reduction), ɛn put wan mɛtal plet ɛn skru dɛn insay yu an fɔ ol dɛn togɛda (internal fixation).

Fɔ wɛl afta dɛn du di ɔpreshɔn kin tek lɔng tɛm pas ɔda tin dɛn we dɛn kin du. Afta yu dɔn ɔpreshɔn, yu go nid fɔ wɛr splint fɔ protɛkt yu bon dɛn ɛn ɛp dɛn fɔ wɛl. Yu go nid bak fɔ gɛt fizik tritmɛnt fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ ebul fɔ muv.

Wetin dɛn kin du bɔt pen?

I impɔtant fɔ tɔk to yu dɔktɔ bifo yu tek ɛni mɛrɛsin fɔ ridyus pen afta ɛni tritmɛnt. Di tin dɛn we dɛn kin bay we dɛn kin sɛl pen (lɛk ibuprofen ɔ acetaminophen) kin ɛp fɔ ridyus di pen ɛn swɛlin. Yuz dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.

Aw yu go mek sɔntin lɛk dis nɔ apin?

Klosap ɔltɛm, we pɔsin in an brok, i kin apin bay aksidɛnt. Bikɔs na fɔdɔm na di men tin we kin mek yu an brok, i impɔtant fɔ mek yu os ɛn wokples nɔ gɛt tin dɛn we go mek yu ɔ ɔda pipul dɛn trip. Tek tɛm wit kebul, pilo, ɛn tɔys dɛn we de na grɔn. Dɔn bak, mek shɔ se yu famili mɛmba dɛn we dɔn pas 50 ia de praktis gud abit fɔ mek dɛn nɔ fɔdɔm.

Dɔn bak, tɔk to yu dɔktɔ bɔt ɔstioporosis ɛn aw yu go mek yu bon dɛn strɔng tru tin dɛn lɛk it (we gɛt bɔku kalsiɔm ɛn vaytamɛn D), ɛksesaiz, ɛn fɔ chɛk yu bon dɛn ɔltɛm.

Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm we i kin tek fɔ wɛl kin dipen pan aw yu brok brok ɛn di tritmɛnt we yu bin gɛt. I kin tek ɛnisay frɔm sɔm mɔnt to pas wan ia fɔ mek i wɛl ɔl.

• If dɛn yuz splint ɔ kast: lɛk siks wiks.
• If yu gɛt klos ridɔkshɔn: If yu nɔ want ɔpreshɔn, yu kin go na os di sem de. Yu go nid fɔ wɛr splint/kas fɔ at le siks to et wik.
• If dɛn du yu ɔpreshɔn: I kin tek lɛk wan to tri mɔnt fɔ mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn. Yu go nid bak fɔ lɛk 4 to siks wiks fɔ rihab ɛn fizik tɛrapi.

Bɔku pipul dɛn kin gɛt stiff ɛn pen na dɛn an fɔ mɔnt, ivin ia, afta dɛn frakt dɔn wɛl. Na dat mek i impɔtant fɔ du di ɛgzampul dɛn we yu dɔktɔ tɛl yu fɔ du.

Ustɛm a go ebul fɔ go bak na wokples ɛn skul?

I nɔ mata us tritmɛnt yu gɛt, wan Smit fraktrɔs go afɛkt yu layf te i wɛl:

• I nɔ kin izi fɔ rid, rayt, ɛn yuz kɔmpyuta, mɔ if di an pan yu an we de rul brok.
• If dɛn dɔn du ɔpreshɔn pan yu, yu go nid fɔ gɛt fyzikal tritmɛnt fɔ mek yu gɛt trɛnk bak.
• Ivin if yu nɔ nid fɔ du ɔpreshɔn, yu dɔktɔ go tich yu sɔm ɛgzampul dɛn fɔ ɛp fɔ mek yu an ɛn yu an kɔntinyu fɔ muv difrɛn say dɛn ɛn fɔ mek yu ebul fɔ chenj.

Di dɔktɔ go ɛksplen to yu bak aw lɔng yu nɔ go ebul fɔ go wok, skul, ɔ ɔda tin dɛn.

Bɔrku pipul kin bigin fɔ du layt ɛksɛsayz bak (fɔ waka, jok, ɛksesaiz fɔ lɛ dɛn bɔdi smɔl) insay wan ɔ tu mɔnt afta dɛn dɔn pul di kɔst ɔ afta dɛn dɔn du di ɔpreshɔn. Bɔt i kin tek tri to siks mɔnt fɔ bigin fɔ du ebi ebi ɛksɛsayz ɔ kɔntakt spɔt bak.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

Wan Smith fraktrɔs kin mek yu gɛt prɔblɛm dɛn lɛk dis, na dat mek i impɔtant fɔ gɛt di rayt tritmɛnt:

• Acute compartment syndrome (ACS) : If di prɛshɔn we de insay di mɔsul dɛn na yu fɔs an go ɔp, dat kin mek blɔd lik kɔmɔt na di tisu dɛn, ɛn dis kin mek di mɔsul ɛn nerv dɛn pwɛl fɔ ɔltɛm. Dis na imejensi.
• `(Malunion)` : Dis kin apin we yu brok bon dεm nכ de hεl fayn εn dεn nכ alaynd fayn.
• Carpal tunnel syndrome : We di an brok we nɔ wɛl fayn, i kin mek di midya nɛf na di an kɔmprɛshɔn, i kin mek di an fil pen, i nɔ kin fil fayn, ɛn i kin wik.
• Bon infεkshכn (osteomyelitis) : If yu gεt opin wrist frakshכn (wan we di bon de brok tru di skin), yu de pan hכy risk fכ gεt baktriyal infεkshכn.
• Ɔda injury dɛn we kin apin insay yu : Fraktrɔs kin pwɛl bak di mɔsul dɛn, nerv dɛn, blɔd vesel dɛn, tɛndon dɛn, ɛn ligamɛnt dɛn we de rawnd yu injury.
• At : As tɛm de go, at at kin kam na di jɔyn we dɔn wund.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu an brok, gɛt ɛp kwik kwik wan . Go na di imejensi rum if yu dɔn gɛt aksidɛnt ɛn yu gɛt dɛn sayn ya:

• I kin fil pen bad bad wan.
• Wan swɛlin.
• I kin at we dɛn tɔch am.
• Yu nɔ go ebul fɔ shek yu an.
• If di an luk strenj we i bɛn ɛn difɔm.
• If yu finga dɛn de tingling ɔ tɔn pale.

Tɛl di dɔktɔ ɔ di wan dɛn we de wok fɔ di imejensi di rayt tin we apin .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya we yu go si dɔktɔ. Da we de, yu go ɔndastand ɔltin klia wan.

• Us kayn fraktrɔs a gɛt? Na Smit fraktrɛshɔn?
• A go nid fɔ wɛr splint ɔ kast? Fɔ aw lɔng?
• Yu tink se a nid ɔpreshɔn?
• A go nid fɔ gɛt fizik tritmɛnt?
• Ustɛm a kin yuz mi an we dɔn brok?
• Ustɛm a go ebul fɔ ple spɔt ɔ ɛksesaiz?
• Ustɛm mi an go wɛl ɔltogɛda?
• Wetin na sɔm tin dɛn we a fɔ du spɛshal wan ɛn avɔyd na os?
• Ustɛm a fɔ go to di dɔktɔ bak?

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

Fɔ brok bon kin mek yu fred ɔltɛm, mɔ if na siriɔs aksidɛnt. Laki, dɛn kin trit di an dɛn we brok, inklud di wan we Smit brok. If dɛn gɛt di rayt tritmɛnt ɛn dɔktɔ advays dɛn, bɔku pipul dɛn kin go bak fɔ du ɔl wetin dɛn bin de du bifo dɛn wund.

If yu tink se yu gɛt Smit fraktrɔs ɔ ɛni ɔda wrist fraktrɔs, nɔ west tɛm ɛn mek dɛn chɛk am kwik kwik wan.If yu gɛt sɔm patikyula tin dɛn we kin mek yu gɛt prɔblɛm, lɛk ɔstioporosis, nɔ fɔgɛt fɔ tɔk to yu dɔktɔ bɔt aw fɔ mek yu bon dɛn strɔng ɛn mek yu nɔ brok. Yu wɛlbɔdi de na yu an!

` Wrist frakt, Smit frakt, an frakt, bon frakt, wrist pen, wrist tritmɛnt, Smit Fraktrɔ