Yu dɔn ɛva twist yu an ɔ yu leg ɛn brok yu bon? Lɛ wi lan bɔt dis denja ‘Spiral Fracture’!

Oh mi Gɔd, imajin if yu bin de ple sɔk ɔ yu de go dɔŋ wan stej ɛn wantɛm wantɛm yu leg twist wan strenj we, mek yu fil pen we yu nɔ go ebul fɔ bia ɛn mek i nɔ pɔsibul fɔ muv yu an ɔ yu leg! If na so, yu kin dɔn sɔfa wit wetin dɛn kɔl "spiral fracture." Dis na wan kayn frakshɔn we rili siriɔs. So tide, lɛ wi tɔk bɔt am ditayli, lɛk se yu de tɛl yu padi.

Wetin na dis spiral fraktrɔs?

Fɔ tɔk am simpul wan, spiral fraktrɔs na fraktrɔs na yu bɔdi we kin apin we wan bon we de twist brok . I tan lɛk se kɔk de opin kɔk. Di brok brok de skata along di bon insay wan spiral ɔ sɛklɔ. Bɔku tɛm dɛn kin kɔl dɛn tin ya `` kɔmplit fraktrɔs`` . Dis min se di bon dɔn brok ɔl tu.

Fɔ ɔndastand dis mɔ, tink bɔt am dis we: We yu swɛt wet klos, i kin twist na di midul, nɔto so? na so frakshכn lεk dis kin apin we dεn put wan bon fכ twist.

Us kayn bon dis kin apin to?

di spiral frakshכn kin afekt di lכng bon dεm na wi bכdi. Na sɔm ɛgzampul dɛn ya:

• Femur (bɔn na di shɔl) .
• Shin bon (Tibia) .
• Di ɔda smɔl bon we de na do na di shin bon (`Fibula`) .
• Wan bon na di anklɛ eria (`Talus`) .
• Di bon frɔm wi sholda to wi ɛlb (`Humerus`)
• Bon dεm na di fכs an (`Radius` εn `Ulna`) .
• sכm sכm bon dεm na di finga dεm εn di fut dεm (`Phalanges` εn `Metacarpals`) .

We fraktrɔs apin lɛk dis, bɔku tɛm dɛn kin nid fɔ du ɔpreshɔn. di tεm we i de hεl kin difrεn dipכnt pan di kayn bon we brok εn di kכz. Bɔt bɔku tɛm, i kin tek sɔm mɔnt fɔ mek i wɛl ɔl.

Wetin na di difrɛns bitwin spiral fraktrɔs ɛn ‘grinstik’ fraktrɔs?

Dis na ɔl tu kayn fraktrɔs, bɔt dɛn gɛt difrɛn kwaliti dɛn. Fɔ dɔktɔ, dɛn nem ya de tɛl yu aw di bon brok, usay i de, ɛn aw i tan insay di bɔdi.

• spiral fraksh כn na we di bon brok we de mek wan spiral stej. Dis kin apin we big big pawa kin twist bon bikɔs i fɔdɔm, aksidɛnt, ɔ injuri we i gɛt spɔt. Tink bɔt am lɛk se pɔsin de grap yu leg ɛn twist am we yu de ple rɔgbi.
• ` `Grinstik'' frakshכn na we di bon bεnd εn gεt sכmכl krak insay, bכt i nכ de brok kכmplit wan insay tu. Yu dɔn ɛva tray fɔ brok raw, dat na, saf, stik wit yu an? I nɔ de brok klin wan insay tu lɛk dray stik, nɔto so? Na so i bi. dis ``Grinstik'' fraktכs kin kכmכn bכku pan yכŋ pikin dεm.

So, ilɛk wetin yu kɔl am, di tin we impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw yu wund ɛn mek dɛn chɛk am.

Wetin na di kɔnekshɔn bitwin dis ɛn di ‘Toddler Fracture’ we kin apin to yɔŋ pikin dɛn?

‘Toddler Fracture’ na rili wan sכbtayp fכ wan ‘Spiral Fracture’. I kin apin to pikin dɛn we nɔ rich tri ia yet. lεk כda spiral frakshכn dεm, i kin kכz fכ twist fכs, bכt i kin afekt di shin bon mכst (di ‘Tibia’) . Sɔmtɛm dis kin apin we pikin trip ɛn fɔdɔm we i de waka ɔ rɔn.

Aw kɔmɔn dɛn spiral fraktrɔs ya kin bi?

Spiral fraktrɔs nɔ rili kɔmɔn so. Bɔku tɛm, dɛn kin kam bikɔs ɔf siriɔs aksidɛnt ɛn injuri, so dɛn nɔ kin bɔku lɛk ɔda kayn fraktrɔs.

Udat kin gɛt dɛn kayn fraktrɔs ya?

Ɛnibɔdi kin brok bon, ɛn spiral fraktrɔs kin apin to ɛnibɔdi. Bɔku tɛm, na aksidɛnt kin mek dɛn tin ya. Bɔt if yu fɔdɔm ɔltɛm, yu go gɛt dis kayn frakshɔn. Dɔn bak, pipul dɛm wae gɛt ɔstioporosis kin gɛt ɔl kayn fraktrɔs, inklud spiral fraktrɔs.

Wetin na di sayn dɛm wae de sho se yu gɛt spiral fraktrɔs?

Dis kayn fraktrɔs kin sho dɛn sayn ya:

• I kin fil pen bad bad wan
• Wan swɛlin
• Fɔ gɛt sɔri-at we dɛn tɔch am
• Nɔ ebul fɔ muv wan pat na di bɔdi we nɔmal fɔ muv
• Brus ɔ skin de chenj in kɔlɔ
• Wan tin we nɔ fayn ɔ wan lump we nɔto nɔmal de si na da say de.

Wetin na ‘Open’ ɛn ‘Closed’ brek?

Yu dɔktɔ go klas yu frakshɔn as ‘open’ ɔ ‘klos’.

• Insay wan opin fraktrɔs , yu bon kin brok tru di skin. Dɛn tin ya kin tek lɔng tɛm fɔ wɛl, ɛn i kin izi fɔ mek pɔsin gɛt infɛkshɔn ɛn ɔda prɔblɛm dɛn.
• We pɔsin brok brok , di bon kin brok bɔt i nɔ kin brok di skin. Dis stil siriɔs, bɔt di risk fɔ mek yu gɛt prɔblɛm dɛn smɔl pas we yu opin fraktrɔs.

Wetin na ‘displaced’ fraktrɔs?

‘Displaced’ ɔ ‘non-displaced’ na wɔd dɛm we yu dɔktɔ go yuz fɔ tɔk bɔt yu frakt.

• Displaced fracture na we di brok brok pat dɛm na di bon de displace, we de lɛf gap rawnd di fracture.
• insay frakshכn we nכ displεs, di bon stil brok, bכt di pis dεm nכ muv tu fa aut fכ alaynm.

Bɔku tɛm, di fraktrɔs dɛn we dɛn dɔn displeys kin nid fɔ ɔpreshɔn.

Wetin kin mek dɛn spiral fraktrɔs ya?

Eni kayn impak we de mek di bon twist kin mek dis kayn brok brok. Dɛn kin apin we dɛn pul yu an, yu leg, ɔ bɔdi wantɛm wantɛm kɔmɔt na di say we i bin de. Sɔm pan di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Fɔl (e.g., fɔdɔm dɔŋ stɛp, frɔm ayt) .
• Aksidɛnt dɛn we kin apin na motoka
• Spɔt injuri (e.g., futbɔl, rɔgbi, baskɛtbɔl) .
• Aksidɛnt dɛn we kin apin na di wokples

Imajin if pɔsin slip ɛn nak in an na grɔn ɛn twis in bɔdi go na di ɔda say, wan bon na dɛn an kin brok lɛk dis.

Aw dɔktɔ kin no kɔrɛkt wan se i gɛt spiral fraktrɔs?

Dɔktɔ go fɔs du yu bɔdi ɛgzam . Dɔn, dɛn go ɔda fɔ mek dɛn du sɔm tɛst dɛn fɔ mek dɛn tek pikchɔ .

Us tɛst dɛn de du fɔ dis?

Afta dɛn dɔn du di bɔdi ɛgzam, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:

• X-ray: X-ray kin sho klia wan if di fraktrɔs de, if na spiral ɔ ɔda kayn, ɛn ɔmɔs damej dɔn apin.
• Magnetic resonance imaging (MRI): Yu dɔktɔ kin ɔda fɔ mek dɛn du MRI skan. Dis kin gi wan kɔmplit pikchɔ bɔt di damej we di bon dɛn ɛn di tisu dɛn we de rawnd am. Dis impɔtant mɔ fɔ si if di mɔsul dɛn, di kɔnektiv tisu, ɛn di ɔgan dɛn dɔn pwɛl.
• CT skan: If yu nid fɔ du ɔpreshɔn, yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go nid fɔ no ustɛm dɛn dɔn pwɛl yu bon dɛn. CT skan kin tek mɔ ditayli pikchɔ fɔ yu bon dɛn ɛn di tisu dɛn we de rawnd pas fɔ tek ɛkstrem rayt.

Aw dɛn kin trit wan spiral fraktrɔs?

Di tritmɛnt fɔ yu spiral fraktrɔs de dipen pan aw di fɔs fraktrɔs bin siriɔs ɛn di kayn bon we bin brok. Bɔn dɛn we brok nid fɔ wɛl ɛn kam bak togɛda. Dipen pan aw dɛn dɔn pwɛl ɛn wetin mek dɛn brok, yu dɔktɔ kin yuz difrɛn tritmɛnt dɛn.

Immobilizayshɔn fɔ mek pɔsin nɔ muv

if yu frakshכn nכ tu siriכs, we min se di bon fragmεnt dεm nכ tu fa apat (`non-displaced`), yu kin ebul fכ rεkכva wit jכ s splint כ kכst . Bɔku tɛm, wan splint kin las fɔ lɛk tri to fayv wiks. Wan kast kin las fɔ lɔng tɛm, bɔku tɛm na siks to et wiks. Bɔt yu go nid fɔ du ɔda ɛkstrem rayt fɔ mek shɔ se di bon de wɛl fayn fayn wan.

Bon ridyushɔn we dɛn nɔ du ɔpreshɔn (Closed Reduction) .

fכ mכr siriכs frakshכn, dεn kin yuz wan prכsidכm we dεn kכ l ‘klos rεdukshכn’ fכ rialayn di bon dεm. Dis nɔto ɔpreshɔn. Di dɔktɔ ol ɛn pul di bon dɛn we dɔn brok bak na dɛn ples frɔm do. We dɛn de du dis, dɛn go gi yu wan pan dɛn tin ya fɔ ɛp fɔ ridyus di pen:

• Wan lokal anestetik go numb ɔl di eria we de rawnd di fraktrɔs.
• Sedativ fɔ mek di wan ol bɔdi rilaks.
• Jɛnɛral anestezi go mek yu slip ɔl di tɛm we dɛn de du di wok.

Afta dis ‘klos ridɔkshɔn’, di dɔktɔ go put splint ɔ plasta pan yu.

Ɔpreshɔn fɔ spiral fraktrɔs

Fɔ fraktrɔs we rili bad, dɛn nid fɔ du ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn go sɛt yu bon dɛn bak ɛn fiks dɛn na dɛn ples, so dat dɛn go wɛl togɛda. Bɔku tɛm, dɛn kin du dis tru wan intanɛnt fikseshɔn . Dis min se di dɔktɔ we de du di ɔpreshɔn go put mɛtal pat dɛn insay yu bon ɛn ol am te i wɛl. Difrɛn kayn intanɛnt fikseshɔn dɛn de:

• Rod: Na rod we dɛn kin put tru di bon, frɔm ɔp to dɔŋ.
• Plɛt ɛn skru: Dɛn kin yuz mɛtal plet fɔ ol di bon pat dɛn togɛda.
• Pin ɛn waya: Dɛn kin yuz pin ɛn waya fɔ ol smɔl smɔl bon dɛn togɛda pas ɔda tin dɛn we dɛn kin yuz fɔ fiks. Bɔku tɛm, dɛn kin yuz dɛn togɛda wit stik ɔ plet.

Sɔm pipul dɛn kin liv wit dɛn mɛtal dɛn ya na dɛn bɔdi. Sɔm pipul dɛn kin gɛt ɔpreshɔn bak fɔ pul dɛn.

Fikseshɔn we de na do

Yu kin ebul bak fɔ gɛt ɛksternal fikseshɔn . Di dɔktɔ we de du di ɔpreshɔn go put skru ɔ pin insay yu bon we dɔn brok na di tu say dɛn na yu bɔdi ɛn tay dɛn to sɔpɔt ɔ bres we de na do na yu bɔdi. Bɔku tɛm, dis na tin we dɛn kin du fɔ sɔm tɛm. dεn kin du am fכ mek di fraktכs stebul εn gi am tεm fכ hεl bifo dεn du intanεt fiksεshכn.

Bone Grafting we dɛn kin yuz fɔ mek di bɔdi

If yu spiral fraktrɔs dɔn displace na bɔku say, ɔ if di bon nɔ de wɛl, yu kin nid fɔ gɛt bon graft . Di dɔktɔ we de du di ɔpreshɔn go put ɛkstra bon tisu ɛn tay di bon we dɔn brok bak. Dɔn, bɔku tɛm wit wan insay fikseshɔn, dɛn kin ol di pis dɛn togɛda te di bon gro bak. di tisu fכ dis bon graft kin kכmכt frכm difrεn ples dεm:

• Frɔm ɔdasay na yu yon bɔdi - bɔku tɛm na di tap pan yu hip bon.
• Frɔm ɔda pɔsin we de gi mɔni (`ɛksternal dona`).
• Wan atifishal riplesmɛnt pies.

Bɔku tɛm, ɔpreshɔn fɔ spiral fraktrɔs na ɔutpeshɛnt prosidur . Dis min se dipen pan di frakt, yu fɔ ebul fɔ go na os di sem de. Bɔt if dɛn du yu ɔpreshɔn pan big bon lɛk yu femur ɔ tibia, yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez.

Afta dɛn dɔn du di ɔpreshɔn, dɛn kin mek di bon we dɔn brok nɔ ebul fɔ muv. Yu kin nid fɔ wɛr bres, splint, ɔ kast bifo yu put wet pan am bak ɔ yuz am lɛk aw yu bin de du bifo di frakt.

Us mɛrɛsin dɛn kin gi fɔ dis?

Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen lɛk aspirin ɔ ibuprofen (NSAID ) kin mek pɔsin blɔd ɛn ɔda prɔblɛm dɛn afta dɛn dɔn du di ɔpreshɔn. So, yu dɔktɔ go tɛl yu bɔt di mɛrɛsin dɛn we yu kin tek fɔ mek yu nɔ fil pen afta dɛn dɔn du yu ɔpreshɔn.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin de trit wan spiral fraktrɔs?

Ɔpreshɔn fɔ spiral fraktrɔs kin mek prɔblɛm dɛn lɛk:

• Acute Compartment Syndrome (ACS): di prεshכn na di mכsul dεm de go כp, di bכdi fכ fכlכ to di tisu dεm de kכt, εn di mכsul εn nεv dεm kin pwεl fכ כltεm.
• Malunion: Bɔn dɛn we brok we nɔ fit togɛda fayn we dɛn wɛl.
• Nɔnunion: Di bon dɛn nɔ de gro bak togɛda kɔmplit wan ɛn fayn fayn wan.
• Bon infεkshכn (Osteomyelitis): If yu gεt opin fraktכs (we di bon de brok tru di skin), yu de pan hכy risk fכ gεt baktriyal infεkshכn.
• Ɔda injury dɛn we kin apin insay di bɔdi: If pɔsin brok, i kin pwɛl di mɔsul dɛn, di nɛv dɛn, di blɔd vesel dɛn, di tɛndon dɛn, ɛn di ligamɛnt dɛn we de rawnd di say we di wund.

Dɔn bak, NSAID mɛrɛsin kin mek yu gɛt sayd ɛfɛkt:

• Blɔd we de kɔmɔt
• Ɔlsa dɛn
• Bɛlɛ de pen
• Intestinal kɔmplikɛshɔn dɛn

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

E kin tek sɔm wiks fɔ mek yu sik nɔr de igen. Dipen pan di kayn ɔpreshɔn we yu bin gɛt fɔ mek yu spiral fraktrɔs ɛn di bon we brok, yu fɔ ebul fɔ muv yu bɔdi smɔl smɔl bak insay sɔm wiks.

Impɔtant: If yu gɛt siriɔs pen we yu nɔ go ebul fɔ bia ɛn we nɔ de go, kɔl yu dɔktɔ wantɛm wantɛm.

Aw wi go protɛkt wisɛf frɔm fraktrɔs lɛk dis?

Fɔ fala dɛn sefty advays ya fɔ ridyus di risk fɔ injuri:

• Ɔltɛm wɛr yu sit bɛlt we yu de drayv.
• Wear di rayt sef ikwipmɛnt fɔ ɛni aktiviti ɛn spɔt.
• Kip yu os ɛn wokples fri frɔm tin dɛn we nɔ nid we go mek yu ɔ ɔda pipul dɛn trip.
• Yuz di rayt tul ɔ ikwipmɛnt ɔltɛm we yu de es tin dɛn na os. Nɔ ɛva klaym pan chia, tebul, ɔ kɔnta.
• 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 ɔstioporosisIf na so, tɔk to yu dɔktɔ bɔt aw fɔ tɛst yu bon dɛnsiti.

Yu tink se dɛn kin mek di spiral frakt?

Bɔrku tɛm, spiral fraktrɔs kin kam bikɔs ɔf fɔdɔm, aksidɛnt, ɔr spɔt injury, so na smɔl tin nɔmɔ dɛn kin du fɔ mek i nɔ apin. Bɔt if yu fala di tin dɛn we wi dɔn tɔk bɔt fɔ mek yu nɔ gɛt prɔblɛm, dat kin ɛp fɔ ridyus di prɔblɛm smɔl.

Wetin fɔ ɛkspɛkt if yu gɛt spiral fraktrɔs?

If yu gɛt spiral fraktrɔs, yu kin ɛkspɛkt fɔ mek yu wɛl ful wan.

Yu go nid fɔ gɛt fizik tritmɛnt fɔ mek yu gɛt trɛnk bak ɛn fɔ mek yu ebul fɔ muv di say we yu dɔn wund.

Aw lɔng i go tek fɔ mek dis wɛl?

Di tɛm we yu go tek fɔ mek yu wɛl, dipen pan aw yu brok brok ɛn di tritmɛnt we yu nid. Bɔrku pipul kin tek sɔm mɔnt fɔ wɛl frɔm wan spiral fraktrɔs.

Bɔku ɔda tin dɛn de we kin afɛkt aw lɔng i go tek fɔ mek yu bɔdi wɛl. Tɔk to yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt wan tɛm we go fayn fɔ yu.

Yu nɔ ebul fɔ go wok ɔ skul?

Yu patikyula injury ɛn brok bon dɛn go sho aw lɔng yu go de fa frɔm wok, skul, ɛn ɔda tin dɛn.

We yu de wɛl, tɔk to yu dɔktɔ ɔ dɔktɔ bifo yu bigin fɔ du ɛnitin bak.

Fɔ dɔn, bɔt wan spiral fraktrɔs...

Di luk fɔ bɔku pan di spiral fraktrɔs fayn. Ivin if dɛn du yu ɔpreshɔn, yu fɔ mek yu wɛl ful wan. Dipen pan aw yu frakt, yu kin nid fɔ avɔyd sɔm tin dɛn afta yu dɔn wɛl. Tɔk to yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt di bɛst we fɔ mek yu nɔ wund ɛn brok brok tumara bambay.

Ustɛm wi fɔ go na ɔspitul kwik kwik wan?

If yu tink se yu gɛt spiral fraktrɔs – ɔ ɛni ɔda fraktrɔs – yu fɔ go to dɔktɔ wantɛm wantɛm. Go na di imejensi rum if yu gɛt ɛni wan pan dɛn sayn ya:

• I kin fil pen bad bad wan.
• Nɔ ebul fɔ muv wan pat na di bɔdi we nɔmal fɔ muv.
• If wan pat pan di bɔdi dɔn chenj bad bad wan pan aw i de luk ɔ i de kɔmɔt na di say we i nɔmal.
• If yu bon dɛn de sho tru yu skin.
• De swɛl.
• If yu si nyu brus wit dɛn ɔda sayn ya.

If yu gɛt siriɔs injuri (trauma), go na di imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us bon dɔn brok?
• A gɛt spiral fraktrɔs ɔ ɔda kayn fraktrɔs?
• Yu tink se a nid ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl?
• Ustɛm a go bigin fɔ du bɔdi wok bak?

Spiral fraktrɔs na injury we de mek yu fred, bɔt yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go mek yu tinap bak kwik kwik wan. Nɔ rɔsh fɔ mek yu wɛl. Tek am wan step wan tɛm, ɛn gi yusɛf tɛm fɔ wɛl. Tɔk to yu dɔktɔ bɔt aw fɔ mek yu bon dɛn strɔng ɛn gɛt wɛlbɔdi, ɛn du tɛst ɔltɛm fɔ no if yu dɔn pas 50 ia ɔ yu gɛt famili histri bɔt ɔstioporosis.

Sɔma (Mɛsej we dɛn kin tek go na os) .

spiral frakshכn na frakshכn we di bon de brok bay wan fכs we de twist. I de muv along di bon lɛk kɔkskru. Bɔku tɛm, na bikɔs pɔsin kin fɔdɔm ɛn aksidɛnt we i kin gɛt we i de du spɔt. Di sayn dɛm kin bi wae yu de fil bad bad wan, yu de swel, ɛn yu nɔr ebul fɔ muv. Di tritmɛnt inklud fɔ kast ɛn ɔpreshɔn. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt injuri lɛk dis. If yu gɛt di rayt tritmɛnt ɛn rɛst, yu kin mek yu wɛl ful wan. So nɔ panik, bɔt nɔ delay sɛf!

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