TCM hand rule of elderly humeral surgical neck fracture

GuoZhongHua Ningxia institute of traditional Chinese medicine

China's traditional Chinese medicine (TCM) for

        Humeral surgical neck is the area between the head of the humerus and humeral, humeral surgical neck fracture is one of the shoulder common fractures in older adults, multiple women. Because the parts are loose, hard bone junction, and the elderly because of osteoporosis, and activity reaction ability is abate, fall easily cause humeral surgical neck fracture. Is no displacement of fracture or comminuted fracture.

        Patients of indirect violence injury such as landing on the shoulder or elbow when he fell down, after fracture, swelling, pain, tenderness, shoulder function activities obstacles, X-ray slice it can display type and displacement. Easy to diagnosis.

        Clinically, this kind of fractures can be divided into three type: outreach type, adduction type, with dislocation of the shoulder. Adopted timely bonesetting therapy of traditional Chinese medicine effect is good, for displacement of fracture, don't need to plastic, with only bag shoulder triangle towel hanging limb the chest 3 ~ 4 weeks or super with their upper arm shoulder splint fixation. Have displaced fracture, need to be reduction manipulation.

        Reconstructive method for patients with sitting or lying, elbow flexion 90 o, forearm neutral position, the assistant with the cloth belt around axillary lift up, another assistant holding its elbow, the humerus longitudinal axis relative to pull out, to correct shortening. According to types of different fracture reduction technique. Foreign exhibition of fractures the doctor two thumb in near fractures of the lateral, more than to hold far fracture to the inside to the outside shi is, at the same time its upper arm adduction assistant under the pull out can be reset. Internal fractures, the doctor corrected fracture end outside angles, assistant under the pull out its upper arm outreach to reset. To fracture dislocation of the merger, but first reconstructive fractures, then use technique push the head of the humerus. After reset, the assistant maintain traction, the upper arm super joint splint fixation; Or with the shoulder bag U type plaster external fixation. External fixation for 4 ~ 6 weeks.

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