Hand of TCM on children humerus condyle fracture under the rule of law

Guo Zhonghua Ningxia institute of traditional Chinese medicine

China's traditional Chinese medicine to

        Humerus condyle fractures, for children, the most common elbow fracture, accounts for about 50% ~ 70% of total elbow joint injury, common in children aged 3 ~ 10. On the humerus condyle fractures can be divided into straight, buckling, the vast majority of clinical type to unbend, accounts for about 95% ~ 98%. After fracture, the elbow swelling, pain, deformity, local pressure, dysfunction, after check the elbow triangle is normal, this point can be identified with the elbow dislocation. X line piece displayed above below the fracture line was inclined backward, at the same time accompanied by ulnar deviation or radial offset.

        Children on the humerus condyle fracture, in general, preferred palasy treatment, the treatment is proper, can achieve good effect. Can cause improper early treatment of forearm bone fascia compartment syndrome, leading to ischemic contracture in forearm and hand function and cause permanent disability; If fracture formation elbow varus malunion, influence the patient's elbow appearance, need correction osteotomy, and so on.

        Reset method

        Completely displaced fractures, can use practices reconstructive, splint external fixation. Reduction, the patient supine or sitting position, two assistants, hold the upper arm and forearm, elbow half QuQuWei, slowly expiratory, conveniently pull stretch traction, reset when first correct lateral displacement, restore coronary after the power line, the traction under fixed proximal forearm pronation or supination, to correct rotational deformity on the far side of. Fracture of lateral shift and rotation deformity, with two thumbs from elbow push forward according to the far end fracture, after more than to pull back closer to the end, and the assistant in the pull down slowly flexing elbow from around 110 °, correct before and after the shift, can be completely reset.

        Unstable fractures after the reset, it can be observed under the C arm X-ray machine reset satisfaction, respectively from the humerus internal and external condyle through two small gram needle fixation, simple surgery, minimally invasive fixation, less complications, is now widely used.

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