Metatarsal and phalangeal fractures

Introduction

Introduction to humerus and phalangeal fractures The humerus and phalangeal fractures are common fractures, which are caused by heavy objects hitting the back of the foot, rolling, foot varus or accidental kicking. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications: foot fracture

Cause

Causes of humerus and phalangeal fractures

The causes of humerus and phalangeal fractures are divided into two types:

1. More common is caused by direct violence

More than heavy objects hit the back of the foot, rolling, foot varus or accidental kick caused by hard objects.

2, some fractures are caused by accumulated strain

Such as long-term, repeated, slight direct or indirect damage can cause a specific part of the limb to fracture, such as long-distance marching easy to cause second, third metatarsal fracture.

Prevention

Prevention of humerus and phalangeal fracture

Avoid trauma and long distances.

Complication

Complications of humerus and phalangeal fractures Complications, foot fractures

The humerus and phalangeal fractures are easier to treat because of their own location. Generally, there are fewer complications. However, if the treatment is not timely or careless, the healing deformity may occur, and the patients with humerus and phalangeal fractures may also Care should be taken to exercise as much as possible to avoid dysfunction.

Symptom

Symptoms of humerus and phalangeal fractures Common symptoms When the toe is flexed and flexed, the foot pain is sprained, the toe and the toe of the toe are separated, the fatigue is nodular, the avulsion fracture, the foot is swollen, the tenderness is short, and the foot is deformed.

The disease mainly manifests as pain in the feet, swelling, and deformity, but the performance of the tibia fractures in different parts is also slightly different:

1, the fifth metatarsal base avulsion fracture

The short humerus muscle is attached to the base of the fifth metatarsal. The severe varus sprain can cause a crack fracture or a complete avulsion fracture. The X-ray examination should be distinguished from the normal osteophyte of the child.

2, marching fractures are rare, occur in long-distance walking, in the 2nd, 3 tibia neck or dry fractures, can also occur in the humerus, generally no displacement, also known as fatigue fractures, fractures occur more unconsciously, no trauma History, the symptoms are not heavy, only the early suffering of the foot a little pain, local mild swelling, feeling the foot fatigue and discomfort, sometimes more osteoporosis occurred.

Examine

Examination of humerus and phalangeal fractures

X-ray examination is of great value in the diagnosis and treatment of fractures:

All suspected fractures should be routinely X-ray film examination, which can be found in clinically difficult to find incomplete fractures, deep fractures, intra-articular fractures and small avulsion fractures, even if clinically manifested as obvious fractures X-ray film examination is also necessary to help understand the type and specific conditions of the fracture, and has guiding significance for treatment.

The X-ray film should include positive and lateral positions. The well must include adjacent joints. Sometimes it is necessary to add oblique position, tangential position or x-ray film of the corresponding part of the healthy side. After reading the x-ray film carefully, the following points should be identified:

(1) The fracture is invasive or pathological.

(2) Whether the fracture is displaced and how to shift.

(3) Whether the fracture alignment is satisfactory to the line and whether it needs to be rectified.

(4) Whether the fracture is fresh or old.

(5) Whether there is damage to the joint or bone injury.

Diagnosis

Diagnosis and diagnosis of humerus and phalangeal fractures

diagnosis

According to its clinical manifestations and X-ray examination, the disease can be clearly diagnosed without identification, but it is necessary to pay attention to the clinical whether the fracture is a simple fracture or a pathological fracture caused by the patient's own disease. In the case of disease and skeletal abnormalities, a slight force can cause a fracture, which occurs more frequently in this case and requires strict observation and diagnosis.

Differential diagnosis

In the X-ray photo examination, you should also pay attention to the difference between the normal osteophytes of children.

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