Celitev roke po zlomu.

Kaj pa ve zdravnik!!!
Gremo na bordanje!!!!

Mensezdi, da kako leto traja, da se roka res popolnoma zaceli, je pa potem še trša.

Leto dni... WTF?!
Zanima me to da če bi samo padel na roko kot sem prej neštetokrat bi se kost zlomila ali bi do neke mere pretrpela udarce?

Zanima me to da če bi samo padel na roko kot sem prej neštetokrat bi se kost zlomila ali bi do neke mere pretrpela udarce?

Odvisno od tega koliko so se kosti pocelile. Lahko da se zlomi še enkrat lahko da ne. Vse je odvsino kako sposobnost obnove sistema imaš.
Tole je iz predavanj o zlomih:

3 Minute Fracture Talk
Reduce fracture with traction and hold with Plaster Of Paris.

What is it

A fracture is a break in a bone

It can be open (to air) or closed

It can be transverse, oblique or comminuted

It can be at the end or the middle of a bone

Describe displacement as tilt (angulation), shift (% loss of end to end contact) or twist (rotation, too difficult).

The patient may be young (< 14 years), co-operative or unwell, the bone maybe abnormal (pathological).

Why treat it

To prevent muscle spasm (pain) and malunion.

Fracture blisters

Supracondylar fracture humerus in child - the most difficult fracture - requires traction and expert judgement.

How to treat it

Save patient. Save limb. Debride and later (closure) soft tissues. Reduce (closed, manipulation, or open, surgery) and hold (externally with POP or external fixateur or internally with screw, plates, rods).

Fracture Healing 5 phases ( See Man. Sp. Med. chapter 2).

Haemorrhage (minutes), granulation tissue (hours), forget days, immature callus (weeks, clinical union), mature callus (months, x-ray union) and re-modelling (years).

Complications

Late is secondary osteoarthritis. Early is: general (death, fat embolism, DVT, pneumonia) or local (skin: blisters, pressure areas, necrosis, RSD; nerves: - neuro proxia/axonotmesis/ neurotmesis; tendons torn or trapped;, blood vessels blocked with ischaemia, no pulse, or venous swelling; muscles: compartment syndrome with pain at rest / paraesthesia / pain on movement; bone healing. Bone healing be slow to heal (delayed union), won’t heal (non-union), can’t heal (necrosis) or heal crooked (malunion).

Fractures just about always operated on

Multiple trauma, pathological fractures, fractures of femur, displaced fractures into joints or of forearm.

Fractures just about never operated on

Children’s fractures (except of hip), tibial shaft fractures, clavicle fractures.

Try not to operate on

The disturbed, drug addicts, and unreliable people.

Quick review of all fractures

Orthopaedics starts at tip of odontoid process. Cervical spine reduce: hold in traction/collar, exclude neuro loss; thoracic spine: high neuro loss; lumbar spine: seldom operate. Pelvis maybe life threatening (give blood). Fractures of hip and femur need ORIF, most foot fractures need reduction with K-wire fixation. Fractures clavicle need sling, shoulder and humerus are forgiving, elbow fractures often need ORIF, forearm fractures often need ORIF, colles fractures closed reduction, most hand fractures closed reduction with K-wire fixation. Growth plate (end of bones) injuries in children may result in growth arrest and shortening or angulation of limb (use Salter Harris classification).

Never apply a full POP to a new fracture; always follow up all fractures.

Know how to reduce a Colles fracture and a shoulder dislocation before finishing medical school

Še več branja pa najdeš na strani in strani 2

Ene zavožene počitnice niso nič v primerjavi s tvojim zdravjem. Ne igraj se!

Ne se igrat, boš drugo leto več bordal pa bo!

Se pridruzujem tiistim ki ti odsvetujejo bordanje z "napol zlomljeno roko". Glede tistega da se kost celi 1 leto...je pa čista resnica.

Sem mel zlomljeno ključnico (kompliciran zlom) so mi dali žice not in šele po letu in pol so mi jih ven vzeli ker se prej niso upali!!!!! Aja zapestje sem si pa zlomu pred 2 letih pa me se zdej zaboli ce dobim kak udarec cuden!!!!

Odločitev je pa še vedno tvoja!

LP Jerry

Ampak ti scitniki so za moje pojme bolj tak, ce si ne zlomis zapestja, si pa eno drugo kost

tocno to sem jaz napisal prej in ocitno je res

Hvala. Nebom bordo. Ni vredno da si zjebem roko.

simplex = enostaven

dex = desna

verjetno tiste k se drži palca, saj kukr se spomnem tistga koskota od biologije, je ena kost k ma povezavo s palcem

iz tega verjetn palčna kost

a palčna kost je v bistvu kozeljnica torej?
saj latinsko vem drugace nekaj, sem mel v gim eno leto pa iz prava sedaj. sam te kosti pa ne vseh lih :D


btw, jaz nikakor nisem nasel pravega casa se, da bi dal ploscico in 6 sraufov iz roke (prelom kozeljnice) pa mam zdaj 3 leta ze to, a je to hudo narobe?

Junija 2004 sem si zlomila roko v zapestju. Gips sem imela malo več kot mesec dni. Zdravnik mi je svetoval, da naj prvi mesec roke ne obremenjujem, drugi mesec naj jo začnem postopoma (2 do 3 kg bremena, nič več), s polno obremenitvijo pa šele po treh mesecih. Moram priznati, da me roka še zdaj včasih boli in da se do decembra 2004 sploh nisem mogla nasloniti nanjo.

Svetujem previdnost pri športni aktivnosti. Jaz roke na tvojem mestu ne bi obremenjevala še vsaj kaki mesec.

LP.