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【2520】Understanding

The car accident scene was tragic, and the teacher who protected the child died. My sister Xiaoyu was seriously injured and died. How could Shanshan survive? It is precisely for this reason that the doctor must be responsible for the child, be cautious and then ask him to stay in the hospital for observation.

We often describe children as saplings. What are the characteristics of saplings? The branches are easy to break but the skin is connected. If they break inside, they still don’t look very good.

This is true for children's bones. Because the bones are tougher, brittler and thicker than adults, some children will experience clinical phenomena like sapling branches breaking. This feature is called a subperiosteal fracture in pediatric orthopedic fracture in pediatrics. It is different from an adult fracture and is unique to pediatrics.

Like Shanshan, the doctor on the scene could not immediately determine whether she had a hidden fracture. She did not feel pain, and her limbs did not have obvious swelling. She needed to wait for the injury to develop further before clinical symptoms could appear. After being sent to the hospital from the emergency site, the doctor routinely required her limbs that suspected of severe trauma to eliminate bone abnormalities. After taking the film, the X-ray report showed that the child was not a simple skin trauma, but had a supracondylar fracture of the humerus.

Where is the humeral condyle? Simply put, it is in the patient's elbow area.

Children with elbow joint injuries include supracondylar fractures of humeral joints, lateral humeral condylar fractures, radial neck fractures, and proximal ulnar fractures. The most common genus ranks first is the supracondylar fractures of humeral cords.

The supracondylar fracture of the humerus is characterized by frequent skeletal deformities and forearm ischemic muscle contractures. Volkmann is abbreviated as

The contracture, the result can be imagined to be very serious and will become disabled.

What ordinary people usually know about the treatment of fractures in clinical practice is manual reduction, that is, orthopedic doctors, like martial arts masters, magically break the patient's limbs back, and then use plaster to fix them. Sometimes orthopedic doctors will notify the patient and his family that the surgical reduction cannot be performed. At this time, some ordinary people will question why some of my family and his family have the same fracture without surgery and some need to go to the operating room. Is it because I did not send red envelopes and others gave red envelopes to the doctor?

Doctors really dare not do anything like this. Because when a lawsuit is taken to court, the doctor cannot take it. The reason why the treatment plan for the same disease is hugely different is generally due to different types. It is equivalent to saying that ordinary people think it is the same disease, which is not entirely true in the eyes of doctors.

Returning to the supracondylar fracture of the humerus, it can be divided into straightening and flexion according to the patient's posture of being straightened or flexed when the patient is injured. The former accounts for 90% of the cases of childhood. Among them, the straightening type is divided into three types according to the degree of fracture displacement. For example, the straightening type has no displacement and manual reduction, and there is no need to go to the operating room for treatment. Shanshan is a three-type, which is severe displacement. It is difficult to ensure that there is no recurrence by simply reducing the operation. It is necessary to fix the fracture with minimally invasive surgery, and can only enter the operating room.

"This child said that he would not have surgery before he saw her sister." Liu Huaiyu said, "We have communicated with her parents several times for this, saying that the operation cannot be delayed."
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