Only then did Lu Cheng get started, because it was April now, so the child didn't wear much, so he didn't need to push up his sleeves to feel the bones.

Zhou Yi had stabilized the patient's mother from the beginning, and Lu Ben had never thought of taking action.

But if he doesn't come forward, Zhou Yi's situation will be very embarrassing by that intern classmate.

If you understand it, you can't turn a blind eye.

Lu Cheng works in an orthopedic department and has actually encountered this situation many times. Generally, radial head subluxation is only encountered in outpatient clinics or emergency departments.

Even the pathogenesis and medical history of this disease are generally relatively typical and have been mentioned many times in textbooks. The little girl was right about this and had a certain solid foundation.

But it has been mentioned many times, which does not mean that many people know it. At least Zhou Yi did not mention it before.

Moreover, people who know about it may not necessarily be able to diagnose it. In fact, radial head subluxation may be a disease that is rarely seen in orthopedics and imaging examinations are not of much use.

Only then did Lu Cheng dare to step forward and inspect it himself.

Even though Lu Cheng felt that he had achieved certain attainments in orthopedics, he still did not dare to be careless in the slightest.

Western medicine is a discipline that pays attention to evidence.

Evidence from evidence inquiry, medical history evidence and specialist physical examination evidence.

Naturally, Lu Cheng couldn't be sure that the radial head was subluxed, so he could only pinch upward slowly starting from his fingers.

While pinching, he asked: "Kid, if your uncle pinches you where it hurts, please tell him, okay?"

If fracture cannot be ruled out and there is no radiograph, the first step is to locate it.

The best way to locate it is to feel it.

After identifying the pain points first.

Only then can it be determined.

"Okay," the little boy moved his chubby little hand a little bit.

As Lu Cheng went up, he asked, "Does it hurt here? Does it hurt here?"

…

At this time, outside the crowd of onlookers, another middle-aged man, about forty years old, came. Seeing Lu Cheng's quite skillful movements, he didn't come up again.

Finally, when Lu Cheng pinched the little boy's elbow, the child gasped and his left hand shook. It must have been a muscle contraction reaction caused by pain.

Lu Cheng quickly let go, then held his elbow with his left hand and said, "I'm sorry, kid, uncle just used too much force. Now I hold it gently, it doesn't hurt at all, right?"

It's positioned at the elbow joint, that's right.

What is needed next is characterization.

The two most important qualitative conditions for radial head subluxation are:

1. The triangular relationship behind the elbow joint is clear, proving that the elbow joint is not dislocated.

2. There is no bone friction sound, bone friction feeling or abnormal deformity, ruling out fracture.

Abnormal deformities can be seen with the naked eye, but fractures at joints do not necessarily show abnormal deformities.

Therefore, Lu Cheng could only hold the elbow joint with one hand, pinch the palm of the other hand, and slightly shake it left and right, up and down. If during this process, he heard bone friction and felt bone friction.

So do whatever you have to do, just endure the pain, and the manual reduction may no longer be applicable.

Fractures at joints must be photographed, and 90% of the time they are likely to be operated on. Lu Cheng did not dare to perform manual reduction on a patient who might have a fracture but did not have X-rays.

Just as it happened, Lu Cheng's left hand could clearly feel the relationship between the triangle behind the elbow, and he didn't feel any bone friction. Moreover, this series of movements was very natural.

These are all basic operations that can be learned from textbooks, plus Lu Cheng's current reset technique is very particular.

Next, Lu Chengcai said to the mother of the child: "The possibility of the child's fracture is not high. It is most likely a subluxation of the radial head. I will try to reset it now, but the reduction may not be successful."

"However, it will not cause him much damage. And according to the current situation, there is basically no nerve damage. Even if there is an occult fracture, a slight reduction movement will not cause the broken end of the fracture to move.

Irreversible harm to the patient,

"But there is also the possibility of aggravating the hidden fracture. Do you dare to let me try to reset it?"

The pros and cons also need to be clearly explained.

Otherwise, it will be very troublesome afterwards. It is natural for doctors to do good things, but protecting themselves must be a prerequisite. Otherwise, if you are not careful, your life will be ruined.

If the patient's mother refuses, Lu Cheng will let go immediately.

"Is it possible that it won't succeed? What should I do if it doesn't succeed? Is there no way to confirm that it is a fracture?" the patient's mother just wanted her son to stop hurting, so she asked.

Lu Cheng was not surprised that she asked such an unprofessional question.

"Then there is nothing we can do for the time being. After all, the conditions are limited now, and there is no way to do a 100% check. We can only reset it again after the photo is confirmed. If you are willing to let me try, I can help you. If you don't want to

If so, I have no other choice."

"We are all human eyes. The naked eye cannot directly see skeletal muscles and nerves through skin and flesh, nor can we see fractures."

The doctor couldn't use his thoughts or mouth dislocation to get it up, so of course Lu Cheng told the truth.

"Mom, it hurts. Can I stop pinching you, okay?" The little guy looked at her mother again and said.

"Dr. Lu, please reset the position. Thank you for your hard work." The patient's mother hesitated for a moment, then nodded slowly.

If not dealt with, my son will continue to be in pain.

You will also feel distressed yourself.

When Lu Cheng heard this, he immediately pinched the lower part of the boy's elbow with his left hand, applying just a little force, and then said to the child: "Kid, your hand is healed? Can you try to lift it up?"

"Really?"

"Really." Lu Cheng encouraged him.

While encouraging the little boy, he helped lift his left hand with force. In fact, this was just to distract the little boy, thinking that Lu Cheng was lifting his hand for him instead of treating him.

Next, the little boy's left hand could actually be slowly raised.

Seeing this, the middle-aged man who was watching smiled, turned and left.

When the elbow joint reached almost thirty degrees, Lu Cheng said again: "Look, uncle didn't lie to you, right? Has it been lifted up?"

"Can you put it down slowly and take a look?"

In fact, when the radial head is subluxed, it has been reset unconsciously when the elbow can be bent to 30 degrees. And because children's bones are very brittle and tender, they may not hear the snapping sound.

The little boy really relaxed slowly. Although the previous pain did not completely disappear, it slowed down a lot.

When the pain persists, it is a kind of enjoyment when the pain is slightly relieved.

So he let it go in surprise.

I really let it go.

"Can you lift it up and try again?" Lu Cheng continued.

The little boy really slowly lifted it up, and then quickly told his mother: "Mom, I can move my hands."

There was no way to hide the clarity and surprise in his eyes.

"Really, can the baby show it to his mother again?" The patient's mother saw that her son could really lift it up, so she asked him to do it again.

This scene was naturally seen by all the passengers around.

In private, Fang Yun was always pointing fingers,

"This young doctor, although he doesn't look very old, is really good. The child no longer has any pain."

"Yeah, don't cry anymore. Your medical skills must be very high."

"Maybe he is a doctor in the province. This train is bound for Shashi."
Chapter completed!