The scene of the car accident was tragic. The teacher who protected the child died, and her sister Xiaoyu died of serious injuries. How could Shanshan survive alone? It is for this reason that the doctor must be responsible for the child and be cautious and ask him to stay in the hospital for observation.
We often describe children as small saplings. What are the characteristics of small saplings? The branches are easy to break but the skin is still attached. If the inside is broken, it is hard to tell at first glance.
Children's bones are really like this. Because the bones are tougher, more brittle, and have lower periosteal thickness than adults, some children will have clinical phenomena like broken branches of small saplings. This feature is called greenstick fracture, subperiosteal fracture in pediatric orthopedics, and is similar to adults.
Fractures are different and unique to children.
Like Shanshan, the doctor at the scene could not immediately tell whether she had a hidden fracture. She did not complain of pain, and her limbs were not obviously swollen. She needed to wait for the injury to further develop before she could show clinical symptoms. After being sent to the hospital from the emergency scene
, the doctor’s routine was to take X-rays of her limbs where serious trauma was suspected to rule out bone abnormalities. After the X-rays were taken, the X-ray examination report showed that the child had not just a simple skin injury, but a supracondylar fracture of the humerus.
Where is the supracondyle of the humerus? To put it simply, it is in the patient's elbow area.
Children's elbow joint injuries and fractures include supracondylar fractures of the humerus, lateral condyle fractures of the humerus, radial neck fractures, and proximal ulna fractures. The most common fracture is the supracondylar humeral fracture.
Supracondylar fractures of the humerus are often characterized by skeletal deformity and ischemic contracture of the forearm (Volkmann).
Contracture, this result can be imagined to be very serious, and it will become disabled.
In clinical treatment of fractures, ordinary people usually know manual reduction, that is, the orthopedic surgeon, like a martial arts master, magically breaks the patient's limbs back and forth, and then fixes them with a plaster. Sometimes the orthopedic surgeon will notify the patient
If the fracture cannot be reduced by manipulation and the family member cannot be reduced, surgical reduction is required. At this time, some people will question why some people in my family and others need to go to the operating room for the same fracture. Is it because I didn’t send a red envelope?
And that’s why other people gave red envelopes to doctors.
Whether or not the doctor receives red envelopes, he really doesn’t dare to mess around with this kind of thing. Because of this kind of thing, once the medical records are filed in court, the doctor can’t get away with it. There are huge and significant differences in the treatment plans for the same disease.
, usually due to different classifications. In other words, what ordinary people think is the same disease is not exactly the same in the eyes of doctors.
Going back to supracondylar humerus fractures, it can be divided into extension type and flexion type according to whether the elbow joint is in a straight or flexed position when the patient is injured. The former accounts for 90% of cases in children. Among them, extension type
The straight type is divided into three types according to the degree of fracture displacement. Like type 1, the straight type has no displacement and can be reduced manually without going to the operating room. Shanshan is type 3, which is severely displaced and is difficult to reduce simply by manipulation.
To ensure that there is no recurrence, minimally invasive surgery is required to fix the fracture, which can only be done in the operating room.
"This child said that her sister would not undergo surgery before she saw it." Liu Huaiyu said, "We have communicated with her parents several times about this, and they said that this surgery cannot be delayed."
Children's orthopedic surgery must be performed as early as possible because children are in the growth and development stage and fractures heal faster than adults.