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How is the bus Kramer broken shoulder

Bus Kramer at the turn of the shoulder is imposed for transport immobilization. A shoulder fracture occurs often enough and is a solid seventh place among all the other types of fractures. This condition, characterized by violation of the integrity of the shoulder joint.

problema pereloma plecha

Fracture of the humerus can be in the middle of the bone and its epiphysis or diaphysis. The fracture may be extra-articular or intra-articular, meaning it is already in that part of the bone that begins to take a direct part in the formation of the joint. A fracture of the humerus can be as with displacement of bone fragments, and without bias. In addition, the fracture may be accompanied by violation of integrity of integuments, when some small part of the bone protrudes from the wound. It is an open fracture of the humerus. If the damage of the skin not, the fracture is considered closed.

Causes and symptoms of shoulder fracture

Therefore, the main and common reason of shoulder fracture is trauma. Very often, a fracture of the humerus occurs after a blow directly to the bone. Falling on the elbow can also lead to fracture of the shoulder. Even dislocation of the shoulder joint can lead to fracture of the shoulder.

stroenie plechaCan meet and pathological fractures, but the truth is very, very rare. Their main reason is the leaching of calcium from bones with frequent diuretics or glucocorticosteroid hormones.

The main symptom that is present in all types of fractures, including the humerus, it is severe pain. It arises in the moment of crisis and very difficult to different non-narcotic pain relief medications. Hand in the place where fracture occurred, swells. In the same place, the formation of subcutaneous hematoma. Movement in the affected limb can be severely limited, or it is missing altogether.

A preliminary diagnosis can be made if inspection of the patient, a thorough medical history of the patient's life in General and disease in particular. The final diagnosis can be made in the hospital where the patient should be delivered as quickly as possible.

Characteristics of hospitalization in the Department of traumatology

Before to hospitalize a patient in the office, it is necessary to perform transport immobilization - i.e., immobilization of sick extremity. Fixation can be done with the help of special tires. But if they were not at hand, the immobilization can be accomplished using any available tools that will be available. This can be, for example,small boards, pieces of plywood.

pervaya pomosh pri perelomah plechaThe main purpose of transport immobilization is to take the injured to the hospital, avoiding the deterioration of his condition. This is due not only to the fact that during transport of the debris can shift, which will lead to the transition of conventional fracture to displaced fracture. After immobilizing pain in the affected limbs slightly dulled. Therefore, the patient reduced the risk of development of pain shock, which may follow any fracture. In addition, when immobilization reduces the risk of infectious complications and thrombophlebitis.

When immobilization is necessary to observe a few simple rules. If this is not done, the transport immobilization of the shoulder joint in General, and the humerus, in particular, will be performed correctly and it just won't do any good. The first thing you need to remember when immobilization is that when splinting should be immobilized by three joints. After the bus or any other improvised means imposed immobilization must be fixed. This can be done using a conventional bandage, it is better if it will be wide. Locking is required below and above the fracture site. Otherwise, immobilization is useless. During transport the patient to the hospital, the bus can not be removed in any case.

With an open fracture before immobilization necessarily superimposed aseptic bandage. This is necessary in order to stop the bleeding, if any, and to prevent the ingress of pathogenic microorganisms into the wound.

The rules of splinting

nalozhenie shiny na plechoMost effective when shoulder fracture is a special bus Kramer. This is the ladder bus, which is rather easy to bend to adjust for individual features of the structure of the body. Bus Kramer will help to immobilize the injured limb, thereby reducing the likelihood of complications. It is designed specifically for transport immobilization of fractures of upper limbs, because that most accurately fits to the data parts of the body for its size and design. In order to impose it, you need to have a bandage of the desired size, a pair of scissors and, in fact, the very bus.

If splinting is necessary to capture three joints. It's the wrist joint, elbow and, accordingly, shoulder. Do not forget that the imposition of any kind of immobilization should be carried out only after adequate anesthesia. Otherwise it may lead to the development of a painful shock, or itstrengthening.

After the splint, the limb should give her sredneaziatskoi position, that is slightly bent. To most efficiently fix the hand, used bandage Desault, which was invented specifically for this case. But it is possible instead of a bandage apply a bandage. It is necessary to immobilize the limb and create the most comfortable conditions for the patient.

If there is no bandage, or the bandage Desault (which is not uncommon), it is necessary to unload the limb, placing it on a triangular bandage, which is then tied around the neck.

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Anesthesia fracture

This procedure is necessary to avoid the development of the victim of a painful shock. Such a shock occurs in approximately 50% injured, which was not produced adequate pain relief. The most popular among all painkillers are analgin, ketorol, diclofenac, baralgin, spazmalgon. But as a doctor, most likely, will not be able to numb the pain of a fracture, it can be to stab along with ketorola. If injections are not brought the relief of the patient, the pain decreased only slightly or remained at the same level, then it is advisable to use stronger painkillers than the above. Sometimes it shows the use of narcotic medicines.

In addition, during transportation of the patient should monitor his General condition. It is necessary to periodically measure the affected blood pressure. Its sharp decline and the emergence of cold sticky sweat can indicate the beginning of a state of shock.

After the casualty is taken to hospital, he will make the radiograph. Then it is thoroughly examined by the doctor. After that, the patient will be put in a cast. The hand in this case must also be unloaded. This is necessary in order to fracture quickly healed.

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If the period of wearing a cast injured will feel any discomfort, then when the next hospital visit, he should inform the doctor.

It should be remembered that only by providing timely help the fracture heal more quickly and not have complications.