How it is expressed and treated a dislocated wrist?
Dislocation of the wrist are the most common trauma in clinical practice of trauma. But the child to meet a similar trauma is not so easy. Originally a natural structure of children with flexible and movable joints, tried to protect them from such damage. Dislocation the child receives in special situations, and circumstances for the acquisition of such violations can be quite banal or, on the contrary, of extreme.
Features of occurrence of injury
Dislocation of the hand no one is immune, because of the situation and various circumstances to predict, no one can. Adults can acquire this kind of injuries due to athletic activity and physical exertion, and decline with age the elasticity of joint tissues. In children some types of dislocations can meet more often, despite the best protective mechanisms than adults.
Specialists under the concept of “dislocation” understand the situation, when there is pathological change in the existing structure of the joints of the hands due to the displacement of the bones and tissues in an unnatural direction. Because of this shift disrupted the usual principle of operation of hand and it becomes possible the emergence of sprains and even torn ligaments.
Often there are times when a child detects abnormal development of joints. Such genetic pathology explains the frequent dislocations and sprains. In such a situation, the child requires constant monitoring, as the probability of various injuries is very high. If you constantly supervise children with these disorders in order to protect against frequent injuries, with the formation of the adult skeleton such anomalies will gradually disappear altogether or just become less dangerous and permanent.
The appearance of dislocations due to different circumstances. Dislocation of the hand in children may occur when the child is careless in the games, too active, or if one of the adults, not calculating the forces, pulls him by the hand. In infants or newborns dislocations of the hand can be observed as a result of birth injury or special damages. In addition, such injuries appear when the child becomes the participant of road accident, falls from a height. It is not excluded injuries in children involved in sports, active recreation.
Varieties of dislocations of the hand
Dislocations of the brush can be quite diverse. Experts are divided into several types:
- Dislocations of the true type.
- Dislocations of fingersbrush.
These types and their names correspond to the displacements of the joints in different directions and against each other. Some of these dislocations can be obtained together with fractures - perilunate-createdevice.
At various drops of the child of the radial bone and tissue are shifted in the direction that the force of the impact and the load of the body. A true dislocation is called the complete displacement of the bones of the hand and the surface of the tissue in the opposite direction from the radius. Under this option, the specialist can observe a strong dislocation of the palm. Quite often, such a violation may be accompanied by fractures. But this type of injury is uncommon.
Perilously dislocation of brush - one of the most common varieties of injury. The displacement of the bones of the hands occur back to her area or to the center. This type of bias is characterized by the contact of two bones - the radius and the lunate. But that is typical for such an injury is to the wrist such contact is not.
The main signs of trauma
The most common signs of dislocation are external their manifestations. Despite the fact that these types of injuries are very different from the fractures, to determine their own can be very difficult. The symptoms of dislocation of both for external and internal damage are the following striking symptoms:
- There is a characteristic swelling and a small bruise.
- The brush has an unnatural appearance or turned in an unusual position.
- Disturb aching pain.
- When the dislocation is on the back side of the hand swells up.
- Hand loses mobility or becomes limitations in movement.
- The muscles in the wrist and the hand and tense at the slightest movement of resistance.
- The pulse of a baby is either too rapid, or, on the contrary, weak.
- Most of the victims are virtually unable to move my fingers or just turn it into a brush. At the slightest movement causes a sharp pain.
Children with such injuries can be very crying, to restless, irritable, because for them this type of violation is very painful. But there may be situations when the child does not feel pain due to disorders of the median nerve, so sensitivity is lost.
Actions upon detection of dislocation
If to prevent injury failed, the main task of parents consists in that, in order to provide your baby with the necessary assistance and to deliver it to a specialist. Treat your own sprains, as withoutcertain medical knowledge and an accurate diagnosis can not only hurt the child, but to do him injury. So parents who found a dislocation in a child, should follow these guidelines:
- Carefully feel the injured area.
- Find out how strong painful feelings.
- To determine the deformation of the tissue and joints.
- The characteristic signs of puffiness and the appearance of hematomas to determine the presence of sprains and fractures.
- Remember that when dislocation injured limb will be slightly shorter than healthy hands.
- After an external and finger diagnosis is necessary to the damaged area of the hand to apply a bandage from the bandage, splints.
- When dressing gently to lock the brush in one position, using the gusset plate to secure the hand with the bandage. Hand for reliability is fixed to the body with a bandage.
- Upon such fixing to the affected place should apply an ice pack or a hot water bottle filled with ice. You should know that heat lotions and compresses in the provision of assistance in the future in the treatment can not be done.
After all these manipulations the child is required to take to the doctor.
Getting rid of injuries
The therapist begins with the repositioning of bones and dislocated tissues.
Specialists trained in trauma reduction, therefore rapid skillful movements, they return tissue and bone in place.
When the dislocation is well reduced, you hear a distinctive click. For children in the reduction of dislocations of modern experts offer a special anesthetic so that the procedure was less painful.
After this procedure, the doctor makes sure the pressure bandage to the tissue stronger and can continue to function normally. But there are experts who prefer short-term to apply the plaster. Given that children are very mobile and spend little time in one place, plaster will be the best decision in order to commit.
But when the injury is more serious, the treatment is held on a different circuit. If sprains are accompanied by fractures, perhaps the doctor will make the decision on necessity of surgical intervention.
This method of treatment is also necessary if, after a simple reduction is not observed improvements. When the effect of conservative treatment there, a specialist with surgical intervention will lock the joint brush spoke of possibly injured. In the period of recovery after operative manipulations, the doctor usually prescribes additional medication.
Usually a specialistappoints: Xefocam, Diclofenac, Nimesulide, Indomethacin and Meloxicam. These funds relieve pain, inflammation and eliminate infection. In addition, the doctor will prescribe a number of special ointments which relieve swelling and bruising, eliminate pain syndrome for its cooling properties. Such ointments and creams include: Hawkman, Menovazin, Ben-gay and menthol ointment. Such tools can be applied immediately after the injury.