What is a subperiosteal fracture
How to treat subperiosteal fracture in children and adults? This question interests many people. In its anatomical structure the child differs from the adult in many ways. Therefore, there is in medical practice distinction between pediatric and adult fractures.
What is the difference between fractures in children and adults
Usually, children receive their first fractures during outdoor games. This phenomenon is explained by the fact that the mass of the body they are quite small, and the skin has not yet fully developed, that's why at impact and a fracture occurs. There are a number of features that are able to distinguish the bones of a child from an adult Bone of a child's body is saturated with minerals, so they are thin and flexible, this is due to the large number of collagen fibers.
The periosteum in structure thick, and thus provides a good damping effect, thus providing good flexibility. It is well supplied with blood. The division between the metaphyseal and epiphysis is a thick layer of elastic cartilage, which can reduce the force acting on the bone.
In medical practice, there is such a thing as podatkovnih fracture. That is, the fracture type green twigs. When you fracture this type of bone damage does not lose the integrity of the periosteum, but from the outside, just the contrary, but concave part of the bone remains unchanged. These types of injuries occur due to large pressure on the longitudinal axis of the bone, so they called a broken green twigs. Often in children the fracture is in the forearm and lower leg.
To put it simply, this fracture resembles the break willow branches when it just bent. Plus, this fracture is that displacement does not occur, due to its structure, the periosteum and the bones are retained on the damaged parts of the bone. It is especially dangerous for young children. The younger the child, the more serious will be the consequences in the future. This is due to the fact that the line of fracture through the growth of bone tissue, and when damage occurs curvature or shortening of the bone in the process of development and growth of the child.
Slipped capital femoral epiphysis and osteophytosis, apophyseal
The most basic and strong part of the bone system of the child is considered to be periosteum, and the weak - hypertrophy of cartilage, which is directly injured during the first fracture. This phenomenon can be observed duringinjury to the epiphysis. This kind of fractures is often reminiscent of a simple dislocation, it is not rare to find at a young age.
Slipped capital femoral epiphysis and osteophytosis arise in the mounting areas of the joint capsule to the bone cartilage. Epiphysiolysis occurs in areas where the articular cartilage covers the bag, i.e. at the place of its attachment.
Consider the symptoms indicating a fracture in a child.
Children's fracture with displacement is the same as that of an adult. At this point the children became overexcited, constantly crying, the main thing that the baby cannot move his limb. These symptoms may occur all at once, but there are moments that alternately. On the damaged skin area will always be present hematoma - bleeding.
There is a special structure of the skeletal system that when damage to the skin is not always possible to determine the presence of fracture - it is primarily concerned with such types as the green branch, osteophytosis and slipped capital femoral epiphysis, apophyseal.
This occurs because, when the fracture can move the limb, but the outline changes. The pain occurs in a certain area and only at the site of fracture. Such damage can only be seen on x-rays. There is still one indicator is the increased body temperature can reach 38 degrees. This is because the absorption process at the injury site hematoma.
As soon as your child was a fracture of the limb, you must act according to the standard rules:
- Try to keep calm and not to panic.
- Try to create complete rest to the child.
- Immediately call the ambulance.
- It is necessary to create such conditions that the limb was immobilized and secure it, if possible, by bus.
- There are cases that children lose consciousness or go into shock. Then try to bring the child to life, to allow to smell liquid ammonia and to drink a painkiller.
- If possible, try on their own, without waiting for the ambulance to take my child to the emergency room or the nearest medical facility so the doctors were able to provide first emergency aid.
It is strictly forbidden to perform the following actions if you suspect a fracture:
- To carry it with uncommitted limb.
- To self-medicate.
Yourself in any case nothing can reduce a childimmediately seek qualified help in medical institution.
The recovery period after fracture
Specific numbers in terms of healing is not, as it is all different, it depends on the location and nature of injury.
On average, fractures of the upper extremities grow from 1 to 1.5 months, the lower extremities from 1.5 to 2.5 months, the bones of the pelvis - to 2-3 months. If there is compression fracture of the spine, for the treatment and rehabilitation is required for up to one year.
A complete rehabilitation process begins with the moment when completely off the plaster and other types of fixation. The rehabilitation period includes a set of movements that can strengthen muscles, to restore the support ability of the limb.
Such procedures include visits sessions of physiotherapy, massage, physiotherapy, swimming pool. For a massage and physiotherapy is usually prescribed 12 sessions. Special attention should be paid to proper nutrition, include those foods that are rich in vitamins and minerals, especially calcium. Usually the recovery period started in the hospital, and then gradually move on to outpatient conditions.