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A fracture is an injury in which the integrity or continuity of bone or cartilage is disrupted. There are two types of fractures: closed and open, the former is complete; The latter is ruptured, and the fractured end communicates with the outside world. Fractures that occur during sports are mostly closed fractures, which are one of the most serious injuries in sports injuries.
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Signs specific to fractures:
1) Deformity: the displacement of the fracture segment can change the shape of the affected limb, which is mainly manifested as shortening (2) abnormal activity: the parts of the limb that cannot be moved under normal circumstances, abnormal activity occurs after the fracture;
3) Bone fricative sound or bone rubbing sensation: After fracture, when the two fracture ends rub against each other, bone fricative sound or bone fricative sound can be produced.
X-rays, CT examinations, etc., can visualize the type and extent of fractures. Anxin Medical wishes you an early **, limb fractures can be externally fixed with polymer bandage splints.
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The swelling is more obvious, and it is recommended to take an x-ray to check it.
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Fracture of the bone due to accident or violence is called traumatic fracture, and the fracture of the bone caused by the original lesion, even under the slightest external force, is called a pathological fracture. Depending on the degree of bone, it can be divided into complete fracture and incomplete fracture. Fractures caused by violence or car accidents can also easily cause tendon damage, nerve damage, blood vessel damage, joint dislocation, and in severe cases, internal organ injury, shock and even death.
When the fracture end penetrates** and communicates with the outside world, it is called an open fracture and is prone to secondary infection.
Key points of diagnosis. In the event of a traumatic or violent accident, pain, swelling and ecchymosis can occur in the injured limb. Partial or total loss of function of the injured limb, severe deformities such as shortening, rotation, twisting, etc., movement in places where it should not be moved (i.e., pseudoarthrosis) can be found during examination, and the sound of broken ends of bones rubbing against each other can occasionally be heard when the affected limb is moved, all of which are symptoms of incomplete and complete fractures.
At this time, more attention should be paid to the patient's vital signs such as consciousness, heartbeat, breathing, and pulse to determine whether there are serious signs such as massive bleeding and shock, and whether the fracture will cause damage to adjacent organs, leading to complications, such as pelvic fracture complicated by urethral bladder or rectal rupture; rib fracture complicated by pneumothorax and hemothorax; Limb fractures can be complicated by large blood vessels, nerve rupture, etc., and then the local injury is examined.
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There are three specific signs of fracture in medicine: 1. deformity 2. Pseudoarthral movement 3. Bone rubbing sensation.
However, mild bone fractures or green branch fractures, incomplete fractures will not have symptoms of appeal, and the final diagnosis of fracture must be confirmed by X-ray.
In your case, it is best to take an X-ray first, if it is determined that there is no sign of fracture, it is a sprained ligament in the ankle joint, and when the sprain occurs, you should immediately apply ice to the painful area, and after 24 hours, apply a warm compress. Try to move your ankle as little as possible to avoid re-injury. Hope to adopt.
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You're taking a hammer and smashing it to see.
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Because the bone is not completely fractured.
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See if there is any swelling and whether you can exert force.
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If there is a fracture in the foot, there is a possibility that the injured person may hear a crisp cracking sound, and the local swelling is also obvious, and there may even be bruising and ecchymosis under the skin. When I massage massage, I can feel the sound of bone torture. At the same time, the limitation of activity is very severe.
These are not the most objective basis for diagnosis, and x-rays are needed for examination. However, for some fractures, X-rays are not very clear, and CT scans including 3D reconstruction are required. This is the more accurate and objective way to check.
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For the place where the twist reaches the foot, the method of judgment:
1) Functional impairment of the injury: The criterion for judging fracture is reflected in the loss of part or all of the limb function after the fracture.
2) Abnormal movement: In the absence of joints, abnormal movement, i.e., pseudoarthrosis.
3) Bone fricative or bone rubbing: The criterion for judging fracture is reflected in the fact that when the broken ends of the fracture rub against each other during limb movement, the bone fricative can be heard or the local bone rub sensation can be touched.
4) Indirect percussion pain: percussion or twisting with light force along the line of force at the distal end of the fractured limb causes severe pain at the fracture site.
5) Swelling of the wound: swelling, bruising or bruising of the site, and the swelling of the limb is ring-shaped, indicating that there may be a fracture.
6) Deformity of the injured limb: The criteria for judging fractures include angulation, shortening, rotation and other deformities of the injured limb after the displacement of the fracture segment.
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a.Local tenderness is evident.
b.Restricted movement.
c.Deformities are present.
d.Local bruising or redness and swelling.
Correct answer: ABCD
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The integrity or continuity of the bone is interrupted or disrupted. Traumatic fractures caused by trauma; Pathological fractures occur in the site of pre-existing bone disease (tumor, inflammation, etc.). The fracture end is open if it communicates with the outside world, and if it is not connected to the outside world, it is a closed fracture.
In addition, other classifications can be made based on the degree of fracture, stability, and time since the fracture. After the occurrence of fractures, pain, tenderness, swelling, bruising, deformity, limited movement, longitudinal percussion pain, and abnormal movement often occur locally. Diagnosis is usually based on this.
Of course, if the fracture damages blood vessels, nerves, etc., there will be corresponding manifestations, so it is necessary to pay attention to whether there are other organs damaged at the same time. X-rays are necessary to confirm the diagnosis and to further understand the location, type, and guidance** of the fracture. Usually, the fracture will heal on its own after a period of time after appropriate treatment, such as reduction and fixation, under the condition that the fracture segment has good blood**.
Proper on-site first aid and safe transport of fractures are important measures to reduce patient distress and prevent re-injury or contamination, the most important of which is proper fixation. When the limb is fractured, it is best to fix it with a splint, and then it can be replaced by a wooden stick and a wooden board, if there is no substitute, the upper limb fracture can be tied to the chest, and the lower limb fracture can be tied together with the other healthy limb, which can also play a role in temporary fixation. For spinal fractures, lie flat on the bed or door to avoid flexion, extension, and rotation.
If the fracture is open, it should be dressed with a first-aid kit or a cleaning cloth. Care should be taken to keep it fixed during handling or transportation to the hospital. If the fracture is combined with head injury and other important organ injuries, pay close attention to the changes in mental and general conditions, and quickly send them to the nearest hospital for rescue.
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