Attention to the medial condyle fracture of the left humerus

Because it's not clear when you had your fracture, how many weeks have it been now? So I can only remind you of the precautions for exercising; Maybe the doctor has also explained to you, within 1 week to practice fist extension, palm bend back extension, elbow flexion and shrug and other activities and other activities, 2-4 weeks can do elbow joint flexion and extension activities, shoulder joint all-round exercise, 5-6 weeks continue the above activities to increase the amount of activity, while practicing forearm rotation activities, 7-8 weeks of fixed removal after the all-round functional exercise of the shoulder joint, and at the same time can be applied to the medicine and other drugs. During this period, pay attention to the swelling and sensorimotor condition of the affected limb, and once this situation occurs, you should go to the doctor to treat the tightness and fix it.

Don't eat deliberately. To emphasize one more point, in the functional exercise, it is necessary to pay attention to active activities, passive supplements, active and passive combinations, and do not violently flex the elbow joint, so as to avoid the occurrence of ossifying myositis around the joint. Don't be lazy when exercising, fear pain or don't stick to it well!

Judging from your description, your fracture is not very serious, and there is no obvious misalignment in the part of the fracture. So, from the point of view of **, your then attending physician was completely right when dealing with it. A simple cast of the elbow joint is sufficient, and there is no need for surgery at present, which you can rest assured.

The current soreness of your left hand, the analysis may be related to your current cast, this feeling generally disappears with time, the swelling of the injured part disappears, and tends to disappear, you should pay attention now that it is best to put your left upper limb on your chest higher than the level of your heart when sleeping. Usually your left hand.

In terms of diet, you can add some calcium-rich foods appropriately, such as bone broth, but in fact, there is no need to deliberately pursue some food adjustments. It's important to eat a normal diet every day.

As for exercise, it is better to do less, mainly to prevent you from getting injured again. The main exercise to do is to move the joints in your left upper limb that are not held in place by a cast.

You can search a lot of questions about this on the Internet, I won't paste it for you, you can see it yourself, I'll tell you something simple and real, first of all, your fracture does not need surgery, especially if you are still young, the radius belongs to the green branch fracture, and the plaster will grow after being fixed, you don't have to worry about this, and secondly, you can continue to go to school, except for some inconvenience, there is no effect, about diet, you can eat more bone broth, supplement collagen, can promote**, It's normal for you to feel soreness now, don't worry, you won't be sore in two weeks, I wish you a speedy ** 、、、

There is no legal provision for the left humerus fracture to be the level of disability, because there is no law that says that the left humerus fracture must be several levels of disability, mainly depending on the degree of disability, the left humerus fracture is generally more serious, and the disability level is a total of 10, then the left humerus fracture is generally between grade 9 or 10, grade 9 is generally internal fixation after the fracture, and 10 is generally no internal fixation, and the disability will leave sequelae, and the disability level ultimately depends on the labor appraisal conclusion. Because the determination of the final grade depends on the labor appraisal.

1. What is the standard for the identification of grade 10 disability for fractures?

According to the provisions of the disability appraisal standards, under normal circumstances, fractures reach the standard of grade 10 disability, but they can only be determined after being identified by the appraisal agency, and it may be a grade 10 disability, which may be higher, but may not be evaluated.

The disability identification criteria refer to the provisions for fractures as follows:

1. Severed or loss of function of the distal interphalangeal joint of any finger except the thumb;

2. Except for the thumb, the remaining 3 and 4 finger distals are missing;

3. There is no dysfunction after the healing of fractures in various parts of the body;

4. There are fractures;

5. Loss of joint function;

6. Disconnection of stubs.

Any one of these criteria can be assessed as a grade 10 work-related injury.

2. In any of the following circumstances, the judicial appraisal standard for fibular fracture may be regarded as a loss of more than 25% of the function of one limb, and it shall be assessed as a grade 9 disability in accordance with the "Disability Appraisal of Persons Injured in Road Traffic Accidents".

1) Humerus and femur fractures, ulnar and radius double fractures and tibia and fibula double fractures, bone failure to heal for more than two years or chronic osteomyelitis for more than two years, the injured person gives up, and it is regarded as the end of medical treatment.

2) If the femoral head is diagnosed with necrosis, and the injured person does not require replacement, it is regarded as the end of medical treatment.

3) Common peroneal nerve injury causes foot drop, which seriously affects walking function.

3. The evaluation of joint function of peripheral nerve injury shall be carried out with reference to the relevant provisions of the "Criteria for the Identification of the Degree of Human Injury".

4. After artificial joint replacement, it should be regarded as a complete loss of joint function.

According to Article 8 of the Administrative Measures for the Appraisal of the Labor Ability of Employees Injured at Work, the application form for the appraisal of labor ability shall be filled in first, and the following materials shall be submitted: (1) the original and copy of the Decision on the Determination of Work-related Injury; (2) Complete medical record materials such as valid diagnosis certificates, examination and examination reports copied or reproduced in accordance with the relevant provisions of medical establishments on the management of medical records; (3) The original and photocopy of the worker's resident identity card or social security card and other valid identification; (4) Other materials specified by the Labor Ability Appraisal Committee.

**: 1. Straightening type:

1. Manual reduction and external fixation: the injury time is short, the local swelling is light, and there is no blood spike circulation disorder. After reduction, the posterior cast is used to fix the elbow flexion for 4 to 5 weeks, and the fracture is healed well on x-rays, and functional exercises can be started.

Patients with severe swelling of the fracture should rest in bed, elevate the affected limb, or use the olecranon of the ulna to suspend traction, strengthen finger movement, and perform manual reduction after the swelling subsides.

2. Surgery**: Surgery can be selected if manual reduction fails, small open wounds are not heavily polluted, and there is nerve damage in the vascular mass.

3. Postoperative**: Regardless of manual reduction or open reduction, the blood circulation of the limbs and the sensory and motor functions of the hands should be strictly observed after surgery. A serious complication of a straightened supracondylar humeral fracture is forearm compartment syndrome, which can lead to ischemic muscle contractures that severely affect hand function and development.

Once compartmental hypertension is identified, urgent surgery should be performed to decompress adequately, with medications** to prevent the development of ischemic muscle contractures of the forearm.

2. Buckling type:

**The basic principles are basically the same as those of the straightening type, but the manual reduction is in the opposite direction. External fixation is performed at about 40 degrees of elbow flexion, and active elbow flexion and extension activities are started after 4 to 6 weeks.

When a supracondylar humeral fracture in childhood is reduced, the radial or ulnar displacement is not corrected, or it is combined with severe epiphyseal injury, and elbow valgus deformity may occur after the fracture has healed. After observation, the deformity has a tendency to worsen, and patients with functional impairment can undergo osteotomy correction at the age of 12 to 14 years.

Supracondylar humeral fractures and medial epicondyle fractures of the humerus, where they are broken are different; The former is proximal to the medial and medial condyles, and the latter is confined to the medial epicondyle;

You don't study medicine, you don't know, look for an anatomy book, look at the anatomy of the humerus, and you will understand. I told you, and you can't understand it. I didn't know it was the humeral condyle.

Ischemic muscle contractures.

It is a common and serious complication of supracondylar humeral fractures. Its early symptoms are severe pain, loss or weakening of radial artery pulses, poor peripheral circulation, pale and cold hands, and severe pain when the fingers are passively straightened and flexed. The elbow should be straightened immediately, the fixation and dressing should be released, and the brachial artery should be explored if there is no improvement in blood circulation after a short period of observation.

Spasmodic arteries can be wetted with warm saline and sealed with procaine. If there is vascular damage, repair surgery should be performed. If the forearm swelling is aggravated and the compartment pressure is high, the compartment should be incised to decompress.

2.Elbow varus.

It is a common late deformity of supracondylar fracture, with an incidence of up to 30%. One week after the reduction of the reduced fracture, X-ray radiographs were taken, and according to the distribution of callus in and out of the fracture end, elbow varus occurred or not. If elbow varus is predicted, the bone is gently rubbed under adequate anesthesia and corrected in the straight position.

Elbow varus deformity does not affect the extension and flexion of the elbow joint, but it does affect the appearance and psychology of the patient. If the deformity exceeds 20° and the deformity is stable 1 to 2 years after injury, supracondylar lateral wedge osteotomy can be corrected.

3.Elbow valgus.

Elbow valgus rarely occurs and can be seen in cases of poor reduction of lateral condyle fractures. In severe cases, ulnar neuritis is caused, and nerve advancement or osteotomy should be performed as soon as possible.

4.Nerve damage.

Median nerve injury is more common, radial nerve and ulnar nerve injury is rare, mainly due to local compression, traction or contusion, and rupture. Most fractures recover spontaneously within a few weeks after injury, but if they do not recover within 8 weeks of injury, surgical exploration and appropriate management may be considered.

5.Myositis ossitic.

During the recovery period, strong passive extension and flexion of the elbow joint can lead to a large number of ossified masses around the joint, resulting in swelling of the joint and a gradual decrease in active flexion and extension activities. In this case, immobilization should be performed for several weeks before restarting active joint flexion and extension activities. Surgery to remove hypertrophic bony tissue is rarely necessary in children.