Returning to ’90s, She Became Famous in Major Surgical Fields Chapter 2520: 【2520】Understanding difference

   Chapter 2520 [2520] Understanding is different

  The scene of the car accident was tragic, the teacher who protected the child died, and her sister Xiaoyu died of serious injuries. How can Shanshan survive on her own? It is for this reason that the doctor must be responsible for this child, and it is prudent to ask him to stay in the hospital for observation.

  We often describe children as small saplings. What are the characteristics of small saplings? The branches are easy to break but the skin is connected, and the broken inside is not obvious at first glance.

  The bones of children are really like this. Because the bones are more ductile and brittle than adults, and the thickness of the periosteum is low, so children will have clinical phenona like broken branches of small saplings. This feature is called greenstick fracture subperiosteal fracture in pediatric orthopedics, which is different from adult fracture and is unique to pediatrics.

  Like Shanshan, the doctors at the scene couldn't imdiately tell if she had a hidden fracture. She herself does not feel pain, and there is no obvious swelling in her limbs. She needs to wait for the further developnt of the injury to show clinical symptoms. From the ergency scene to the hospital, doctors routinely had to film her limbs suspected of serious trauma to rule out bone abnormalities. After the film was taken, the X-ray report showed that the child was not a simple skin trauma, but had a supracondylar fracture of the hurus.

Where is the    supracondylar of the hurus, which is simply the patient's elbow area.

  Injured fractures of the elbow joint in children include supracondylar fractures of the hurus, lateral hural condyle fractures, radial neck fractures, and proximal ulna fractures. The most common genus and number one is the supracondylar fracture of the hurus.

   Supracondylar fractures of the hurus are characterized by frequent skeletal deformities and ischemic muscle contractures of the forearm referred to as Volkmann's contractures.

  In clinical treatnt of fractures, the common people usually know the manual reduction, that is, the orthopaedic surgeon, like a martial arts master, performs a magical way of breaking the patient's limb back and forth, and then uses a plaster to fix it. Occasionally, the orthopedic surgeon will inform the patient and family that the manual reduction cannot be perford and requires surgical reduction. At this ti, so people will question, how my family and his family, so of the sa fractures do not need surgery, so need to go to the operating room. Is it because I didn't give red envelopes and others gave red envelopes to doctors.

  Did the doctor really dare not ss around with this kind of thing if he received a red envelope. Because of this kind of thing, as soon as the dical records are brought to court, the doctor can't eat and walk around. The reason why there are huge and significant differences in the treatnt of the sa disease is generally due to different types. It is equivalent to saying that what the common people think is the sa disease is not entirely true in the eyes of doctors.

   Back to the supracondylar fracture of the hurus, it can be divided into extension type and flexion type according to whether the elbow joint is in a straight or flexed position when the patient is injured. The forr accounts for 90% of cases in children. Among them, the extension type is divided into three types according to the degree of fracture displacent. Like the type I straight type, there is no displacent, and the manual reduction can be done, and there is no need to enter the operating room for treatnt. Shanshan is type 3, which belongs to severe displacent. It is difficult to ensure no recurrence with simple manual reduction. The fracture needs to be fixed with minimally invasive surgery, and she can only enter the operating room.

   "The child said that she didn't have surgery before she saw her sister." Liu Huaiyu said, "We have communicated with her parents several tis for this reason, saying that the surgery will not be delayed."

   Children's orthopedic surgery must be done as soon as possible, because children are in the stage of growth and developnt, and fractures heal faster than adults.