Distal radius fracture is the most common type of fracture in clinical practice, which occurs within 3cm from the articular surface of the distal radius, which is the junction between cancellous bone and dense bone.
Distal radius fractures can occur in people of all ages, often in children between the ages of 6 and 10 and the elderly over 60 years old, the most common cause is accidental falls, palms on the ground, young adults are mostly caused by high-energy injuries, such as traffic accidents and sports injuries. Children mostly have green branch fractures and have good healing, while the elderly have obvious differences in fracture healing compared with young people due to osteoporosis and poor healing ability.
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Q: How is the distal radius fracture treated at the scene?
A: First of all, on-site emergency treatment. It can be made of local materials, using cardboard, magazines, flat planks or strips, placed around the wrist joint, and temporarily fastened with slings, strips of cloth or rope. If you can find an ice pack or a frozen drink, you can wrap it in a towel and put it on the injured area to apply a cold compress to reduce the swelling of the injured tissue. The affected limb should be elevated to avoid sagging, and immediately go to the nearest hospital for further diagnosis and treatment by professionals.
Most distal radius fractures can be treated conservatively to achieve good functional recovery, usually for 4 to 6 weeks, during which time regular reexamination is required. Surgery is preferred for unstable fractures, failed manual reduction, and fractures involving and displacing the articular surface. Postoperative examinations should be carried out regularly to confirm the healing and rehabilitation of fractures.
Q: How can I prevent a fracture of the distal radius?
Answer: First, it is necessary to prevent falls and injuries; Second, we must prevent osteoporosis.
To prevent falls, you should pay attention to the following:
1. Avoid walking steep stairs or steps;
2. Slow movement when turning around and turning your head;
3. Keep a steady gait when walking, walk as slowly as possible, and avoid carrying heavy items;
4. Avoid going to crowded and slippery places;
5. Avoid drinking too much water before going to bed and getting up at night;
6. Slow down the action of getting up and getting out of bed, open your eyes for 30 seconds, and sit up for 30 seconds;
7. It is best to go out during the day;
8. Clothes should be comfortable, shoes should be appropriate, for the elderly, high heels, slippers, shoes with too soft soles and easy to slip should be avoided as much as possible;
9. Choose appropriate aids, such as crutches, walkers, etc.
Ways to prevent osteoporosis:
1. Reasonable diet: Eat more foods rich in calcium and phosphorus, such as milk, shrimp skin, fish, etc.
2. Reasonable exercise: Participating in outdoor activities, such as running, climbing, swimming, etc., can improve bone mass and promote calcium absorption.
3. Quit smoking and drinking: The ingredients in tobacco and alcohol may cause damage to bones, so you should quit smoking and drinking.
4. Avoid blind use of health care products: Do not blindly use health care products, so as not to affect bone metabolism.
Author: Gao Huandong
Source: Shenyang Orthopaedic Hospital
Editor: Pei Li
Proofreading: Zhong Nan Ren Zhiqiu
First Instance: Song Ping
Review: Xu Jiang