Otitis

Fracture of the radius in a typical location. Fracture of the wrist bone

Fracture of forearm bones. One of the most common skeletal injuries. According to various foreign and domestic authors, the incidence of forearm bone fractures ranges from 11.3-30.5% of the total number of fractures.

Fracture of the olecranon.

Consequence of a fall on the elbow, a blow to the elbow area, or a sharp contraction of the triceps (the muscle that extends the forearm).
Region elbow joint cyanotic, swollen, deformed. The patient's straightened arm hangs down. When trying to move, a sharp pain occurs. When the fragments are displaced, the patient cannot independently straighten the forearm.
If the olecranon is fractured without displacement, a plaster cast is applied to the elbow joint bent at an angle of 90 degrees. Immobilization period is 3-4 weeks. In case of a fracture of the olecranon process with displacement of bone fragments by more than 5 mm, osteosynthesis is performed.

Fracture of the coronoid process.

The injury results from a fall on a bent elbow. Upon examination, a hematoma and swelling in the area of the ulnar fossa are revealed. Forearm flexion is limited. When palpated, pain is detected in the area of the ulnar fossa.
For non-displaced fractures, a splint is applied to the elbow joint bent at an angle of 90 degrees for 3-4 weeks. If a fragment of the process is wedged into the elbow joint, an operation is performed to remove it.
Fracture of the neck and head radius.
The cause is a fall on a straight arm. Swelling and pain are detected just below the elbow joint. Forearm flexion is limited. Sharp pain occurs when rotating the forearm outward.
For non-displaced fractures, a splint is applied to the area of the bent elbow joint for 3 weeks. In case of displacement, osteosynthesis is indicated; in case of fragmentation, removal of the beam head is indicated.

Diaphyseal fracture of the ulna.

The mechanism of injury is a direct blow to the forearm. When examining a patient with a fracture ulna swelling, deformation, sharp pain upon palpation, axial load and compression of the forearm from the sides are detected. Movements are limited.
For a non-displaced fracture of the ulna, the traumatologist fixes the bent forearm for 4-6 weeks. The longuet necessarily captures two adjacent joints - the wrist and the elbow. In case of a displaced fracture of the ulna, reposition is first performed.

Diaphyseal fracture of the radius.

Develops with a direct blow to the forearm. When examining a patient with a fracture of the radius, deformation, swelling, mobility of fragments, sharp pain when palpating the site of injury and axial load are revealed. Active rotation of the forearm is impossible.
For fractures of the radius without displacement, a plaster splint is applied, covering two adjacent joints (wrist and elbow) on the bent forearm. Immobilization for a period of 4-5 weeks. For displaced fractures of the radius, reduction is first performed. The period of immobilization in this case is 5-6 weeks.

Diaphyseal fracture of both forearm bones.

Widespread damage. Occurs due to indirect (fall on the hand) or direct (blow to the forearm) injury. Almost always accompanied by displacement of fragments. Due to the contraction of the membrane located between the bones, fragments of the radius and ulna usually move closer to each other.
The forearm is deformed and shortened. The patient holds the limb with his healthy hand. Mobility of the fragments, sharp pain when palpating the site of injury, axial load and lateral compression of the forearm away from the site of the fracture of the forearm bones are detected.
For fractures of the forearm bones without displacement, a splint is applied to the bent arm, covering two adjacent joints, for up to 8 weeks. For displaced fractures of the forearm bones, reposition is first performed. If it is impossible to compare and/or hold the fragments, osteosynthesis is performed using extraosseous, intraosseous or external metal structures.
Osteosynthesis is absolutely indicated in cases of angular or secondary displacement, interposition of soft tissues, as well as displacement of fragments by half or more of the bone diameter. After surgery for fractures of the forearm bones, plaster is applied for 10-12 weeks.

Montage's fracture.

Combined injury, including a fracture of the ulna, combined with dislocation of the head of the radial bone, and often with damage to the branch ulnar nerve. Occurs when falling on the hand or deflecting a blow with a raised and bent forearm.
Depending on the displacement of the fragments, flexion (fragments of the ulna are displaced posteriorly, the head of the radial bone - anteriorly; as a result, an angle open to the front is formed) and extension (fragments of the ulna are displaced anteriorly, the head of the radial bone - outward and posteriorly; as a result, an angle open to the rear is formed ) Monteggia fractures.
There is shortening of the damaged forearm, protrusion on the side of the radius and retraction on the side of the ulna, spring resistance when attempting passive flexion. To confirm a Monteggia fracture, an x-ray is performed to include the area of the injury and the elbow joint.
For flexion Monteggia fractures, the traumatologist performs repositioning and reduction of the dislocation. Then the limb is fixed in an extended position with the palm turned upward for 6-8 weeks. For extensor Monteggia fractures, after repositioning and reversing the dislocation, the hand is fixed for 4-5 weeks in the palm-up position, and then the palm is moved to the middle position and a splint is applied for another 4-6 weeks. The operation is performed when immediate reposition is impossible, when there is interposition of soft tissues and rupture of the annular ligament.

Galeazzi's fracture.

Combined injury, including a fracture of the radius in lower third, combined with dislocation of the head of the ulna. Occurs when a blow to the forearm or a fall on a straight arm. In this case, the fragments of the beam are shifted anteriorly, and the head of the ulna is shifted towards the palm or rear.
Upon examination, a bulge is revealed on the forearm from the side of the palm and a depression from the rear. The axis of the radius is curved. The head of the ulna can be felt in the area of the wrist joint on its ulnar side. When pressure is applied, the head is reduced, but when the pressure stops, it dislocates again. To confirm Galeazzi fracture X-rays are taken of the joint and the area of damage.
Reposition is performed and a plaster cast is applied for 8-10 weeks. If the fragments cannot be compared and/or held, surgery is indicated.

Fracture of the radius in a typical location.

Widespread damage. Older women are more often affected. The cause of injury is a fall on a straight arm with emphasis on the palm, less often - on back side brushes The integrity of the bone is disrupted 2-3 cm above the wrist joint.
There are flexion and extension fractures of the radius in typical place. More often, extensor fractures of the radius occur in a typical location, characterized by displacement of the distal (located further from the body) fragment to the radial side and to the rear and some rotation of it outward. The proximal (located closer to the body) fragment is displaced to the ulnar and palmar side.
With a flexion fracture of the radius in a typical location, the peripheral fragment is displaced toward the palm and rotates slightly inward, and the central fragment is displaced toward the rear and rotates slightly outward.
The forearm above the wrist joint is swollen, cyanotic, deformed, and sharply painful upon palpation and axial load. With concomitant damage to the branches of the median and radial nerve, sensory disturbances and limited movements of the fourth finger are detected.
For fractures of the radius without displacement, a splint is applied to the arm for a period of 3-4 weeks. For displaced fractures, reposition is first performed (usually manual, less often with hardware), after which a cast is applied for a period of 4-5 weeks. For nerve damage, patients are prescribed thyrocalcitonin, anabolic hormones, neostigmine and B vitamins.

Fracture of the olecranon.

Consequence of a fall on the elbow, a blow to the elbow area, or a sharp contraction of the triceps (the muscle that extends the forearm).
The area of the elbow joint is cyanotic, swollen, and deformed. The patient's straightened arm hangs down. When trying to move, a sharp pain occurs. When the fragments are displaced, the patient cannot independently straighten the forearm.
If the olecranon is fractured without displacement, a plaster cast is applied to the elbow joint bent at an angle of 90 degrees. Immobilization period is 3-4 weeks. In case of a fracture of the olecranon process with displacement of bone fragments by more than 5 mm, osteosynthesis is performed.

Fracture of the coronoid process.

The injury results from a fall on a bent elbow. Upon examination, a hematoma and swelling in the area of the ulnar fossa are revealed. Forearm flexion is limited. When palpated, pain is detected in the area of the ulnar fossa.
For non-displaced fractures, a splint is applied to the elbow joint bent at an angle of 90 degrees for 3-4 weeks. If a fragment of the process is wedged into the elbow joint, an operation is performed to remove it.
Fracture of the neck and head of the radius.
The cause is a fall on a straight arm. Swelling and pain are detected just below the elbow joint. Forearm flexion is limited. Sharp pain occurs when rotating the forearm outward.
For non-displaced fractures, a splint is applied to the area of the bent elbow joint for 3 weeks. In case of displacement, osteosynthesis is indicated; in case of fragmentation, removal of the beam head is indicated.

Diaphyseal fracture of the ulna.

The mechanism of injury is a direct blow to the forearm. When examining a patient with a fracture of the ulna, swelling, deformation, sharp pain upon palpation, axial load and compression of the forearm from the sides are revealed. Movements are limited.
For a non-displaced fracture of the ulna, the traumatologist fixes the bent forearm for 4-6 weeks. The longuet necessarily captures two adjacent joints - the wrist and the elbow. In case of a displaced fracture of the ulna, reposition is first performed.

Diaphyseal fracture of the radius.

Diaphyseal fracture of both forearm bones.

Montage's fracture.

Combined injury, including a fracture of the ulna, combined with dislocation of the head of the radial bone, and often with damage to the branch of the ulnar nerve. Occurs when falling on the hand or deflecting a blow with a raised and bent forearm.
Depending on the displacement of the fragments, flexion (fragments of the ulna are displaced posteriorly, the head of the radial bone - anteriorly; as a result, an angle open to the front is formed) and extension (fragments of the ulna are displaced anteriorly, the head of the radial bone - outward and posteriorly; as a result, an angle open to the rear is formed ) Monteggia fractures.
There is shortening of the damaged forearm, protrusion on the side of the radius and retraction on the side of the ulna, spring resistance when attempting passive flexion. To confirm a Monteggia fracture, an x-ray is performed to include the area of the injury and the elbow joint.
For flexion Monteggia fractures, the traumatologist performs repositioning and reduction of the dislocation. Then the limb is fixed in an extended position with the palm turned upward for 6-8 weeks. For extensor Monteggia fractures, after repositioning and reversing the dislocation, the hand is fixed for 4-5 weeks in the palm-up position, and then the palm is moved to the middle position and a splint is applied for another 4-6 weeks. The operation is performed when immediate reposition is impossible, when there is interposition of soft tissues and rupture of the annular ligament.

Galeazzi's fracture.

Combined injury, including a fracture of the radius in the lower third, combined with dislocation of the head of the ulna. Occurs when a blow to the forearm or a fall on a straight arm. In this case, the fragments of the beam are shifted anteriorly, and the head of the ulna is shifted towards the palm or rear.
Upon examination, a bulge is revealed on the forearm from the side of the palm and a depression from the rear. The axis of the radius is curved. The head of the ulna can be felt in the area of the wrist joint on its ulnar side. When pressure is applied, the head is reduced, but when the pressure stops, it dislocates again. To confirm a Galeazzi fracture, x-rays are taken of the joint and the area of injury.
Reposition is performed and a plaster cast is applied for 8-10 weeks. If the fragments cannot be compared and/or held, surgery is indicated.

Fracture of the radius in a typical location.

Widespread damage. Older women are more often affected. The cause of injury is a fall on a straight arm with emphasis on the palm, less often on the back of the hand. The integrity of the bone is disrupted 2-3 cm above the wrist joint.
Flexion and extension fractures of the radius occur in a typical location. More often, extensor fractures of the radius occur in a typical location, characterized by displacement of the distal (located further from the body) fragment to the radial side and to the rear and some rotation of it outward. The proximal (located closer to the body) fragment is displaced to the ulnar and palmar side.
With a flexion fracture of the radius in a typical location, the peripheral fragment is displaced toward the palm and rotates slightly inward, and the central fragment is displaced toward the rear and rotates slightly outward.
The forearm above the wrist joint is swollen, cyanotic, deformed, and sharply painful upon palpation and axial load. With concomitant damage to the branches of the median and radial nerve, sensory disturbances and limited movements of the fourth finger are detected.
For fractures of the radius without displacement, a splint is applied to the arm for a period of 3-4 weeks. For displaced fractures, reposition is first performed (usually manual, less often with hardware), after which a cast is applied for a period of 4-5 weeks. For nerve damage, patients are prescribed thyrocalcitonin, anabolic hormones, neostigmine and B vitamins.

Collis fracture (A. Colles, Irish surgeon, 1773-1843; synonymous with fracture of the radius in a typical location) - fracture distal end radius bone.

Typicality K. Associated with the mechanism of injury, the nature of the displacement of fragments and the principles of their reposition.

The nature of the damage is far from typical and differs great variety(extra- and intra-articular fracture, fracture without fragments, multi-comminuted fracture). Often a fracture of the distal end of the radius is accompanied by avulsion of the styloid process of the ulna.

Fractures of the forearm bones account for 11.5–30.5% of the total number of closed injuries.

Classification Fracture of the olecranon Fracture of the coronoid Fracture of the head and neck of the radius Isolated fracture of the ulna Isolated fracture of the diaphysis of the radius Fracture of both bones of the forearm Fracture of the ulna with dislocation of the head of the radius Fracture of the radius with dislocation of the head of the ulna Fracture of the radius “in a typical place” .

ICD Class XIX (SS99) | Medical practice - modern medicine of diseases, their diagnosis, etiology, pathogenesis and methods of treating diseases

A scaphoid fracture is accompanied by swelling and severe pain on the side of the first finger. International Statistical Classification of Diseases and Related Health Problems Tenth Revision Full list three-digit headings, four-digit sub-headings and their contents I.

International Classification of Diseases Diagnosis codes, names, standards of medical care. Helical, comminuted, extra- and intra-articular fractures are possible.

Causes of injury

A variety of factors can provoke a fracture of the bones of the forearm (ICD 10 code S52). Most often this traumatic injuries, although the pathological nature of the integrity violation cannot be ruled out bone tissue.

This is possible with the development of diseases that affect the absorption of calcium and disruption of bone structure. Most often it is oncology, osteoporosis, osteomyelitis.

The fracture is of a traumatic nature.

Nasal fractures are among the most common facial injuries. Usually the cause of injury is impacts from a fall, after a fight, playing sports, or an accident.

Fractures of the nasal bones are more often recorded in men whose age is in the range of 15–40 years.

The bones of the nose are more often injured due to localization in the center, protrusion of this area above the surface of the face. Swipe in the area of the external nose causes fractures of the nasal bones, lateral cartilages of the nose, and frontal processes upper jaw, nasal septum in two sections (bone, cartilaginous).

In almost every case (even in the absence of displacement of the nasal pyramid), displacement of bone fragments relative to each other is observed.

Closed. They are characterized by the absence of dermal rupture.

Open. They are characterized by the appearance of a wound; bone fragments may be visible. This type of fracture is dangerous due to large blood loss, increased risk wound infection.

domestic kicks;

falling from a height;

motor vehicle and aviation accidents;

work injuries.

Those patients who are diagnosed with pathology are prone to anatomical feature joint structure: increase in size, protrusion to the side. Along with the joint, the feet, legs, and knees are often damaged.

An anomaly is identified by taking a history of the victim and visual inspection sore joint.

A false joint is a pathology in which the integrity of the bone is disrupted, as a result of which it loses stability and becomes mobile. The second name for the pathological phenomenon used in medicine is pseudarthrosis. Pseudarthrosis can be cured, and in some cases conservative methods are sufficient.

Thanks to the use of modern equipment and medications the patient has every chance of returning to full life, avoiding disability.

It is important to correctly diagnose, establish the causes of the pathology and eliminate them by starting treatment as early as possible.

Types and features of pseudarthrosis

A false joint is pathological changes tubular bone, as a result of which its continuity is lost and it becomes mobile. According to the international classification of diseases, this disease has ICD 10 code. It means:

Pathological non-union of bone tissue after a fracture;
Bone fusion as a complication of other joint diseases;
Arthrodesis.

There are fibrous and true false joints. With a fibrous pseudarthrosis, a small gap forms between the fragments of the damaged tubular bone, in which the formation of fibrous tissue. The ends of the fragments grow, transforming into bone plates that cover the medullary canal.

Sometimes bone fragments become covered cartilage tissue, and around them a dense shell is formed, reminiscent in its structure of an articular one. It may accumulate inside synovial fluid. In this case, fibrous-synovial disease is diagnosed false type joint With this form of pathology, sclerosis of bone fragments may develop.

In addition, such a joint can be congenital or acquired. Congenital false joint accounts for only 0.5% of all cases of the disease. The pathology is caused by a violation of the intrauterine formation of bone tissue.

At birth, their structure is disrupted, and by 2-3 years the bones lose continuity. Most often, the false joint of the tibia is congenital, but pathologies of the clavicle, elbow or hip can be found.

Acquired pseudarthrosis develops after a bone fracture if it does not heal properly or completely.

Acquired pseudarthrosis is in turn divided into normotrophic, atrophic and hypertrophic.

Causes of development of pseudarthrosis

2 S00-T98 Injuries, poisoning and certain other consequences of exposure external reasons

Included: injuries: . ear. eyes. face (any part). gums. jaws. areas of the temporomandibular joint. oral cavity. sky. periocular area. scalp. language. tooth

S10-S19 - Neck injuries

Included: injuries: . back of the neck. supraclavicular region. throat.

S20-S29 - Injuries chest

Contains 10 blocks of diagnoses.

Included: injuries: . abdominal wall. anus. gluteal region. external genitalia. side of the abdomen. groin area.

S40-S49 - Injuries shoulder girdle and shoulder

Excluded: bilateral elbow and forearm injury (T00-T07) thermal and chemical burns(T20-T32) frostbite (T33-T35) injuries: . hands at unspecified level (T10-T11). wrists and hands (S60-S69) bite or sting poisonous insect(T63.4).

S60-S69 - Wrist and hand injuries

Excluded: bilateral wrist and hand injuries (T00-T07) thermal and chemical burns (T20-T32) frostbite (T33-T35) hand injuries at unspecified level (T10-T11) bite or sting of a poisonous insect (T63.4).

S70-S79 - Area injuries hip joint and hips

Excluded: bilateral injury hip area and hips (T00-T07) thermal and chemical burns (T20-T32) frostbite (T33-T35) leg injuries at an unspecified level (T12-T13) bite or sting of a poisonous insect (T63.4).

S80-S89 - Knee and lower leg injuries

Excluded: bilateral area trauma ankle joint and feet (T00-T07) thermal and chemical burns and corrosion (T20-T32) fracture of the ankle joint and ankle (S82.-) frostbite (T33-T35) injuries lower limb at unspecified level (T12-T13) bite or sting of a poisonous insect (T63.4).

T00-T07 - Injuries involving multiple areas of the body

Contains 8 blocks of diagnoses.

Included: bilateral extremity injuries with equal levels of injury involving two or more areas of the body, classified in categories S00-S99.

T08-T14 - Injury to an unspecified part of the trunk, limb or area of the body

Contains 7 blocks of diagnoses.

Excluded: thermal and chemical burns (T20-T32) frostbite (T33-T35) injuries involving several areas of the body (T00-T07) bite or sting of a poisonous insect (T63.4).

Trauma code according to ICD 10

ICD code 10S82 – fracture of the leg and ankle bones:

ICD 10 S50 – internal closed ankle fracture;
ICD 10 S51 – internal open fracture of the ankle;
ICD 10 S60 – external closed fracture of the ankle;
ICD 10 S61 – external open fracture of the ankle;

ICD 10 code: S82 Fracture of the lower leg, including the ankle joint. Included: ankle fracture The following subcategories are optional. Search and decryption of the ICD T10 classifier code. Broken arm NOS Fractured arm NOS The following subcategories are provided for optional use in additional characteristics conditions when it is impossible or impractical to carry out multiple.

ICD 1.0 - Fractures involving several areas of the body (T0.

The following subcategories are provided for optional use to further characterize a condition where multiple coding to identify fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed: 0 - closed 1 - open.

0 Fractures in the head and neck area. Fractures of locations classified in categories S0.

S1. 2. Excluded: involving other area(s) of the body (T0. T0. 2. 1 Fractures in the chest, lower back and pelvis. Fractures of locations classified under S2. S3. 2.- and T0 8 Excluded: in combination with fractures: .

A bruise of the forearm has its own code according to ICD 10. According to the International Classification of Diseases, this injury is designated by the code S50.1 (“Bruise of another and unspecified part of the forearm”).

direct injury from a fall on a straight arm;

collision with hard objects;

something heavy falling on the forearm area.

The severity of a bruise is always determined by the type and mass of the traumatic agent, as well as the speed of its fall.

Forearm bruises can be combined with other types of injuries, which should include open wounds indicated area, bone fractures, dislocations. Also, damage is often accompanied by inflammation of the joints and muscles, which can act as separate disorders involving immune mechanism diseases, violation of the integrity of tendons and ligaments.

pain in the damaged area, which quickly subsides, but appears again after swelling forms. Intensity discomfort worsens with hand movements;

tissue swelling;

a bruise that initially has a purplish-red color. After a few days it turns dark blue;

Nerve endings are also damaged, which immediately manifests itself as pain. And since the vessels located in the subcutaneous tissue have ruptured, bruises form in the place where the elbow joint is located.

No less useful is elecampane, or rather, its tincture. Such folk remedies need to treat the affected elbow area or make a compress.

Fracture of an unspecified part of the bones of the forearm S Print version Download or send a file. E « Closed damage elbow joint, bones of the forearm" Profile: ICD code S52 Fracture of the bones of the forearm.

S53 Dislocation, sprain and damage to the capsular-ligamentous apparatus of the elbow joint. Injury blood vessel from the other finger.

Injury to several blood vessels at the wrist and hand level. Injury to other blood vessels at the wrist and hand.

Injury to an unspecified blood vessel at the level of the wrist and hand. Injury to muscles and tendons at the wrist and hand level.

Injury to the flexor muscle of the other finger and its tendon at the level of the wrist and hand. Injury to several flexor muscles and tendons at the wrist and hand level.

Injury to several extensor muscles and tendons at the wrist and hand level.

Injury to other muscles and tendons at the wrist and hand. Injury to unspecified muscles and tendons at the wrist and hand. Crushed wrist and hand. Crushing of the thumb and other finger of the hand. Crushing of another and unspecified part of the wrist and hand. Traumatic amputation wrists and hands.

Traumatic amputation thumb brushes full partial. Traumatic amputation of one other finger of the hand is complete and partial. Traumatic amputation of two or more fingers, complete partial. Traumatic amputation of the hand at the wrist level.

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A nasal fracture cannot go unnoticed; this injury is a fracture of the bone or cartilaginous skeleton of the external nose and its septum. As a result of the injury, all functions of the nose are affected. If a patient has a nasal fracture, the severity of the harm to health can be determined by a doctor, who should be contacted immediately.

Fracture of the nasal bones, ICD-10 code - S02.2 Fracture of the nasal bones.

The main cause of a fracture of the nasal bones is trauma - a direct or lateral blow to any hard surface or a hard blunt object. Most often, such injuries occur during falls, in road accidents, street fights, in sports (boxing, martial arts, hockey, etc.), and at work.

Displaced nasal fracture

Non-displaced nasal fracture (photo below)

Closed or open fractures. When closed integrity skin is not broken, but if open, the skin is damaged, and there may be bone fragments in the wound itself.

The ankle joint is a large joint that is formed by the lower condyles of the greater and lesser tibia and foot, connected together by ligaments and joint capsule. The pathology belongs to class 19, which includes foot contusion according to ICD-10 and diseases of the ankle joints.

According to International classification diseases (ICD) of the tenth revision, bruise of the ankle joint has code S90.0 and indicates an injury received from a blow or fall.

damage to the skin and underlying layers ( muscle fibers And subcutaneous tissue);

bruises and hematomas resulting from damage to nerves and blood vessels;

swelling and swelling, bruises in the injured area;

pain in the ankle area;

tissue necrosis (in case of neglect, severe development).

Accompanying injury to the ankle joint are superficial skin injuries, bruised fingers (damage to the nail plate, fracture of the phalanges), and ankles.

In severe cases, hemarthrosis develops (collections of blood in the joint cavity).

Back pain on the right above the lower back causes

Fracture of the ulna, ICD10 code

A fracture of the olecranon, as mentioned above, occurs as a result of a fall from a height when the victim’s arm was slightly extended. Very often, for example, this happens precisely when the process is fractured with displacement.

When the coronoid process of the ulna is fractured, they speak of indirect injury, which happens as a result of a fall on the hand, in particular on the dorsum of the forearm, when its maximum flexion has occurred.

Fractures of the diaphysis occur due to the impact of a direct blow, which is also called a “bludgeon fracture.” Most often, this type of damage is diagnosed during an accident or fight.

In addition to the above-described causes of elbow injury, which are classified as a traumatic factor, there is also a pathology group in which fractures occur with minimal pressure on the bone. Most often this happens when the patient has a calcium deficiency, or when he has illnesses musculoskeletal system, for example, osteoporosis, arthrosis, osteoarthritis.

The symptoms of an elbow fracture are similar, but there are some differences. Since they depend on the location of the damage.

In case of a fracture of the olecranon process of the ulna, the signs of the fracture are characterized by acute pain, swelling of the joint itself. However, its limited action is noted. The elbow cannot be bent or straightened. Hemorrhage in the joint is also diagnosed. Pain may also be experienced when palpating the injury site.

Bruising of the eye Excluded: This will allow you to make your own choice based on the facts.

Types of damage

If a fracture of the forearm is implied, the ICD code for it is S52. Exists separate classification injuries in this area.

Forearm fractures with and without displacement according to ICD 10 are also identified by adding 0 or 1 to the main code in in the prescribed manner numbers

The radius bone in the area of articulation with the carpal joint has the thinnest cortical layer. Almost always, it breaks only in this area, which is why such injuries began to be called “radial fracture in a typical location” (ICD-10 code - S52.5). Depending on how the arm was twisted during the fall, the injury is classified into two categories:

Smith's or flexion fracture (when the blow fell on the back of the hand);
Colles' or extensor fracture (when the blow falls on the open palm).

When falling onto an outstretched arm in a position of dorsiflexion of the bone, adults usually experience an impacted fracture of the radius without obvious displacement of bone fragments.

General classification bone fractures also apply to this type of injury, so damage to the radius can be: open (when the skin and soft tissues are ruptured) or closed (when the integrity of the integument is not broken); with displacement of bones or their fragments or without displacement.

Symptoms and signs

Only a specialist can recognize a fracture of the left forearm according to ICD 10. However, you can independently identify the most characteristic symptoms of injury. It is their active manifestation that is the reason for immediate contact with traumatology.

Signs of a forearm fracture are as follows:

severe pain, especially when trying to feel your hand, strain or make any movement with it;
swelling in the area possible fracture;
the appearance of a hematoma;
numbness;
inability to move your fingers normally;
limited mobility of the elbow or wrist joint;
change in limb shape;
bleeding and viewing bone fragments with an open wound.

Under no circumstances should you endure the pain and rely on the fact that it is just a bruise and everything will go away on its own soon. In some cases, the symptoms of a bruise and a fracture are indeed similar, but when serious injuries delay can lead to a number of complications.

How to recognize a broken nose

If the nasal bones are injured, the bleeding must be stopped initially. It is recommended to apply cold, you can insert tampons into the nostrils. If a fracture with displacement of the victim in as soon as possible need to be taken to a medical center. You can't do anything on your own. It is forbidden to throw your head back when bleeding from the nostrils.

Conservative therapy

If the fracture is not displaced, it is treated conservatively (cool the area of injury, prescribe painkillers “Ketanov”, “Dexalgin”, vasoconstrictors, ointments for relieving swelling and bruising “Rescuer”, “Troxevasin”).

Local and general antibacterial therapy can also be carried out.

UHF therapy (relieves pain, improves tissue nutrition, activates regeneration);

Electrophoresis (stimulates regeneration);

Infrared rays (pain relieves, destroys infection, improves metabolism, blood flow).

Surgical treatment

A displaced fracture must be treated surgical method. The procedure involves repositioning the nasal bones. Experts say that it is advisable to carry out this operation in the first 7 to 10 days after the fracture. During this period, the procedure can be carried out without general anesthesia. Repositioning of the nose is usually stopped when its shape is completely restored and breathing has improved.

The operation begins with anesthesia (application, injection) with lidocaine 2%. After anesthesia, the sunken bone is raised using a special elevator, and the nose is fixed with swabs soaked in antibiotics.

Symptoms

The first signs and symptoms of a fracture begin to appear immediately after injury. Characteristic symptoms are considered:

Massive swelling at the fracture site;
Deformation of parts of the joint;
Sharp limitation of the motor ability of the foot;
Sharp pain when trying to lean on an injured leg;
Severe pain in the joint;
Hematoma.

If these symptoms are present, it is necessary to contact the nearest emergency room as soon as possible for the help of specialists.

Clinical picture Such injuries do not present any particular difficulties in diagnosis. Usually the fracture is accompanied by a bayonet-shaped deformity of the wrist. IN distal section there is swelling in the hands, a hematoma is possible, but not necessary.

Of course - pain. Functional mobility of the hand does not disappear, but is greatly reduced due to pain syndrome. Movements in wrist joint usually limited.

Swelling at the site of impact and under the eyes

Pain when touching the nose

Bleeding from the nose (if the nose does not bleed, it may be a soft tissue contusion rather than a fracture)

Changing the shape of the nose (recession, displacement)

Difficulty nasal breathing, which can lead to rhinitis and sinusitis.

Some time after the injury, bruises appear under the eyes, resembling “glasses.”

A nasal fracture can lead to a deviated nasal septum. This can become complicated by a fracture of the nasal cartilage, traumatic brain injuries, a fracture of the base of the skull, or a hematoma of the nasal septum.

All this is very dangerous; if a person has a broken nose, the severity of the harm to health should be determined immediately when contacting a doctor. In some severe cases, timely medical attention is vital.

Diagnostics

In any case, it is important to apply for medical care.

In order to avoid causing harm to the victim until professional assistance is provided, it is necessary to learn the following rules:

Further examination should be carried out by a specialized doctor. Diagnosis consists not only of a physical examination, but also of special measures.

The main one is radiography, since bone tissue defects are clearly visible in the image. To more accurately study the bone structure, tomography is prescribed.

Patients complain of pain at the site of injury. In the distal part of the radius there is swelling, painful limitation of mobility in the wrist joint and a “fork” or “bayonet” deformity due to displacement of the peripheral fragment to the radial side and to the rear.

The examination should be painless. It is necessary to check the sensitivity in the area innervated by the median nerve. A displaced distal fragment may cause irritation median nerve with the development of carpal tunnel syndrome. With significant damage, compartment syndrome may develop in the area of the deep flexors of the forearm.

The diagnosis and the nature of the displacement of fragments are clarified by radiographs taken in two projections.

In order to put accurate diagnosis, the traumatologist needs to conduct a thorough examination of the injury site and examine all the symptoms present. After this, he prescribes an x-ray of the ankle joint to the victim in 2 projections (straight and lateral).

If the received images are uninformative, the doctor may decide to refer the patient to more accurate and modern diagnostic procedures(CT, MRI), which will show the condition of the joint and bones from all sides.

do not try to set the bone yourself;

limit any hand movements;

if available heavy bleeding it is necessary to apply a tourniquet above the wound;

in case of severe pain, it is recommended to take (or inject) a painkiller;

apply something cold to the damaged area.

secure your arm with a splint or simply tape it to your body in a bent position.

Still have questions? Ask them to our staff doctor right here on the website. You will definitely get an answer!Ask a question

megan92 () 2 weeks ago

Tell me, how does anyone deal with joint pain? My knees hurt terribly ((I take painkillers, but I understand that I am fighting the effect, not the cause...

Daria () 2 weeks ago

I struggled with my painful joints for several years until I read this article by some Chinese doctor. And I forgot about “incurable” joints a long time ago. Such things

megan92 () 13 days ago

Daria () 12 days ago

megan92, that’s what I wrote in my first comment) I’ll duplicate it just in case - link to professor's article.

Sonya 10 days ago

Isn't this a scam? Why do they sell on the Internet?

julek26 (Tver) 10 days ago

Sonya, what country do you live in?.. They sell it on the Internet because stores and pharmacies charge a brutal markup. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. And now they sell everything on the Internet - from clothes to TVs and furniture.

Editor's response 10 days ago

Sonya, hello. This drug for the treatment of joints is indeed not sold through the pharmacy chain in order to avoid inflated prices. Currently you can only order from Official website. Be healthy!

Sonya 10 days ago

I apologize, I didn’t notice the information about cash on delivery at first. Then everything is fine if payment is made upon receipt. Thank you!!

Margo (Ulyanovsk) 8 days ago

Has anyone tried it? traditional methods joint treatment? Grandma doesn’t trust pills, the poor thing is in pain...

Andrey A week ago

Which ones folk remedies I haven't tried it, nothing helped...

Ekaterina A week ago

I tried drinking a decoction from bay leaf, no use, I just ruined my stomach!! I no longer believe in these folk methods...

Maria 5 days ago

I recently watched a program on Channel One, it was also about this Federal program to combat joint diseases talked. It is also headed by some famous Chinese professor. They say that they have found a way to permanently cure joints and backs, and the state fully finances the treatment for each patient.

Treatment tactics

Treatment goals: timely diagnosis fracture of the forearm bones, surgical treatment, prevention possible complications, holding rehabilitation measures, restoration of limb function.

Treatment

In case of irreparable displacement or unstable position of the fragments, surgical treatment is performed - osteosynthesis of the ulna and radius.

Surgery: open reduction of bone fragments of the radius and ulna with internal fixation.

Other types of operations:

1. Open reduction of bone fragments of the radius and ulna with external fixation.

2. Closed reduction of bone fragments of the radius and ulna with external fixation.

3. Open reduction of bone fragments of the radius and ulna without internal and external fixation.

Monitoring the reposition of fragments after surgery within 2 days and after 10 days.

Fracture consolidation is monitored X-ray method 21 days after reposition, then monthly. Analgesic and non-steroidal anti-inflammatory drugs are used for 2 weeks. Plates after osteosynthesis of the ulna are usually removed after 8-12 months under general anesthesia.

Results multicenter studies found that the use of antibiotic prophylaxis in patients with open fractures significantly reduces the risk of developing purulent-inflammatory complications.

Patients can be divided into 3 risk groups:

1. Open fracture with damage to the skin and soft tissue less than 1 cm in length, the wound is clean.

2. Open fracture with skin damage more than 1 cm in length in the absence of significant damage to the underlying tissues or significant displacements.

3. Any segmental fractures, open fractures with severe damage to underlying tissues or traumatic amputation.

Patients in risk groups 1-2 require a preoperative dose of antibiotics (as early as possible after injury), mainly with an effect on gram-positive microorganisms. For patients at risk group 3, antibiotics that act on gram-negative microorganisms are additionally prescribed.

Antibiotic prophylaxis regimens:

1. For patients in risk groups 1-2 - 3-4 generation cephalosporins i/m 1.0-2.0.

2. Patients of the 3rd risk group - 3-4 generation cephalosporins IM 1.0-2.0 every 12 hours (2 times a day), 7 days + metronidazole 100 ml IV every 8 hours (3 times a day) , 3-5 days.

List of essential medications:

1. *Metronidazole tablet 250 mg solution for infusion 0.5 in a 100 ml bottle

2. *Ceftriaxone powder for preparation injection solution 250 mg, 500 mg, 1000 mg per vial

3. *Cefuroxime powder for solution for injection in a bottle 750 mg, 1.5 g

The most complete answers to questions on the topic: “fracture of the elbow joint code according to ICD 10.”