桡骨远端骨折

时间 : 2009-11-30 23:35:03 来源：lijun67.blog.sohu.com

[摘要]

OrthoJun OrthoJun

Colles'FractureWhatisaColles'fracture?

Colles'fractureisabrokenboneinthearmnearthewrist.Thebonethatisbrokeniscalledtheradius.Theradiusistheshorterofthetwobonesofyourlowerarmandisonthethumbsideofyourarm.Thebreakusuallyresultsfromafallonanoutstretchedhand.

Howdoesitoccur?

Suchinjuriesoftenoccurwhenyousliporstumbleandputoutanopenhandtobreakthefall.Suchafallcanbreakabone,especiallyifyourbonesareweakenedandbrittlefromosteoporosis.

Whatarethesymptoms?

Symptomsmayinclude:

suddenpainswellingbruisingdisfigurementofthewrist.

Howisitdiagnosed?

X-raysoftheforearmandwristaretaken.

Howisittreated?

Youwillbegivenmedicationtolessenthepain.Ifnecessary,yourhealthcareproviderwillmovetheendsofthebrokenbonesbackintoproperalignment.Ifthebreakisverysevere,youmaybegivengeneralanesthesiasothatthebonecanberepositionedduringsurgery.Acastorsplintmaybeappliedtohelpmaintainthepositionofthebones.

AColles'fractureusuallytakesupto8weekstoheal.X-raysmaybetakenfromtimetotimeduringrecoverytoseehowitishealing.Whenthecastorsplintisremoved,theaffectedwristandthefingers,hand,andshoulderonthatsidemaybestiffforseveralmoreweeks.Yourhealthcareprovidermayprescribeexerciseandphysicaltherapy.

Youwillnotbeabletobendyourwristwhilethecastorsplintisinplace.Youmayneedsomeonetohelpyouwithdailyactivitiessuchascooking,housework,driving,andself-care（showeringanddressing）untilthecastorsplintisremoved.

OlderpeopleinpoorhealthmayneedextrahelptomaintainanindependentlifestylewhiletheyrecoverfromaColles'fracture.

Inolderadults,thewristmayappeardeformedafterthecastorsplinthasbeenremoved.Thebonemayhealinatipped-backpositionevenwhentheboneswerealignedperfectly.Thismaybemorelikelyifyouhavearthritisthatmakesitdifficulttoalignthebonesexactlywhensettingthebreak.Thisoftenlooksworsethanitfeels.

Youmayhavesomepainandweaknessinyourwristfor6to12monthsaftertheinjury.Thismaycomeandgowithchangesintheweatherandgraduallyimproves.

WhatcanIdotohelpmyself?

MostpeopleregainuseoftheirwristandhandafteraColles'fracture,butexerciseandphysicaltherapymayhelpyourecovermorequicklyandmorefully.Followyourhealthcareprovider'streatmentplananddoyourexercisesregularly.

Ifosteoporosiscontributedtothebonefracture,youshouldtalktoyourprovideraboutoverallbonestrengthandwhetheranytestsortreatmentsareinorder.

PublishedbyMcKessonProviderTechnologies.

Thiscontentisreviewedperiodicallyandissubjecttochangeasnewhealthinformationbecomesavailable.Theinformationisintendedtoinformandeducateandisnotareplacementformedicalevaluation,advice,diagnosisortreatmentbyahealthcareprofessional.

DevelopedbyMcKessonProviderTechnologies.