Fracture of humerus상완골 골절

Overview and causes of humerus fractures

Here, it is mainly explained because it is okay for a fracture of the humerus, and a description of a fracture of the ulna, radius, or elbow joint is omitted.
The bone that connects the shoulder joint (shoulder joint/shoulder joint) and the elbow joint (the elbow joint) is called the humerus .
The upper arm bone may be fractured due to exercise, traffic accidents, or safety accidents.
If a humerus fracture occurs due to an accidental fall while the hand and forearm are stretched out, the upper part of the humerus is likely to be fractured.
Fractures can occur in the head of the humerus, interosseous fractures can occur, and epiphysis fractures can occur.
Symptoms and signs are different and treatment is different depending on which part of the humerus is fractured.
When the middle part of the humerus is struck, it is easy to fracture the middle part of the humerus.
When you fall on the elbow, it is easy to fracture the humerus in the elbow area.
When the humerus is fractured, blood vessels and peripheral nerves around the fractured humerus may be damaged.
In this way, the humerus can be fractured in various forms.
For information on fractures other than the humerus fracture, see “Fractures”.

▴ Picture 112. A picture of the back and front of the human skeleton.

Source-Emergency Care, By Grant And Murray

Photo 1-83. X-ray picture of the humerus (a), ulna (b), and radius (c) of a child

Symptoms signs of a fracture of the humerus

Symptoms and signs differ depending on where the humerus is fractured and the degree of fracture.
The signs of the accompanying symptoms differ depending on the type and severity of the trauma associated with the fracture.
When the fractured upper arm is swollen and painful, and the arm is actively or passively moved, the upper arm where the fractured humerus is more painful and sometimes unable to move. It hurts when you press the fractured upper arm with your hand.
the upper arm fractured cannot be moveed normally.
The end of a fracture of the humerus may damage peripheral nerves, blood vessels, or muscles around it.
Damage to the peripheral nerve in the arm can cause paralysis of some of the muscles that the peripheral nerve controls.
At this time, depending on the type of paralyzed nerve and its distribution, the upper arm cannot be actively moved, and some or all of the lower arm may have abnormal sensations.
If the blood vessels in the fracture site of the humerus are damaged, blood circulation in the upper and lower arms may be impaired, causing the skin color change of the upper and lower arms and sensation change of skin.

Diagnosis of a fracture of the humerus

If you suspect that a fracture of the humerus has occurred by combining symptoms, symptoms, and examination findings, you can take an X-ray picture of the humerus to confirm it.

Treatment of fractures of the humerus

At the site of the accident, first of all, stabilize the patient as much as possible and move the child to a safe place.
Depending on the degree of the fracture of the humerus, the first emergency treatment is started at the accident site according to the phone instructions of the medical paramedic, hospital emergency room, or regular pediatrician.
As soon as possible, check whether the blood circulation of the arm and hand on the side where the humerus fracture occurs is normal and whether there is a peripheral nerve paralysis of the arm.
Depending on the situation, before a regular pediatrician or medical paramedic arrives at the scene, keep the fractured arm in the same state as it was first seen and stop moving the fractured arm of the humerus.
When the humerus is slightly fractured, according to the doctor’s instructions, wrap the upper arm, lower arm, wrist, and hand together with a triangular tendon and place the other part of the triangular tendon over the neck.
The upper arm with a fractured humerus can be placed on the child’s torso, and the torso and the fractured upper arm can be fixed with another triangular tendon and transferred to a hospital. At this time, you are using the torso as a splint.

출처 및 참조문헌

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“부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances. “Parental education is the best medicine.”