שבר בעצמות כף היד

The human wrist consists of wrist bones (eight in number, of which the scaphoid is the most common bone to break), the comb bones and the phalanges that make up the fingers (three in number per finger and only two in the thumb). Fracture may occur in any bone of the wrist.

The fractures are divided into open and closed fragments. An open fracture is a fracture in which the bone is exposed to the air of the world. An open fracture requires antibiotic treatment - and better sooner than later.

Fractures are usually caused by traumatic injury - when trying to stop a fall we instinctively reach for protection. Wrist injuries occur in a number of mechanisms including crushing, tearing and direct bruising.

The appearance of local pain is the most common phenomenon when fractures occur. It is worth remembering that in the fractures of the scaphoid and some of the wrist bones the initial pain in the first few hours after the fracture will only be dull. It will worsen more than half a day or a day later.

Localized redness, signs of hemorrhage that appear in the palm after a few days from injury (appearing as a sort of local black and blue color in the tissues adjacent to the fracture) and sensitivity in any movement of the hand are also typical of the fracture.

The diagnosis of a fracture is done by a specialist orthopedic surgeon by conducting an intentional physical examination and then selecting the most appropriate imaging method for the diagnosis of the fracture - usually X-rays and, if necessary, using other deliberate imaging techniques.

A hand specialist will be able to choose the most appropriate treatment for the fracture of the palm of the hand: the position may be maintained, fracture reduction (return to position) under various types of anesthesia, closed fracture fixation (without opening the fracture), or surgery in which the fracture surgery is performed open (you see the fracture before your eyes) and internal fixation of the fracture by various means.

In most cases - the fracture treatment ends with the fixation of the fracture by a cast - plain or light cast. In simple fractures, it is very easy to convert the regular cast into a cast that allows swimming and other activity in the water - so dealing with the cast is much easier.

The fracture recovery process lasts several weeks (usually about 6 weeks) and it is sometimes necessary for hand rehabilitation and / or physical therapy. The process depends on the fracture itself as well as significantly shortening the period of restoration from the fracture.

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בצילום ניתן לראות שבר שחודר אל המפרק שבבסיס האגודל בכף יד ימין הדומיננטית. שבר באגודל או כל אצבע אחרת שמערב מפרק עלול להוביל להופעת שחיקת סחוס מאוחרת בעקבות המצאות שבר תוך מפרקי. גם ניתוח מושלם לא יכול להבטיח במאת האחוזים החלמה. עם זאת, שבר בתוך מפרק האצבע הוא כזה שמחייב ניתוח טוב אם מתלווה אליו תזוזה. אורתופד מנתח כף יד הוא הכתובת לניתוח שבר עצם בסיס האגודל, או שבר אצבע בכלל....

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