Why do you have to fracture without fracture?

Guide a doctor

Lin Zhiqiang, attending physician of the Department of Rehabilitation Department of Quanzhou Zhengqi Hospital

Quanzhou.com March 11 (Reporter Chen Xiaofen) “Doctor, my feet are just sprains and no fractures. Why should I still use plaster?”

“Sticky stomach is very common, and few people have played gypsum. Why do I have to put plaster when I lame my feet?”

In the impression of many people, it is only a small injury to twist to an ankle. It is just a hot compress or bandaging with a bandage. Many people are not tolerated until the pain is unbearable, the ankles are swollen, and they can only go to the doctor when they are swollen. I can’t understand. Lin Zhiqiang, a doctor of the recurred department of Quanzhi Bone Hospital in Quanzhou City, said that such patients are often encountered in outpatient clinics. Although there are no significant signs of fracture in the film inspection, the ligament is definitely damaged, and the plaster is more conducive to the repair and healing of soft tissue -related soft tissues.

Thinking that the result of a small thing is a small thing to become a habitual sprains

On March 6, a 17 -year -old high school student Xiao Cai dragged his right foot to the clinic with a very strong swelling. “Doctor, I twisted my ankle again 5 days ago when I played. How could I be so serious this time?” As soon as I met, Xiao Cai was so anxious to cry.

Xiao Cai said that his right foot was sprained three times for his right foot half a year ago. He took a break every time. He sprayed some potions or hot compresses by himself, and it would be fine in a few days. This time, he also went to the hospital to see it. The doctor also asked him to rest and apply it, but he did not improve, and his feet became more swollen and bigger.

Seeing Xiao Cai’s injury, Lin Zhiqiang said that this was the ligament injury that was not fixed and the condition worsened. Nuclear magnetic examination shows that Xiao Cai’s right foot is torn from the Philippia’s front ligament. In view of the previous three situations, Lin Zhiqiang said that Xiao Cai’s right foot had become a habitual sprains, and he explained that Xiao Cai should pay attention to treatment and recuperate, otherwise he will leave sequelae.

Lin Zhiqiang told reporters that there are many people who think that stomping is a small thing like Xiao Cai. In the outpatient clinic, patients who see their feet are swollen and they come to the doctor. Two or three years ago, Xiao Zhang, who was around 20 years old, sprained his ankle during his exercise. After applying the potion for more than 10 days, he walked with his feet. Then he went to their hospital for treatment. The doctor found that Xiao Zhang’s outer ankle tenderness was obvious. Although the film was not fractured, but the ligament was broken, so Xiao Zhang was fixed for two weeks, and it was treated with other drugs. Because he did not go to the doctor in time, the small ankle was painful every time the weather became cold.

Gypsum fixation is conducive to the repair healing of soft tissue of the ankle

It is reported that it is easy to cause damage to soft tissues such as ligaments, joint capsules, and joint cartilage on the inner and outer side of the ankle joints. The repair of these damage requires a specific time and environment. If it is not treated in time, the ligament of the ankle may become relaxed, the ankle joint will become unstable, and it will easily cause secondary sprains during walking or exercise. In addition, unstable ankle joints can easily cause traumatic arthritis, joint degeneration, etc., causing patients with chronic pain in the ankle joints, and even the situation of unavailable walking.

“Doctors will recommend gypsum to be fixed, which is more conducive to the repair and healing of soft tissue -related soft tissues.” Lin Zhiqiang said that the plaster is economical, practical and convenient, and is currently used in clinical use. Although gypsum is often used for fracture treatment, the treatment of other diseases such as joint dislocation and ligament damage is also commonly used. Gypsum fixation can make the injured parts fully rest, avoid further damage during the activity, and provide a favorable condition for the repair of the soft tissue of the ankle joint and swelling.

If you do not use gypsum, the repeated activity of the ankle joint will affect the repair of soft tissues, which may cause sequelae of chronic pain, traumatic arthritis, habitual sprains, traumatic synovitis, and bone necrosis. Although gypsum cannot completely eliminate the occurrence of the above situation, it can minimize the emergence of these sequelae. In addition, there are some special circumstances, such as some crack fractures, which are commonly known as “bone fractures”, often cannot make a clear diagnosis through X-ray films in the early days of injury. No fracture. In this case, orthopedic doctors will also prevent gypsum fixation first.

After the gypsum is fixed, it should be reviewed regularly

“After the gypsum is fixed, the patient must closely observe the situation of the affected area.” Lin Zhiqiang said that if there is continuous swelling in the injury, the plaster will be relatively tight. Tissue ischemia, osteophytes syndrome, nerve injury, etc. Therefore, after the gypsum is fixed, it should be regularly reviewed to the hospital to avoid damage caused by the incomplete plaster.

Some patients think that the plaster is clumsy and the summer is very sultry. Lin Zhiqiang said that for mild sprains, branches are fixed as a good method. At present, there are many branches on the market to choose from. Fixed a small splint is a good choice. However, those who are more damaged should still be fixed more secure.