? Treatment of supracondylar fracture of humerus in children with traditional Chinese medicine

Supracondylar fracture of humerus is the most common elbow fracture in children, accounting for about 50% ~ 70% of all elbow injuries, and it is common in children aged 3~ 10. Supracondylar fracture of humerus can be divided into extension type and flexion type, and most of them are extension type in clinic, accounting for 95% ~ 98%. After fracture, swelling, pain, deformity, local tenderness and dysfunction of elbow joint can be distinguished from dislocation of elbow joint by checking whether the posterior triangle relationship of elbow joint is normal. X-ray shows that the fracture line inclines from front down to back up, accompanied by ulnar deviation or radial deviation.

Generally speaking, supracondylar fracture of humerus in children is the first choice for Chinese medicine osteopathy. As long as it is treated properly, it can achieve good results. If not handled properly in the early stage, it can cause forearm osteofascial compartment syndrome, lead to ischemic muscle contracture of forearm, affect hand function and cause lifelong disability; If the fracture malunion forms cubitus varus, it will affect the beauty of the child's elbow joint and need osteotomy correction, and so on.

Reset method

Completely displaced fractures can be treated by manual reduction and splint external fixation. When resetting, the child takes a supine position or a sitting position, and two assistants hold his upper arm and forearm respectively, and the elbow is in a semi-flexion position, slowly and forcefully pulling and stretching. When resetting, correct the lateral displacement first and restore the force line on the coronal plane. After traction, fix the proximal end to make the forearm pronate or supinate, and then correct the rotation deformity of the distal end. For fractures with lateral displacement and rotation deformity, push the distal end of the fracture forward with two thumbs from the back of the elbow, and pull the distal end of the fracture backward with the rest fingers. Under the traction, the assistant will slowly bend the elbow to about 1 10, and correct the anteroposterior displacement, so as to achieve complete reduction.

For unstable fracture after reduction, satisfactory reduction can be observed under C-arm X-ray machine. Inserting two fine kirschner wires from the medial and lateral condyles of humerus for fixation is simple, minimally invasive and has few complications. Now it has been widely used.

Fixing method

Four special super elbow splints were used to fix the affected limb. After clamping, it was suspended by a neck wrist strap and fixed in the elbow flexion position of 90 ~ 1 10 for 3~4 weeks. Closely observe the blood supply of the affected limb, and require regular review and adjustment of splint tightness.

Pay attention to functional exercise during fixation, and do more activities such as clenching fist, wrist and finger flexion and extension. After taking off the splint, actively exercise elbow flexion and extension activities, and cooperate with traditional Chinese medicine fumigation and washing, such as Haitong skin soup or upper limb injury washing prescription, to achieve better recovery effect.