Traumatology of traditional Chinese medicine: treatment of scaphoid fracture

Carpal scaphoid fractures rarely shift, and generally do not need reduction. If there is displacement, the wrist joint can be deviated by hand traction, and the bone block can be reset by pressing the thumb inward.

2. Fixation method

Plastic splint or paper splint can be used to fix the wrist joint slightly straight on the ruler, with the thumb in the palm position; Or fix the wrist joint in the neutral position with a back extension of 30 with a short-arm plaster cast, with the foot offset 10, the thumb facing the palm and the forearm.

3. Polisel's therapy

Generally, the tubercle fracture can heal in about 6 weeks, and the fracture healing time in other parts is 3-6 months, or even longer. X-rays should be taken regularly. If the fracture is still not healed, it must be tested, and the external fixation can be lifted only after X-ray film confirms the fracture line. Old fractures and nonunion can be treated by surgery.

Step 4 practice

Functional activities of thumb, elbow joint and shoulder joint should be carried out during fixation, and wrist joint activities should be strengthened after external fixation is lifted.

5. Drug therapy

Syndrome differentiation and treatment according to the principle of three-stage medication for fracture.