Sum up wrist navicular fracture

Carpal cent is discharged, navicular stands by the side that discharge oar, its shape is like a boat, reason its name. But irregular, rear and long and narrow, coarse and rough, form joint with radius. Fall when getting hurt, touchdown of the centre of the palm, navicular be the first to be affected, press press between radius and head shape bone, form fracture. Because navicular is located,the position cuts muscularity, hematic luck is bad, reason is hard to cicatrization. Navicular fracture sees Yu Qing prime of life more.

Clinical expression

1. Wrist carries strut on the back, aching, obstacle of wrist activity function, snuff nest has apparent tenderness. 2. The patient lets hold a strike with the palm of the hand when the examination, hand ministry oar slants, inflectional Mu reachs forefinger, kowtow when attacking its palm bone, navicular has apparent ache.

Diagnostic basis

1. Ministry having wrist is traumatic history reach afore-mentioned semiotic body to ask for. 2.X line is photographed skew piece. Sometimes inchoate fracture line shows not clear can photograph again in two week hind piece so that diagnose.

Remedial principle

1. Doubtful navicular fracture and X line piece the person that did not see fracture line, answer to undertake fixed by fracture first. 2 week hind are photographed piece check, if do not have fracture, secure no longer, if have fracture, should continue uninterrupted fixed, till fracture cicatrizations. 2. Without shift fracture, usable before without gasket short arm canal gesso secures antebrachium to come back, wrist back extends 30 ° oar to slant, reach big toe to the palm 6-8 Zhou Huo is longer. 3. Have shift fracture or dated sex fracture feasible radius bine dash forward excision, be secured inside or establish bone art, gesso is secured to heal. 4. Fracture does not cicatrization or be short of courage and uprightness necrotic, feasible blood-vessel is cultivated, or navicular excision, or art of travel wrist confluence.

With medical principle

1. To be not operation therapeutics patient, need not medication commonly. 2. Need the person that the operation is treated, art hind wants to wait with antibiotic.

Assist an examination

1. Navicular fracture can leak because of checking error examine, a examination butterfly form conduce is diagnosed, but often not was clinical remember; 2.B, C the examination is diagnose is meaningful option.

Curative effect evaluation

1. Cure: Fracture cicatrizations, the function restores complete or basically. 2. Improve: Counterpoint and fixed and good. 3. Did not heal: Fracture did not cicatrization, or be short of blood necrotic.