- Fracture of the foot - what dangers threaten you?
- First aid
How does the stop
The stack is a set of bones, conventionally divided into three parts tarsus, metatarsus and toes.
Tarsus - the back part of the foot, it includes seven bones (talus, heel, scaphoid, cuboid, and three cuneiform). Hock - the middle of the foot, it is formed by five short tubular bones. The front part of the foot - toes, each of which is composed of three bones - the phalanges in the first toe has only two phalanges.
The bones of the foot are interconnected by means of joints, which gives the foot mobility and flexibility. This ankle, four joints between the bones of the tarsus, three joints between the bones of the tarsus and metatarsus, and the small joints between the metatarsals, metatarsals and phalanges and the individual phalanges.
Foot reinforced shin muscles and fascia and ligaments which unite the bones, form the arches of the foot - it damping device that allows a person to bounce while walking. The foot has five longitudinal arch corresponding to the five metatarsal bones, which are connected by a transverse arch.
Fracture of the foot and the first aid
Fractures of the foot can result from a direct blow (eg, a fall from a height on foot or with a strong impact on the bones of the foot) - the so-called direct mechanism of injury. Meet and indirect mechanism of injury when the force is not directly on the affected bone. For example, if the foot is squeezed from all sides, and in the lower leg produced a sharp rotational movement (often, in order to free the jammed leg) - such a move may lead to fracture of the shin bone, and a fracture of the bones of the foot.
If you suspect a fracture of the foot must be conducted X-ray of the foot, which not only confirm the diagnosis, but also allows you to choose the right tactics treatment.
If you suspect a fracture of the foot, the victim need to give first aid. To do this, you need to give the injured leg immobility - it can be done with the help of the bus (any plate length just above the knee) that pribintovyvayut to the leg. After splinting need to call an ambulance or by the victim to deliver to the traumatologist.
Fracture of the talus
Astragalus is located between the bones of the lower leg and foot. Its fractures occur generally by indirect injury. This can happen during heavy plantar flexion of the foot, a fall from a height when the blow falls on the heel bone. In the latter case, the body of the talus is crushed between the tibia and the calcaneus (compression fracture).
In the field of crisis there is a sharp pain, aggravated by tapping the heel, ankle increases in the amount of motion in it becomes impossible.
Treatment of fractures without displacement of bone fragments is applying plaster bandage from the toes to the knee with modeling arches of the foot. Depending on where the fracture of the plaster is applied for a period of 6 weeks to 3-4 months. After removing the plaster cast prescribed duration (4-5 months) discharge (walking on crutches), warm baths, physiotherapy, massage, wearing orthopedic insoles
Orthopedic insoles - what are they for?
For fractures with displacement of bone fragments under local or general anesthesia is their closed manual reduction (repositioning). If this is not possible, open reduction surgery is performed fragments and their subsequent fixation with needles.
Fracture of the calcaneus
The cause of the fracture of the calcaneus
Fractures of the calcaneus - forecast favorable
often a direct trauma of the bones - drop on the heels.
Manifested fracture of the calcaneus sharp pain that is worse with pressure on the heel bone from the sides and bottom of the load on the heel or lifting the toes impossible. Heel with the expanded arch flattened.
Treatment of fractures without displacement carried casting of knee for a term of 3 to 8 weeks depending on the type of fracture. For fractures with displacement under local anesthesia is performed manually closed reposition of bone fragments, while the impossibility of closed reduction - open with subsequent fixation of bone fragments using various devices.
Fracture of the tarsal bones
Fracture of tarsal bones occur in the fall of gravity on foot. This may be damaged by one or more bones. At the site of the fracture occurs swelling and tenderness, which is enhanced by turning the feet. The victim can walk, but relies only on the heel.
For fractures without displacement impose a plaster cast with the modeling arches of the foot for 3-4 weeks. For fractures with displacement of fragments held their closed or open reduction followed by casting of.
Jones fracture and phalanges
The cause of these fractures are most often fall in gravity to the rear of the foot or a sudden hyperextension. Manifested fracture sharp pain, aggravated by pressure on the metatarsal head, the increased mobility of the affected part of the foot.
The affected foot plaster cast is applied to the knee with modeling arches of the foot for 2-3 weeks (if the pieces are not displaced) or reposition held (closed or open) fragments.
At the turn of the phalanges no displacement of bone fragments at the foot bandage of plaster for two weeks for fractures with displacement of fragments carried skeletal traction for the terminal phalanx.