Greenstick fracture

Introduction The branches of the green branches are more common in children. The two species of "green branches" are borrowed. In the green branches of plants, it is often seen that they are constantly changing. Children's bones contain more organic matter, and the outer membrane of the outer bone is particularly thick. Therefore, it has good elasticity and toughness in mechanics, and it is not easy to break. When it is subjected to violence, the fracture will appear like the green branches of plants. In the case of constant, the orthopedic surgeon called this special fracture a green branch fracture. Due to the fracture of the green branch, although the bone is "folded" but still not "broken", it is generally a stable fracture, usually without surgery. The green branch fracture of the extremities has a good effect with gypsum external fixation.

Cause

The fractures that have suffered from violence are as constant as the green branches of plants.

(1) Direct violence

When violence directly affects a part of the bone and causes fracture of the part, it often causes fracture of the injured part, often accompanied by different degrees of soft tissue destruction. For example, the wheel hits the lower leg and the humeral shaft fracture occurs at the impact.

(2) Indirect violence

Indirect violence occurs through longitudinal conduction, leverage or torsion to fracture in the distance. When the foot falls from a height, the trunk flexes forward rapidly due to gravity, and the vertebral body at the junction of the thoracolumbar spine is subjected to folding force. The role of compression fracture (conduction).

an examination

Related inspection

Bone imaging CT examination of extremities

Diagnosis can be performed by performing routine examinations such as bone imaging.

X-ray examination is of great value in the diagnosis and treatment of fractures:

All suspected fractures should be routinely X-ray film examination, which can be found in clinically difficult to find incomplete fractures, deep fractures, intra-articular fractures and small avulsion fractures, even if clinically manifested as obvious fractures X-ray film examination is also necessary to help understand the type and specific conditions of the fracture, and has guiding significance for treatment.

X-ray films should include positive and lateral positions, must include adjacent joints, and sometimes must be added with oblique position, tangential position or x-ray film of the corresponding part of the healthy side. After reading the x-ray film carefully, the following points should be identified:

(1) The fracture is invasive or pathological.

(2) Whether the fracture is displaced and how to shift.

(3) Whether the fracture alignment is satisfactory to the line and whether it needs to be rectified.

(4) Whether the fracture is fresh or old.

(5) Whether there is damage to the joint or bone injury.

Differential diagnosis

1. Osteoid osteoma: Although there is thickening of the cortex and periosteal reaction, there are more typical tumor nests.

2, local bone infection: mainly with periosteal reaction cortical thickening, no trabecular trabecular fracture and cortical bone notch sign, and clinical epithelial temperature is higher.

3, early bone tumor: lace-like or onion-like periosteal reaction, gradually bone destruction, tumor bone and soft tissue mass.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.