Swollen calf pain

Introduction After the fracture of the tibia, the calf is swollen and painful, and there may be deformities and abnormal movements. The humeral shaft fracture accounts for about 9.45% of the total body fractures. Children under the age of 10 are particularly common, with the largest fracture of the humerus, accounting for 5.1% of the total fracture, followed by the humerus, accounting for 3.85% of the total fracture. The humeral shaft fracture accounts for at least 0.59% of the total body fracture. The fracture of the humeral shaft is very common, especially in children. Both direct and indirect external forces can be caused. Fatigue fractures are sometimes seen in the upper humerus and the middle and lower tibia. Indirect external force (such as ups and downs, twists, etc.), mostly large oblique or spiral fractures. Often the lower part of the humerus spiral, and the upper part of the humerus oblique fracture.

Cause

Cause

Direct external force (such as rolling, crushing, striking, etc.), fractures are mostly horizontal or crushed. The fracture line of the two bones is close to the same level, and it is easy to form an open injury in the anterior aspect of the tibia. Sometimes it is a multi-segment fracture, and the humeral shaft single fracture is almost always caused by direct external force. Fracture fractures of the tibia can be seen in long-distance runners or ball players. The displacement of the fracture depends on the direction of the external force, the muscle pull or the gravity of the lower limb. When a single fracture occurs, the displacement tends to be small. Double fractures are often displaced. The distal end of the fractures in the middle and lower segments were mostly outward and displaced to the dorsal side. When the upper segment is fractured, the proximal end is often tilted forward. The distal end of the fracture rotates outward due to the gravity of the foot. There was no displacement of the fatigue fracture, which showed a large amount of localized callus formation, and the fracture line was still clearly visible.

an examination

Related inspection

General radiography examination muscle tension check pencil rolling test

diagnosis

After the humerus fracture, the calf is swollen and painful, and there may be deformity and abnormality. X-ray examination is helpful for the diagnosis of fractures and fracture types. This fracture should pay attention to the extent and extent of tissue damage, and whether there are nerve and blood vessel damage. The upper humerus fracture and the radial neck fracture should pay attention to the possibility of arterial and common peroneal nerve injury.

Differential diagnosis

Differential diagnosis

Gastrocnemius tenderness: The early clinical manifestations of leptospirosis are tenderness of the gastrocnemius, and the bilateral sides can also be unilateral, varying degrees. The lighter only feels the calf swelling, the mild pain of the pressure, the severe calf pain is severe, can not walk, refused to press.

Gastrocnemius tendon: Sexual pain refers to gastrocnemius tendon caused by cold or sudden changes in posture on one or both sides of the calf, local pain, and inactivity.

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