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Traumatology: diseases — симптомы, диагностика и лечение

56 заболеваний · 40 clinics · page 2 of 6

Elbow dislocation
Elbow dislocation is the second most common dislocation in adults after shoulder dislocation. It occurs when falling on an outstretched arm, when the forearm moves backward relative to the humerus, tearing the capsule and ligaments. The elbow becomes noticeably deformed, movements become impossible, and the pain is very severe. It is impossible to correct such a dislocation on your own: the brachial artery and three large nerves pass nearby, and in about a third of the victims, the dislocation is combined with bone fractures, which are visible only in the picture. After reduction, the main task is to restore movement as early as possible, because the elbow joint loses mobility faster than others and is less able to regain it.
МКБ-10: S53.1 12 clinics
Patella dislocation
Patella luxation is a displacement of the kneecap from the groove of the femur, almost always outward. More often it happens not from a direct blow, but during a sharp turn on the supporting leg: the knee goes inward, but the foot remains in place. The person feels that the knee has twisted and something has jumped out, the joint quickly swells. Often the patella resets itself when the leg is straightened, and the victim does not even understand what happened. The problem is that with the first dislocation, the retaining ligament is torn, and if there are congenital structural features of the knee, dislocations begin to recur. Therefore, it is important not just to straighten the cup, but to figure out why it has shifted.
МКБ-10: S83.0 12 clinics
Dislocation of the lower jaw
Dislocation of the lower jaw is a condition in which the head of the joint comes out of its socket and cannot return back on its own. Most often this happens when the mouth is opened very wide: during a yawn, screaming, biting off a large piece, a long dental appointment or tooth extraction. A person suddenly discovers that he cannot close his mouth, speech becomes slurred, saliva flows, and pain appears in front of the ear. Dislocation can be unilateral or bilateral, acute and habitual, when it is repeated from the slightest effort. This is not a life-threatening condition, but it requires urgent help: the sooner the jaw is set, the easier it is to do it and the lower the risk of recurrence.
МКБ-10: S03.0 13 clinics
Hemarthrosis (bleeding into the joint)
Hemarthrosis is an accumulation of blood in the joint cavity. Most often, it develops after a knee injury: the joint swells in literally minutes or hours, becomes tight, hot and painful, and movements are severely limited. The rapid increase in swelling is an important clue: if the joint is swollen in the first two hours, the likelihood of serious internal injury is very high, most often an anterior cruciate ligament rupture or an intra-articular fracture. Blood irritates the synovial membrane and cartilage, so it cannot be ignored. Sometimes hemarthrosis occurs without noticeable injury - due to blood clotting disorders or while taking blood thinning drugs, and this is a separate reason for examination.
МКБ-10: M25.0 12 clinics
Compression fracture of the spine
A compression fracture of the spine is an injury in which the vertebral body is compressed in height and takes on a wedge-shaped shape. For young people, this is the result of a serious blow: a fall from a height, a jump into water, an accident. In older people, especially women after menopause, the vertebra can break from minor forces - sudden bending, lifting a bag, or coughing if the bone is weakened by osteoporosis. The lower thoracic and upper lumbar vertebrae are most often affected. The main danger is not the pain itself, but a possible narrowing of the spinal canal with pressure on the spinal cord and roots, as well as gradual deformation of the back with repeated fractures. Therefore, the diagnosis needs to be confirmed with pictures, not sensations.
МКБ-10: S32.0 12 clinics
Pseudarthrosis (fracture nonunion)
A false joint is a condition in which the fracture has not healed and the healing process has stopped, and mobility and a semblance of a joint space have formed between the fragments. Delayed healing occurs when the bone does not heal in the expected time frame, and pseudoarthrosis occurs when healing has clearly stopped, usually six months or more after the injury. The person complains of pain when supporting himself, instability, and sometimes visible curvature of the limb. The reasons are mechanical - insufficient fixation and mobility of fragments, and biological - poor blood supply, infection, smoking, vitamin D deficiency. The false joint will not heal on its own, but with the right operation, the bone can be fused in most cases.
МКБ-10: M84.1 12 clinics
Radial neuropathy (hand drop)
Radial nerve neuropathy is a lesion of the nerve that is responsible for the extension of the hand and fingers and for the sensitivity of the dorsum of the forearm and hand. The most striking sign is a drooping hand: the arm is extended forward, but the hand hangs limply and does not straighten. Most often, the nerve is compressed in the middle third of the shoulder, where it lies directly on the bone in a narrow groove. Typical situations are sleeping in an uncomfortable position, when the arm is pinched by your own head or the edge of the back of the sofa, prolonged compression with a tourniquet or crutch, or a fracture of the humerus. The prognosis for compression is usually good, but recovery requires time and therapeutic exercises.
МКБ-10: G56.3 17 clinics
Frostbite (frostbite)
Frostbite is tissue damage caused by cold. First, the vessels constrict to retain body heat, blood flow in the fingers, ears and nose drops sharply, and with further cooling, ice crystals form in the tissues, destroying cells. The second stage is no less dangerous: when warming, inflammation and thrombosis develop in damaged vessels, due to which some of the tissues die after the person has entered the heat. That is why the depth of the lesion cannot be assessed immediately, and first aid must be correct. Rubbing with snow, drinking alcohol and hot water do not help, but increase the amount of damage.
МКБ-10: T33, T35 16 clinics
Burns (thermal)
A burn is damage to the skin and underlying tissues caused by heat, chemicals, electricity or radiation. In everyday life, people are most often burned with boiling water, steam, hot oil and hot utensils, and a significant proportion of victims are children under three years of age. The severity of a burn is determined by two factors: the depth of the lesion and the area. A small superficial burn heals in 1–2 weeks without leaving a trace, but a large one is life-threatening due to fluid loss and infection. Correct actions in the first minutes actually reduce the depth of damage, so everyone should know them.
МКБ-10: T30 16 clinics
Femur fracture
The femur is the longest and strongest bone in the skeleton, and its fracture always means serious injury. In young people it occurs in road accidents, falls from a height, industrial accidents, in older people with osteoporosis - in a fall at home. There is a large muscle mass around the bone with a good blood supply, so a significant amount of blood can flow into the thigh, and powerful muscles displace the fragments and shorten the limb. Such a fracture cannot be corrected on its own, and the vast majority of cases are treated surgically. Early intervention and rapid activation are especially important for the elderly: prolonged immobility is more dangerous for them than the operation itself.
МКБ-10: S72.3 12 clinics
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