Breast fracture
Contents:
Description:
Breast – the flat extended bone located on the front surface of a thorax. The verkhnebokovy departments the breast connects to clavicles. On each side cartilaginous parts of edges are attached to a breast.
Breast fracture reasons:
The breast fracture seldom meets in traumatology. As a rule, damage results from the road accident (at blow of a thorax about a steering column), strong direct stroke in a breast or prelums of a thorax and is combined with multiple fractures of edges. Fractures of a breast can be followed or not be followed by the shift of fragments. At a change with shift the central part of a breast is pressed inside.
Breast fracture symptoms:
The patient complains of pain in the place of damage. At breath pain amplifies. In the field of a change hypostasis and hemorrhage comes to light. The palpation is painful, at some patients during a palpation it is possible to probe breast fragments. At a breast fracture without the shift of fragments of pain can be expressed rather poorly, especially – if the injury is followed by the multiple fractures of edges defining the main clinical symptomatology.
At a breast fracture with the big shift of fragments damage of bodies of a thorax is possible. As a result of injury of a pleura and lungs the hemothorax (accumulation of blood in a thorax) or pheumothorax can develop (accumulation of air in a thorax). For lack of urgent medical care both complications pose hazard to life of the patient.
Fracture of edges
Treatment of a fracture of breast:
The local anesthesia of area of a change is made. To all patients appoint anesthetics. At a breast fracture without the shift of fragments the place of a change is fixed a wide strip of an adhesive plaster for a period of 2 weeks.
At a breast fracture with shift reposition of fragments is carried out. The patient is stacked on a bed with a board. Between shovels place the special roller thanks to which the body of the patient is in a condition of overextension. Muscles pull breast fragments, and shift gradually is eliminated.
In some cases (breast fractures with the big shift of fragments and multisplintered changes) operational treatment – fixing of fragments is shown by screws (osteosynthesis).
The breast fracture completely grows together approximately in one and a half months.
