The Winter Olympics has driven a boom in ice and snow sports. Behind the amazing shows presented by the athletes to the world, they are full of them Pursue the limits of human beings and challenge yourself with blood and sweat. Although we do not face the risk of injury caused by high-intensity sports like Olympic athletes in our lives, people will experience falls more or less in their lives, and the injured parts are also varied, which can be called “fantastic falls”. Many times, even if it is a small fall, it must not be taken lightly.
【Foot Landing: Ankle Fracture】
Ankle fracture may occur after ankle sprain caused by indirect violence. Ankle fracture and dislocation are common types of injuries in orthopaedics. Ankle fractures generally occur after trauma, mainly manifested as ankle pain, swelling, subcutaneous bruises and bruising, and patients often dare not move the ankle joint and cannot walk. Once these manifestations appear after ankle trauma, you should go to the hospital as soon as possible to complete the X-ray examination to confirm the diagnosis.
Treatment of ankle fractures can be divided into two categories: non-surgical treatment for nondisplaced fractures and immobilization with casts or braces for 4-6 weeks. Surgical treatment is suitable for displaced fractures. The purpose of surgery is to restore the normal anatomical structure and maintain the reduction of the fracture during the fracture healing process, so that the patient can start functional activities as early as possible, and finally obtain a good functional recovery of the ankle joint. Regardless of the treatment approach, following your doctor’s orders for rehabilitation exercises is critical.
[Hip Landing: Coccyx Fracture]
The coccyx is at the end of the human spine. Generally speaking, there will be no obvious sequelae after a coccyx fracture, but under certain circumstances, some patients will experience symptoms of rectal irritation. In addition, a small number of patients with coccyx fractures will experience local intractable pain.
Coccyx pain may occur when the buttocks falls on the ground during a slip, causing trauma to the coccyx and its joint ligaments. Coccyx fractures are mainly characterized by pain at the coccyx, especially when sitting in a sitting position. For people who have obvious pain after falling on the buttocks, it is recommended to go to the hospital for relevant imaging examinations to identify the lesions of the coccyx, and to exclude other diseases that cause similar symptoms. If the coccyx joint is obviously unstable, surgery can be considered. However, conservative treatment is the main treatment for coccyx fractures. Anti-inflammatory and analgesic drugs can be used to relieve pain. Professional rehabilitation therapy also has a certain therapeutic effect.
【Palm Landing: Distal Radius Fractures】
Wrist fractures are common in life. Many people will involuntarily land on their palms when they fall, and then they will fracture the distal radius. Fractures occur 2 cm proximal to the joint, and the most common distal radius fracture is called a Colles fracture.
For wrist fractures, correct reduction and good fixation are very important. Without timely and effective treatment, the patient’s wrist will be left with joint deformity, limited joint function, joint pain, etc. Symptoms will bring great trouble to the patient’s future life.
There are two main treatment methods for wrist fractures:
1. The first is conservative treatment, mainly using manual reduction, small splint or plaster external fixation. Although conservative treatment can achieve early joint functional exercise, due to the concern of unstable fracture fixation in conservative treatment, the fracture may be re-displaced, resulting in treatment failure.
2. If it is judged by a specialist that conservative treatment cannot effectively handle such a fracture, surgical treatment should be considered, that is, open reduction, internal fixation such as steel plate.
Exercise rehabilitation is very important for the recovery of wrist joint function, so be sure to follow the doctor’s advice and insist on rehabilitation exercise.
【Head on the Ground: Concussion】
Concussion refers to the short-term cranial nerve dysfunction that occurs immediately after the head is struck by an external force. Once the head falls on the ground first, the head will be temporarily in a coma under the action of a huge external force. After waking up, he cannot recall the circumstances of the injury and the process of the injury, but he can clearly recall the events before the injury. This is a concussion. typical performance. A concussion may also be accompanied by symptoms such as headache, dizziness, nausea, anorexia, vomiting, tinnitus, and difficulty concentrating.
Most concussion patients return to normal within two weeks. However, once the head falls on the ground and there is obvious discomfort, please go to the emergency room of the hospital for observation. If you find secondary intracranial lesions or other complications, you can get timely diagnosis and treatment.
The Winter Olympics have come to an end, but the popularity of ice and snow sports continues. Be sure to pay attention to safety and enjoy the beauty of sports.
Author: Zhang Yin, Ye Tingjun, Wang Lei (Physician of sports medicine in Ruijin affiliated to Shanghai Jiaotong University School of Medicine)
Editor in charge: Tang Wenjia
Picture: Visual China
*Wenhui’s exclusive manuscript, please indicate the source when reprinting.