We often see in film and television dramas that when the male protagonist encounters setbacks, he often goes to the gym to fight a round of boxing and release his emotions happily. However, in daily life, if you hit hard objects with your bare hands, regardless of the occasion, it is easy to cause self-harm.
Recently, Mr. Zhao, a young man from Weifang, was depressed at work, so he called two friends to get together after get off work and chatted while drinking. , He raised his right fist and hit the wall next to him. It didn’t matter. He suddenly felt severe pain in his right hand, and his movements were inflexible.
On the second day, the little finger of the right hand could not move, and the back of the hand was swollen and bruised, so he went to the Department of Traumatology, Weifang City Hospital of Traditional Chinese Medicine. The imaging examination showed that Mr. Zhao’s fifth metacarpal neck was fractured and displaced. Further treatment is required.
Metacarpal neck fractures are more common in adolescents, the most common is the fifth metacarpal, accounting for about 40% of hand fractures. It is the fracture site that occurred in Mr. Zhao’s hand. Such fractures are also vividly called “boxer fractures”. Most of them are caused by longitudinal violence acting on the metacarpal bones. The reasons are mostly related to boxing. Outpatient clinics are more common.
Dong Yongdong, deputy director of the Department of Traumatology, explained that this type of fracture is mainly due to the direct impact of the metacarpal bone during the fighting process. The palmar flexion of the metacarpal head leads to the collapse of the distal transverse arch of the hand, making it difficult for the palm to adapt to the functions such as enlargement and reduction required by different hand movements.
In the past, conventional incisions or small incisions were usually used for internal fixation of such fractures, which left more or less surgical scars after surgery. Even though the current popular minimally invasive treatment with closed reduction and percutaneous needle penetration avoids surgical scars on the affected limb, it is always an invasive treatment.
With the improvement of people’s living standards, people not only require no sequelae of hand function, but also have higher expectations for the recovery of aesthetics after hand injury. For this reason, Director Dong Yongdong has formed a new treatment method based on the improvement of the traditional “eight methods of bone-setting in traditional Chinese medicine”.
The healing items required for the entire healing process are only 2 bandages and 6 tapes. I saw that Dong Yongdong treated the fracture of the fifth metacarpal neck of Mr. Zhao according to the “eight methods of bone-setting in traditional Chinese medicine”, through traction and double bandage treatment, and pure manipulative reduction.
According to Dong Yongdong’s introduction, “Eight Methods of TCM Bone-setting”, as a traditional Chinese medicine therapy, embodies “green, non-invasive, pure bone “The standard manipulative therapy feature is a characteristic technique that can truly demonstrate the advantages of simple and inexpensive traditional Chinese medicine.
What can I do before I get to the hospital after an injury?
When hitting hard objects such as walls, desktops, tree trunks, etc. with your hands, if the inside of the back of the hand is swollen, painful, deformed, and the little finger is inflexible, don’t think it’s a “muscle injury”. Go to the hospital in time, and before arriving at the hospital, we should aim to: minimize pain and swelling; reduce the risk of open infection; prevent further injury from unstable fractures.
How to relieve pain?
Use an ice pack after the injury, or if there is no ice pack, place a towel soaked in cold water on the injured hand, elevate the affected limb; immobilize the injured limb and hold the injured hand with the uninjured hand Do not let the affected limb be injured again; to reduce infection, if it is an open wound, wrap it in a clean gauze and rush to the hospital as soon as possible.