تعريف

An elbow fracture is a break in one or more of the bones that make up the elbow joint. The bones in the elbow joint نكون:

  • Humerus—the upper arm bone
  • Ulna—the larger of the forearm (lower arm) bones
  • Radius—the smaller bone in the forearm

كسر الكوع

أسباب

This is caused by trauma to the elbow bones. Trauma can be caused by:

  • السقوط على ذراع ممدودة
  • Falling directly on the elbow
  • Experiencing a direct blow to the elbow
  • Twisting the elbow beyond the normal range of motion

عوامل الخطر

These factors increase your chance of developing an elbow fracture. Tell your doctor if you have any of these risk factors:

  • التقدم في السن
  • انخفاض كتلة العضلات
  • Osteoporosis (due to menopause or other conditions)
  • Playing certain sports (such as football, hockey, wrestling, or gymnastics)

الأعراض

تشمل الأعراض ما يلي:

  • Pain (often severe)
  • Tenderness, swelling, and bruising around the elbow
  • Numbness in fingers, hand, or forearm
  • Decreased range of motion
  • وجود كتلة أو تشوه واضح فوق موقع الكسر

التشخيص

The doctor will ask about your symptoms, physical activity, and how the injury occurred. The area will be examined.

قد تشمل الاختبارات ما يلي:

  • X-rays—a test that uses radiation to take a picture of structures inside the body, especially bones; used to look for a break in the elbow area
  • CT scan—a test that uses computers to make pictures of structures inside the elbow; used to look at the cartilage and tendons around the elbow

العلاج

Treatment depends on how severe the injury is. Treatment involves:

  • Putting the pieces of the bone back in position, which may require anesthesiaand/or surgery
  • Keeping the pieces together while the bone heals

These devices may be used to hold the bone in place while it heals:

  • A cast or splint (may be used with or without surgery)
  • صفيحة معدنية بها براغي (تتطلب عملية جراحية)
  • المسامير وحدها (تتطلب عملية جراحية)

Depending on the level of pain, your doctor may prescribe medication.

More x-rays will be done to be sure the bones have not shifted.

تمارين

  • Start range-of-motion and strengthening exercises.
    • Your doctor will tell you when you are ready to start exercising. You may be referred to a physical therapist.
  • Do not return to sports until you are completely healed.

وقت الشفاء

It takes about 8-10 weeks for a fractured elbow to heal.

الوقاية

To help prevent elbow fractures:

  • Do not put yourself at risk for a trauma to the elbow.
  • تناول نظامًا غذائيًا rich in calcium and vitamin D.
  • قم ببناء عضلات قوية لمنع السقوط وللبقاء نشيطًا ورشيقًا.

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