When she stomped her feet, her arms were suffering, and the woman's improper abduction caused the left hand to be "paralyzed".

Author:Changjiang Daily Time:2022.09.06

The Yangtze River Daily Da Wuhan Client September 6th. Considering that there was no family member of the hospital, the lady rejected the surgery suggestion and insisted on resetting and conservative treatment. Unexpectedly, she was applied, soaking her feet, and recuperating for more than 3 months. She not only fractures well, but also caused the left arm bush nerve due to improper use of a cane, which caused the left hand to be "paralyzed".

In June, Ms. Jiang, 59, accidentally injured her left ankle. She found that she was dislocated from the outside of the left ankle joint and torn ligaments. The injuries were serious and needed surgery. When I heard the surgery, Ms. Jiang hesitated, "On the one hand, I am afraid of performing surgery. In addition, my wife will pick up the little grandson to go to school.

Ms. Jiang rejected the doctor's surgical suggestion, found a clinic to reset, and followed the doctor's instruction to rest, apply medicine, and soak her feet. Two months later, she began to walk with a cane and insisted on soaking her feet every day. However, the expected recovery has not arrived. On August 24th, Ms. Jiang still couldn't walk normally, and her left hand was weak, her wrist could not be lifted, and her left forearm did not feel. Then she panicked and hurried to the hospital again.

At the ankle surgery of the Fourth Hospital of Wuhan City, Dr. Guo Jingquan found that Ms. Jiang was obviously dislocated from the outside of the left ankle joint and the ankle joint was unable to move. In addition, the left hand and back of the left hand and the back of the arm of the left hand were reduced. The doctor explained that the symptoms of the patient's left hand are likely to be caused by the left wrist radial nerve paralysis.

It turned out that Ms. Jiang was inconvenient after being injured, so she bought a cane to help walk. She did not use the height of the crutch and the distance between the horizontal arm and used to use it, which caused the crutch to be stuck under the armpit. When using, she relied on the crutch to support her body. Dr. Guo Jingquan introduced that the human body's bush nerve happens to pass the armpits and squeeze for a long time, compress the arm bush nerve, which will cause nerve damage, and the symptoms of nerve injury such as left hand weakness, vertical wrist deformity, and sensor loss.

After Ms. Jiang was admitted to the hospital, doctors in the second ward of ankle surgery were discussed to formulate surgical plans. The delay time is too long, which makes Ms. Jiang's surgical difficulty greatly increased: a large amount of hyperplasia, blurred fracture lines, and difficulty in fracture; severe wear on the joint surface; long -term bed also leads to severe osteoporosis in Ms. Jiang, and she has fixed difficulties during the operation. After sufficient preoperative preparation, the doctor had undergone surgery for Ms. Jiang, and the current recovery is good.

Fear of surgery is a common sense, but Director Fang Zhenhua, ankle surgery in the hospital, emphasized that not all fractures can be cured by conservative treatment, especially the fractures in the joints of Ms. Jiang must be handled with caution. In addition, after the lower limbs are injured, the use of crutches is also very important. The incorrect use of crutches is not only good for the recovery of the affected limb, but may even cause secondary damage to the affected limb, and may hurt the armband nerves.

Director Fang Zhenhua reminded that using a crutch must be adjusted to a suitable height first. When standing, he turned his hands with both hands. The upper arm of the crutch should be lower than the bottom of the armpit 5-10 cm. Those who are shorter need to pay special attention. Secondly, when using a crutch, it is supported by the hand, not the armpit. Soft protective pads can be added above the horizontal arm of the crutch to prevent patients from squeezing the hard upper arm and bone when the patient is supported by the armpit, and damage the armband nerves. Different injuries have different methods to use single -turn and double turns. It is recommended that patients conduct targeted learning before using crutches. (Changjiang Daily reporter Wu Ye correspondent Chen Mengyuan Xie Qian)

[Edit: Yu Lina]

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