Ambekar Aditi P, Deshmukh Mitushi, Thakre Vaishnavi M, Ladkhedkar Pooja S, Ahuja Palak R
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 31;16(1):e53353. doi: 10.7759/cureus.53353. eCollection 2024 Jan.
Distal ulna and radius fractures are the most frequent upper extremity fractures seen in emergency rooms. The axis of rotation for forearm pronation and supination runs through the radial head (proximal) and the ulnar fovea (distal). Throughout pronation and supination, the radius can rotate relative to the ulna, thanks to the way its head articulates with it. The ulna remains relatively stable during these movements. However, in cases of fractures of these bones, surgery to repair the radius is usually the best course of action for a distal ulna fracture. Most distal ulna fractures heal successfully with only conservative treatment once the radius is stabilized. To achieve the best results, medical personnel must take into account patient characteristics including age, level of activity, and aspirations. The majority of distal ulna injuries do not require surgery, but there are several circumstances where it is necessary. In therapeutic practice, muscle energy techniques (METs) are comparatively painless methods for restoring a restricted spectrum of motion. Malunion, reduced grasp, and other significant problems might result from a lack of understanding of this illness. The 48-year-old patient in the present study was reported to have sustained injuries to his left forearm in a road traffic accident (RTA) as he fell from his bike and slid during a traffic collision. X-ray imaging of the left forearm revealed an isolated ulnar shaft fracture. METs, isometric contractions, and active concentric and eccentric movements were all part of the physiotherapy intervention protocol to produce an active range of motion in the upper extremity. In this particular case, the specified physiotherapy management was found to be effective.
尺骨远端和桡骨骨折是急诊室中最常见的上肢骨折。前臂旋前和旋后的旋转轴贯穿桡骨头（近端）和尺骨凹（远端）。在整个旋前和旋后过程中，由于桡骨头与尺骨的关节连接方式，桡骨可以相对于尺骨旋转。在这些运动过程中，尺骨保持相对稳定。然而，在这些骨头发生骨折的情况下，对于尺骨远端骨折，修复桡骨的手术通常是最佳治疗方案。一旦桡骨得到稳定，大多数尺骨远端骨折仅通过保守治疗就能成功愈合。为了取得最佳效果，医护人员必须考虑患者的特征，包括年龄、活动水平和期望。大多数尺骨远端损伤不需要手术，但在几种情况下手术是必要的。在治疗实践中，肌肉能量技术（METs）是恢复受限运动范围相对无痛的方法。对这种疾病缺乏了解可能会导致畸形愈合、抓握力下降和其他严重问题。本研究中的48岁患者据报道在一次道路交通事故（RTA）中，从自行车上摔落并在交通碰撞中滑行时，左前臂受伤。左前臂的X线成像显示为单纯尺骨干骨折。肌肉能量技术、等长收缩以及主动向心和离心运动都是物理治疗干预方案的一部分，以在上肢产生主动活动范围。在这个特定案例中，发现指定的物理治疗管理是有效的。
