Breast fracture

Breast – the flat extended bone located on the forward surface of a thorax. The verkhnebokovy departments the breast connects to clavicles. On each side cartilaginous parts of edges are attached to a breast.

Pathogenesis

The breast fracture seldom meets in traumatology. As a rule, injury of a thorax with a fracture of a breast results from the road accident (at blow of a thorax about a steering column), strong direct stroke in a breast or sdavleniye of a thorax and is combined with multiple fractures of edges. Fractures of a breast can be followed or not be followed by the shift of otlomk. At a change with shift the central part of a breast is pressed inside.

Symptoms

The patient complains of pain in the place of damage. At breath pain amplifies. In the field of a change hypostasis and hemorrhage comes to light. The palpation is painful, at some patients during a palpation it is possible to probe breast otlomk. At a breast fracture without the shift of otlomk of pain can be expressed rather poorly, especially – if the trauma is followed by the multiple fractures of edges defining the main clinical symptomatology.

At a breast fracture with the big shift of otlomk damage of bodies of a thorax is possible. As a result of injury of a pleura and lungs can develop (a blood congestion in a thorax) or pheumothorax (an air congestion in a thorax). For lack of urgent medical care both complications pose hazard to life of the patient. The diagnosis of a fracture of breast is exposed by the traumatologist on the basis of characteristic symptoms and data of a X-ray analysis.

treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

Local anesthesia of area of a change is made. To all patients appoint sedatives. At a breast fracture without the shift of otlomk the place of a change is fixed a wide strip of a sticky plaster for a period of 2 weeks. At a change with shift the repozition of otlomk is carried out. The patient is stacked on a bed with a board. Between shovels place the special roller thanks to which the body of the patient is in a condition of reextension. Muscles pull breast otlomk, and shift gradually is eliminated. In some cases (breast fractures with the big shift of otlomk and multisplintered changes) expeditious treatment – fixing of otlomk is shown by screws (osteosynthesis). The breast fracture completely grows together approximately in one and a half months.