- We will explain about the sequela after the upper and lower limbs injuries.
1. Residual impairment of upper extremities
In traffic accidents, sequelae of fractures of the humerus, radius, ulna, and fingers, and fractures and dislocations of the shoulder, elbow, and wrist include nonunion of the long bones, deformity, and limited range of motion.
Upper limb deficiency disorders
Referred to as Loss in the elbow joint or above, or loss in the wrist joint or above.
Upper limb deformity disorder
Fractures of the long bones, such as the humerus, radius, and ulna, may result in nonunion, leaving a nonunion that leaves a nonunion and deformity of the long bones.
Three major joint dysfunction of upper limb (shoulder, elbow, and wrist)
(A) Those who have abolished the use of joints
It is a condition in which the joint is close to complete or complete ankylosis.
(B) Those who are left with significant joint dysfunction.
A joint mobility area on the affected side is limited to 1/2 or less of the healthy side.
(C) Those who are left with functional disability in the joints.
A joint mobility area on the affected side is limited to 3/4 or less of the healthy side.
※ As a general rule, the range of motion is measured by passive values and compared with the healthy side.If the nerve, ligament, or tendon is damaged, it should be measured using an automatic value.
Defects or functional disorders of fingers
The defect refers to the greater than or equal to the interphalangeal joint of the fingers and the other four fingers refers to the proximal interphalangeal joint or greater. Functional impairment of the hand is defined as the discontinuation of the use of the hand or the inability to stretch the proximal inter-indexing joints.
2. Residual impairment of the lower extremities
Deficiency disorders of the lower extremities
These are those lost at or above the knee joint or those lost at or above the foot joint.
Lower limb deformity disorder
Fractures of the long bones, such as the femur, tibia, and fibula, may result in nonunion, leaving a nonunion that leaves a nonunion, or deformity that leaves a deformity in the long bones.
Three major joint dysfunction of lower limbs (hip, knee, and ankle)
(A) Those who have abolished the use of joints
(B) Those who are left with significant joint dysfunction.
(C) Those who are left with functional disability in the joints.
Assess the same range of motion limitations as in the upper extremity.
※ Limited range of motion in joints is caused by intra-articular fractures, including malunion of the tibial plateau fractures, contractures of the joints after intra-articular fractures, injuries to the ligaments, tendons, and menisci of the joints, and injuries to the lower extremity nerves (typically limited range of motion of the ankle due to peroneal nerve palsy).。
(D) Knee sway joints are caused by ruptures of the anterior cruciate, posterior cruciate, lateral, and medial collateral ligaments.
Toe defect or dysfunction
The defect is a loss of more than a metatarsophalangeal joint.Toe dysfunction is a disuse of the toes, in which the first finger has lost more than one-half of the distal phalanx and the other four fingers have lost more than the proximal interphalangeal.
Lower limb shortening disorders
A deformed fusion of the femur or other bones that is shortened by 1cm or more compared with a healthy foot.