요골 원위부 골절의 재활치료로 이해하는 골절 "특수 교정재활치료"

[문형철]

아하. 골절재활은 이렇게 하는구나

1. 부종치료 - 1주일

2. 연한 가골의 형성 촉진 - 3주

3. 딱딱한 가골의 형성 촉진 - 3~4개월

4. 근육과 건의 활주를 위한 치료 - 처음부터 시행해야

5. 관절낭의 기능 회복을 위한 치료 - 처음부터 시행..

6. 손목관절 국소기능 회복을 위한 치료

7. 상부운동사슬 전체 움직임 회복을 위한 치료

Rehabilitation of Distal Radius Fractures.pdf

Rehabilitation of Distal Radius Fractures.

The basic science behind fracture healing and the inflammatory response is reviewed in this article, with a mind to the rehabilitation forces that can be applied during various stages of the healing process.

4 stage fracture healing 

1. Inflammation (1–7 days)

Immediately after a fracture there is hematoma formation and an inflammatory exudate from ruptured vessels. The fracture fragments are freely movable at this point.

2. Soft callus (3 weeks)

This corresponds roughly to the time that the fragments are no longer freely moving. By the end of this stage there is enough stability to prevent shortening, although angulation at the fracture site still can occur.

3. Hard callus (3–4 months)

The soft callus is converted by enchondral ossification and intramembranous bone formation into a rigid calcified tissue. This phase lasts until the fragments are united firmly by new bone.

4. Remodeling

This stage begins once the fracture has united solidly and may take from a few months to several years.

For distal radius fractures, stage I would correspond roughly to the initial 4 weeks or the soft callus phase. Protection of the fracture from excessive force is needed to prevent shortening and angulation. Stage II would coincide with the

4–8-week time period. The period beyond 8 weeks would represent stages III and IV in which the fracture has united clinically and can tolerate progressive loading.