Bush fracture

Bushulas's fracture (Latin: Comminuted alovetic user) is a type of fracture in the inner plate of the radius. It occurs quite rarely, usually due to a fracture of the entire outer part of the radius, i.e. combined with Galeazzi's fracture. Clinically, it is manifested by the development of edema of the limb with distal displacement of the radius and displacement of the forearm in the wrist joint, according to the location of the most distal fragment. The most common mechanism of injury is falling while leaning on an outstretched arm. In children and women, fractures occur mainly after active compression of the limb or blows from the side when falling forward or with emphasis on the wrist.

Bushu fractures were more common in men than in women. This is explained by traumatic reasons: in everyday life, at work and in sports, men more often use the outer surface of the hand than women. In addition, men's game with a ball is characterized by active moving actions with the hand, accompanied by a significant displacement of fragments of the crushed radius; closed compression in the wrist area is also a characteristic traumatic mechanism in a Bushu fracture. The mechanical factor (falling backward and sharply bending the elbow, which is perceived as a support for the head) also predominates in men. In this case, the external condyle of the humerus extends the articular surface of the ulna in the direction of the head support. Thus, the characteristic semi-compressed posture of the shoulder in Bushu fractures is accompanied by a breaking force acting on the inner third of the radius perpendicular to the axis of the elbow. Bushou type fractures are most often localized in the middle third of the radius and in 30–40% - in its lower third. A ragged marginal notch on the lateral and anterior surfaces was observed relatively often. Such fractures are typical of old age. However, in some observations, the radial bones may be subject to double or multiple destruction, combined with its delamination and transverse cutting. More often, double and multiple fissure-like deformities have a concentric location, accompanying a Galeazza fracture or forearm distortion. The mechanism of injury is the same, but is typical for younger patients. It clearly reflects the destructive processes of age-related degeneration in the hand. In adulthood and old age, such phenomena inevitably accompany mechanical causes of injury. Exostoses of a triangular shape are observed in people over 50 years of age and are associated with Morton's syndrome - osteoarthritis of the spine with