What to do with a leg injury?

A cervical spine injury is considered the most dangerous because there is a risk of paralysis of the entire body. This injury affects brain function and can lead to respiratory failure.

First aid: What should you do if you have a fracture, sprain or strain?

This is a continuation of the joint project of our newspaper and the Moscow Ambulance and Rescue Service, begun in previous issues.

I would like to give the floor to Sergey Ryabtsev, trauma surgeon of the II category, candidate of medical science, anesthesiologist and resuscitation doctor in the Moscow emergency department No. 18.

Theoretically, everything can be broken. However, in everyday pedestrian life, doctors most often deal with wrist and ankle injuries. Distinguishing between fractures, sprains and dislocations can be difficult. Nevertheless, they share some common characteristics.

sprain

During a sprain, the ligaments of the joints (usually the ankle) are damaged or even completely or partially torn.

The symptoms are: Pain in the joint area, swelling and, if a ligament is torn, a hematoma. However, unlike a fracture, movement is possible in the damaged joint.

What are the risks? When it comes to a sprain, the most important thing is not to miss a ligament tear, which over time can lead to the damaged ligament weakening - and the leg being, as they say, flattened in the long run.

What should I do? Make sure the injured leg is fully rested within a day, preferably within three days; to avoid swelling, apply cold to the painful area for 15-20 minutes as soon as possible (to avoid frostbite on the affected area), repeat the cold rubs 2-3 times a day for the first two days. From the third day after the injury, heat treatments (semi-alcohol, vodka compresses, warming ointments) can be carried out; apply a tight bandage to the injured joint, which should not be removed for 5-7 days.

Where do you have to go? Trauma center or local health center.

When should you go to a trauma center?

If you have suffered an injury, the results of your treatment depend largely on your timely attendance at a 24-hour trauma center. A trauma surgeon is recommended if you have the following problems

• An injury during sports or physical activity;
• Injuries in traffic or in a fall;
• bruises and suspected bone fractures;
• a cut or laceration;
• varying degrees of frostbite and burns;
• Foreign body in soft tissue;
• dislocation of a joint;
• Suspected sprain or tear of a tendon or ligament;
• animal or insect bites (ticks);
• Bleeding from a deep and extensive wound.

Doctors at the 24 Hour Trauma Center use specialized equipment to perform an accurate diagnosis to ensure the right treatment is chosen for your injury.

Methods of injury diagnosis

When visiting a paid trauma center, diagnosis begins with a general examination of the patient and a detailed examination of the injured area. The following methods are typically used for musculoskeletal injuries:

Occasionally, tests are ordered to assess the patient's general condition and the presence of infection:

In a paid trauma clinic in Moscow, if necessary, specialists of all specialties can be called for consultation. This ensures an accurate determination of the type and severity of the injury and allows a comprehensive assessment of its impact on the patient's body.

Benefits of rehabilitation after injury in the Federal Scientific and Clinical Center of the Federal Agency of Medicine and Biology in Moscow

The Federal Scientific Clinical Center offers complete rehabilitation according to a comprehensive concept - in all areas: medical, daily life and social. Our patients are under the constant supervision of specialists: a rehabilitation doctor and an orthopedist/traumatologist.

Our technology

Our rehabilitation after an injury is based on the latest technology.

Arthromot devices are special electromechanical devices for passive joint manipulation that are used for joint extension. They are completely painless for the patient. They allow you to work on your knees, elbows, shoulders, hips, ankles and wrists.

The Bodex robotic system is an advanced system for neuromuscular testing and rehabilitation exercises. It allows joint mobilization in different directions as well as static and dynamic muscle loads. A highly effective tool for restoring motor function.

Shock wave therapy is a modern, non-invasive procedure for the treatment and rehabilitation of the musculoskeletal system. It involves the application of high-pressure infrasound pulses to the tissue. The shock waves stimulate regeneration and microcirculation, have an anti-inflammatory, pain-relieving effect and loosen stuck post-traumatic bone formations.

Medical assistance in the trauma clinic

The paid trauma clinic in Moscow offers the full range of emergency care for injuries. The list of medical services includes:

• Initial and repeat examination, consultation with a traumatologist;
• Children and adolescents in the pediatric trauma center;
• Care for injuries sustained while playing sports or at home;
• Emergency treatment and surgery in the patient's home;
• compression, fixation and plaster casts;
• wound closure and suture removal;
• tendon plastic;
• Treatment of local burns of 1 to 2 degrees and first aid for wounds, if necessary with sutures;
• Carrying out joint punctures;
• Opening and treatment of purulent necrotic masses;
• Excision of malignant, benign processes under the skin or subcutaneous tissue with subsequent histological examination of the material;
• radiosurgery;
• Treatment and dressing of wounds and injuries of all kinds;
• All types of locking fractures, bruises and dislocations;
• reduction of dislocations;
• Repositioning of bone fragments in the trauma clinic;
• Treatment of degenerative joint changes;
• Treatment of the meniscus and ligaments of the knee joint (anterior cruciate ligament, collateral ligaments, etc.).
• Treatment of injuries and inflammatory diseases of the Achilles tendon;
• Treatment of inflammatory muscle diseases and all types of muscle tissue injuries;
• Organization of surgical treatment of injuries and diseases of various etiology;
• Arthroscopic revision of the knee joint in a trauma unit;
• hand surgery;
• performing kinesiology taping;
• Treatment of ingrown nail wounds and debridement if necessary;
• treatment of heel spurs;
• injections if necessary;
• Operations of any complexity to repair bones using metal structures.
• removal of mites;
• Removal of foreign bodies of difficulty levels I and II from tissues and body cavities.

Surgical treatment in the trauma ward

Many types of bone fractures require surgical treatment. The following operations can be performed at the nearest trauma clinic:

1. Osteosynthesis. This is the anastomosis of bone fragments through internal or external immobilization. The main instruments for osteosynthesis are metal structures. In the trauma centers, top-class specialists use the latest reconstruction methods, which promise a quick recovery and a minimal risk of complications.
2. Arthroscopic surgery. A minimally invasive diagnostic and treatment method for assessing joints, ligaments, nerve and muscle tissue. This method of paid trauma surgery makes it possible to carry out the necessary interventions through an incision of around 5-6 millimeters. A miniature camera transmits everything that happens to a screen that is monitored by the trauma surgeon. Typically, the patient returns from the trauma center within a few days of surgery and gradually becomes more active again.
3. Removal of foreign bodies under X-ray control. The trauma unit removes objects from the tissue and airways safely and under constant control.
4. Suture of tendons. A therapeutic method to restore the integrity of the upper shoulder tendons.

Operations of any complexity are performed in the 24-hour trauma clinics. Professional doctors perform both routine and emergency surgeries. We organize highly effective operations that are not only painless but also aesthetically pleasing: we ensure that no imperfections are left on the skin.

rehabilitation

After an operation, especially after a surgical procedure, the patient needs a period of convalescence. We strive to provide our patients with the greatest possible comfort and therefore offer the option of a 24-hour inpatient clinic.

There, every patient can complete a rehabilitation program under medical supervision. Rehabilitation includes measures to reduce swelling and heal postoperative wounds as quickly as possible. An individual treatment package is put together so that our patients can return to their normal lives as quickly as possible. This may include:

What are the risks of a spinal cord rupture?

A spinal cord rupture is a very serious and life-threatening condition. When the spinal cord ruptures, the parts of the body below the rupture site are no longer connected to the brain and lose function.

A particularly serious complication of a spinal cord rupture is spinal shock. The duration of spinal shock cannot be predicted. It can last for weeks or months. During this period, it is necessary to support the body and carry out measures to prevent muscle loss.

A rupture of the spinal cord is an immediate threat to a person's life. If the affected person survives the most severe phase, he or she must undergo long-term rehabilitation to adapt to life with a disability.

Rehabilitation after a spinal cord injury

Rehabilitation after a spinal cord injury consists of many activities. Rehabilitation should begin as early as possible. Rehabilitation measures include:

Foot massage after a spinal cord injury helps to normalize blood and lymph flow in the lower limbs and restore nerve conductivity. The implementation of rehabilitation should be continuously monitored by specialists. The body's response to therapy should be monitored and adjustments should be made in a timely manner.

causes

The causes of an acquired dislocation can be divided into traumatic and pathological causes. The latter includes diseases or conditions that caused the dislocation. These may include arthritis, osteoarthritis, dislocation or fracture. Traumatic causes are taken into account:

Most injuries that result in a sprain occur at home, during sports, and at work. Some professions are at risk, as are people who play contact sports, for example:

Most sprains are caused by a fall or impact, so there is an increased risk of injury when skiing or skating. To prevent injuries, it is important to follow safety rules and use all necessary tools to protect your joints in the event of a fall.

Which doctor should you see?

If you experience severe pain in a lower leg joint after an injury that increases when you try to take a step, you should go to a medical facility as soon as possible. It could be a dislocated ankle. Your doctor will give you comprehensive advice:

Our specialists

The prices stated on this page are not a public offer. Please call us at 8 (495) 255-37-37 to find out the cost of services and make an appointment with the doctor.

Prices for Services

Each of these specialists is able to diagnose a sprain and prescribe treatment because they specialize in a variety of bone, muscle and joint injuries and pathologies. When you see the doctor, you should tell him how the injury occurred and what symptoms bother you most. He or she can ask some additional questions to complete the picture:

Department of Foot Surgery

Foot surgery is a branch of trauma and orthopedic surgery that helps patients with foot diseases of neurogenic, traumatic and purulent origin through minimally invasive foot surgery with a percutaneous approach.

Maintaining the health of your feet is as important as the condition of any other human organ. Today's fast pace means that our patients can no longer keep up, which leads to poor posture, unevenly distributed physical stress and signs of wear and tear on the musculoskeletal system, which is particularly reflected in the condition of the feet. Our hospital admits patients with various foot injuries and deformities, including foot and joint pathologies, to the Department of Traumatology and Orthopedics, where they receive expert treatment.

In our clinic, the treatment process in the foot surgery department is based on the coordinated work of specialists in traumatology and orthopedics, vascular and abscess surgeons, neurosurgeons, anesthesiologists, nurses with a high level of medical knowledge and extensive practical experience in the treatment of various Pathologies whose services are highly appreciated by the patients treated and rehabilitated in the Center for Traumatology and Orthopedics of the Yusupovsky Hospital. The trauma surgeons and orthopedists working in our clinic are trained annually at the best Russian and foreign clinics.

Equipment and facilities of our clinic

Our clinic has all the necessary equipment for diagnostics and surgical procedures according to international standards. It is worth highlighting the availability of the most modern diagnostic equipment for the early detection of pathologies: the most modern diagnostic equipment is available, including a CT scanner, an ultrasound machine and a clinical diagnostic laboratory.

Our Department of Orthopedics and Traumatology is often visited by patients complaining of foot pain when walking and at rest, foot and ankle deformities and lower limb injuries. Thanks to high-quality and precise examination methods and subsequent surgical procedures that do not require lengthy rehabilitation or a long hospital stay, trauma surgeons and orthopedists are able to get patients with complicated clinical cases back on their feet. On average, each procedure lasts between 30 minutes and several hours, rehabilitation lasts between one day and several days depending on the type of procedure, and the result is a complete recovery of mobility and aesthetic appearance.

Profile diseases:

• Longitudinal - transverse flatfoot
• Hallux valgus (valgus deformity of the first toe)
• Osteoarthritis of the metatarsophalangeal joint
• Hallux valgus interphalangeus (valgus deformity of the first toe)
• central metatarsalgia
• Hammer and claw deformations of the toes
• Brachymetatarsia (shortening of the metatarsal bones)
• Quintus varus (varus deformity of the fifth toe)
• Freiberg's disease (osteochondropathy of the metatarsal head)
• Osteoarthritis of the small joints of the forefoot
• Keller's disease (osteochondropathy of the heel bone of the foot)
• Lisfranc joint osteoarthritis
• Osteoarthritis of the Chopard joint (arthrosis of the subtalar joint, ankle joint and ankle joint)
• Valgus and hallux valgus deformities of the foot
• Tarsal Sinus Syndrome
• instability of the ankle
• Plantar fasciitis (heel spurs)
• Haglund disease (heel exostosis)
• Achillobursitis
• arthritis of the ankle
• Varus and valgus type deformities of the lower third of the foot
• Equinus deformity of the foot (equinus foot)
• Ledderhoe disease
• Consequences of diseases that cause deformities of the foot or ankle

We perform these operations in new operating rooms equipped with all modern equipment and instruments.

Operations performed:

• Corrective operations with joint preservation for anterior and posterior foot deformities. Endoprostheses of the small and large joints of the foot.
• Vault reconstruction
• Extensions of short metatarsal bones
• Arthroscopy of the foot and ankle (diagnostic and therapeutic)
• Repair of the ligaments of the foot
• Minimally invasive forefoot surgery
• Caring for patients with diabetic foot and Charcot's foot.

Diagnostic options: The entire diagnostic equipment of the hospital (X-ray, CT, MRI, ultrasound, clinical-diagnostic laboratory)

Hospitalization: Via the MHI channel or on a fee basis.

Planned hospital stays Planned hospital stays take place by prior arrangement. Consultations on request are free with a referral from a polyclinic or trauma center. If there is no referral, the consultations will be carried out on a commercial basis. All consultations are by appointment to make it easier for patients to participate. Admission to the department takes place by appointment.

X-ray diagnostics

The most important and informative method for diagnosing injuries to the skeletal system is x-ray diagnostics. The examination is carried out if there is a suspicion of a closed injury, a foreign body, a bone fracture with or without displacement. If a child has contraindications to an X-ray examination, other diagnostic methods that do not require radiation are used:

The diagnostic departments of modern medical centers are equipped with X-ray machines designed specifically for examining children. Radiation exposure during the procedure is minimal and does not affect the child's health.

How is the investigation carried out?

Regardless of whether the pediatric trauma surgeon examines the child in the clinic or on site, all of his procedures are carried out with the utmost care. He assesses the preservation of range of motion and sensation, the extent of swelling, and the severity of the pain syndrome. The doctor asks questions to clarify where and how the child sustained the injury, how much time has passed since the injury, and what help the parents provided. Instrumental diagnosis is recommended to rule out fractures, ruptures of ligaments or tendons, and sprains.

The Chudo Doctor Children's Trauma Center in Moscow is located at 49 Shkolnaya Street, just a 2-minute walk from the Rimskaya and Ploshad Ilyicha metro stations. Do not hesitate to bring your child without an appointment and you will receive comprehensive help! If you need help with combined injuries, call the children's traumatology department and inform the clinic about your visit so that, if necessary, in addition to traumatologists, specialists from individual specialties will be on standby.

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• Correct wearing of an ankle bandage.