hey thanks for joining us this is ethan
some of you may recognize him from well
nothing on this channel I don't think
but on my personal channel so Ethan on a
slack line and sear wheel and you do
other acrobatic things right
yeah for parkour are their injuries
associated with parkour let's take a
look at ethans wrist or even what
explain to the nice people at home what
happened I was trying to do a precision
jump from one rail to another rail and
didn't quite make the joke the bar when
writing between my thumb and finger so
let me see if I understand this
correctly your hand here came down on a
stair rail with all your weight coming
down on it
what we call axial loading and now it
hurts where alright alright so we're
looking at the distal radius here and
when I examined earlier you were able to
move your fingers fine you have full
normal sensation and then you have good
perfusion of blood through all the
extremity so nerve asked you earlier
intact muscles work you don't have
tenderness any significant in earnest
here along the carpal bones or the
metacarpal bones but when we get to the
radius it was really tender when I was
pushing on it so on x-ray we see that
your physis or your growth plate is not
fused and it's not expected to be at 15
years old now there's something that
that can happen there and you can have a
fracture through that growth plate and
you can't tell an x-ray so we have to
treat as if it's broken
so we're going to put on a sugar Tong
splint kind of shaped like a sugar Tong
goes around and holds the wrist in a
certain position until you have time to
get into the orthopedic surgeon on
monday now in I by suppose it's true
everywhere but the state of California
they really discourage doctors from
treating family or close friends so i am
just putting on a a split here I spoke
with the folks in orthopedics
are going to see them on monday and this
is just temporary to get them in until
then that's the the extent that i do any
treatment on my close family friends
just what it takes to get them to where
they need to be too so that definitive
care by the appropriate specialist can
be done so let's get started putting
your split on we're going to use ortho
glass i measured earlier and it's very
important to seal this up so no air gets
in there otherwise your split material
gets all hard and unusable
so it's just a soft cause with very
moist fiberglass it's very pliable we
want to measure again we want to go from
the crease there through the poem to
these bones back here so I'm not just
barely too long and the way I'm going to
deal with that is to fold this back we
want your elbow at 90 degrees
we're going to bring all this around and
then I want to put this in a position
that reduces the fracture the most so
I'm going to be pushing risk down in
this way I'm going to get this wet the
hotter the water you use the faster it
hardens
it's starting to warm up a little bit
so it's already starting to harden we
want to go with that crease 90 degree
and bend the extra down so i will begin
wrapping we wrap from far away from the
body toward the body and usually my
system is assisting rather than holding
a camera does it get hot for ya as it
hardens it lets off heat and exothermic
chemical reaction so then we mold the
splint and this is the part where it
hurts and as it hardens I go through and
make it conform to what i wanted to be I
want it to be snug but not so tight it's
gonna cut off circulation anywhere he
should not do anything that might put
strain on his wrist if he wasn't wearing
a splint because I would strain the
splint let me get you also a sling
that's going to allow you to hold this
like this one of the important things
when a person wears a sling
we want to make sure that the hand is
not below the elbow so you're going to
be kind of like this not like this that
results in a lot of fluid draining to
the fingers and not out of the hand you
get swelling and leads to can even lead
to injury so that's evens wrist sprain /
Salter Harris one fracture and he'll be
fine it'll heal up it would eat whether
it fractured or not it's going to heal
up with this splitting and then seeing
the orthopedic surgeon for
more definitive evaluation and care hey
if you liked videos like this we'd like
to go ahead and click over
Ethan's face if you want to subscribe to
the other medical group channel so you
don't miss videos like this and you can
click over here for other procedural
videos that we do we put him out twice
weekly thanks for joining us
be sure to put comments in the comment
section below until next time this is
ethan dr. mark on telling you to stay in
good help
