Fracture

Fracture

What are Fracture?

It is a medical condition where the continuity of the bone is broken.

Fractures mostly occur because of high force impact or stress,.However, it may also be the result of some medical conditions which weaken the bones, for example osteoporosis, some cancers,, or osteogenesis imperfecta (also known as brittle bone diseases).

What are the symptoms of Fracture?

The signs and symptoms of a fracture vary according to which bone is affected, the patient's age and general health, as well as the severity of the injury. However, they often include some of the following:

  • pain
  • swelling
  • bruising
  • discolored skin around the affected area
  • angulation - the affected area may be bent at an unusual angle
  • the patient is unable to put weight on the injured area
  • the patient cannot move the affected area
  • the affected bone or joint may have a grating sensation
  • if it is an open fracture, there may be bleeding
  • When a large bone is affected, such as the pelvis or femur:
  • the sufferer may look pale and clammy
  • there may be dizziness (feeling faint)
  • feelings of sickness and nausea.

If possible, do not move a person with a broken bone until a healthcare professional is present and can assess the situation and, if required, apply a splint. If the patient is in a dangerous place, such as in the middle of a busy road, one sometimes has to act before the emergency services arrive.

What are the causes of Fracture?

The majority of fractures are caused by a bad fall or automobile accident. Healthy bones are extremely tough and resilient and can withstand surprisingly powerful impacts. As people age, two factors make their risk of fractures greater: Weaker bones and a greater risk of falling.

Children, who tend to have more physically active lifestyles than adults, are also prone to fractures.

People with underlying illnesses and conditions that may weaken their bones have a higher risk of fractures. Examples include osteoporosis, infection, or a tumor. As mentioned earlier, this type of fracture is known as a pathological fracture.

Stress fractures, which result from repeated stresses and strains, commonly found among professional sports people, are also common causes of fractures.

How is Fracturetreated?

Bone healing is a natural process which, in most cases, will occur automatically. Fracture treatment is usually aimed at making sure there is the best possible function of the injured part after healing.

Treatment also focuses on providing the injured bone with the best circumstances for optimum healing (immobilization).

For the natural healing process to begin, the ends of the broken bone need to be lined up - this is known as reducing the fracture.

The patient is usually asleep under a general anesthetic when fracture reduction is done. Fracture reduction may be done by manipulation, closed reduction (pulling the bone fragments), or surgery.

Immobilization - as soon as the bones are aligned they must stay aligned while they heal. This may include:
Plaster casts or plastic functional braces - these hold the bone in position until it has healed.
Metal plates and screws - current procedures may use minimally invasive techniques.
Intra-medullary nails - internal metal rods are placed down the center of long bones. Flexible wires may be used in children.
External fixators - these may be made of metal or carbon fiber; they have steel pins that go into the bone directly through the skin. They are a type of scaffolding outside the body.
Usually, the fractured bone area is immobilized for 2-8 weeks. The duration depends on which bone is affected and whether there are any complications, such as a blood supply problem or an infection.
Healing - if a broken bone has been aligned properly and kept immobile, the healing process is usually straightforward.
Osteoclasts (bone cells) absorb old and damaged bone while osteoblasts (other bone cells) are used to create new bone.

Disclaimer

This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Doctors Catalog has used all reasonable care in compiling the information but makes no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. In the event of an emergency, please call 108 for immediate assistance.