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Fracture

 

 

Definition

 

     A fracture is a complete or incomplete break in a bone resulting from the application of excessive force.

 

Causes

  • Fractures are usually due to injury.

  • Fractures that occur spontaneously, caused by a disease, are called pathologic fractures.  They might occur from loss of mineral from the bone, loss of supporting substance in the bone, or crowding-out of the normal bone tissue by other tissue that doesn't belong there, such as a small bone cyst.

  • Pathologic fractures often occur in a part of the bone that is not a stress point, that hardly ever gets fractured.  In children, most pathologic fractures are caused by benign diseases.

Symptoms

 

     Pain, a deformity at the fracture site, or loss of function of that body part.
 

Screening and Diagnostics

  
  

  • Diagnosis is usually made by seeing a clear line that does not belong there, on an X-ray of the particular site.  The fracture line will likely be at the exact spot where the person has pain.

Risk Factors

  • Athletes

  • Manual laborers

  • Disease of bone, such as a small benign bone cyst, is a cause of pathologic fractures in children.

Treatment

   

  • Fractures usually are splinted or casted to place the injured part at-rest, avoiding movement of the fracture pieces while they are healing.  If the fracture caused a deformity and the fracture pieces are out of alignment, a cast is a way of holding the pieces in-place after the physician lines up the pieces correctly.

  • In some minor fractures where a deformity does not have to be corrected, such as a minor fracture of a toe, some simple method might be used to hold the pieces in-place.  "Buddy-taping," one such method, tapes the fractured toe to an adjacent toe in a special way.  This really does not prevent movement of the pieces at the fracture site, but it limits the movement.

  • Surgery is necessary in some cases, to correct a fracture or clean out material that may cause infection.

Complications

  • Non-healing or delayed healing

  • Deformity

  • Infection

 
 

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