A break or crack in a bone is known as a fracture. When a force is applied to a bone that exceeds the bone’s structural capacity, a fracture develops. The wrist, ankle, and hip are the most common locations for bone fractures.
Most fractures may be identified by evaluating the injury and collecting X-rays. An X-ray may not always reveal a fracture. Some wrist fractures, hip fractures (especially in the elderly), and stress fractures are particularly prone to this. Your doctor may order additional tests, such as computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan, in certain cases.
In some circumstances, such as a suspected wrist fracture with a normal X-ray, your doctor may use a splint to immobilize the area and then schedule a second X-ray 10 to 14 days later when the fracture has healed enough to be visible. Even after a fracture has been diagnosed, additional tests (such as a CT scan, MRI, or angiogram, a specific X-ray of blood vessels) may be required to identify whether any tissues surrounding the bone have been affected. If your doctor detects a skull fracture, they’ll likely forgo ordinary X-rays and go straight to a CT scan, which will reveal the fracture as well as any other serious injuries or secondary injuries inside the skull, such as haemorrhage around the brain.
A fracture frequently necessitates hospitalization for treatment. A fracture of the tip of a toe is an example of a small fracture that may not require immediate treatment. To mend properly, fractured bones must be put in their proper position and retained there. The term “reduction” refers to the process of setting a bone in place.
“Closed reduction” refers to repositioning bone without surgery. Closed reduction is used to treat the majority of fractures in children. Serious fractures may necessitate open reduction or surgical repositioning. Pins, plates, screws, rods, or glue may be used to hold the fracture in place in some circumstances. To avoid infection, open fractures must be cleaned properly.
To relieve discomfort and aid healing, most fractures are immobilized with a cast, splint, or, in rare cases, traction. In most cases, medication is restricted to pain relievers. Antibiotics are used to prevent infection in open fractures. Even if the bone is in a cast, rehabilitation should begin as soon as possible. This aids in blood flow, healing, muscle tone maintenance, and the prevention of blood clots and stiffness.
The area around the fracture is frequently stiff for several weeks after the cast or splint is removed, with swelling and lumps. Increased hair growth on the arms and legs in children might occur as a result of the cast irritating the hair follicles. There may be a limp if your legs are shattered. Symptoms usually go away after a few weeks. If you’ve broken a bone, you should gradually resume utilizing the area once the cast or splint is removed. The bone may take another four to six weeks to regain its previous strength.
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