Description
A fracture is a break in a bone. Fractures can be simple or complex in multiple pieces (comminuted). The fracture can bleed into the surrounding tissue resulting in bruising and in severe cases a limb threatening condition, compartment syndrome. The fracture can also injure adjacent nerves, tendons or blood vessels.
Symptoms
Pain, swelling, deformity, numbness. A snapping sound may be noted at the time of injury.
Tests
Common tests used for diagnosis and treatment
Workup:
A history, physical exam and x-ray will be performed. If a fracture is strongly suspected and not seen on X-ray, a CT scan may be recommended.
Tests:
X-ray
Specialists:
Orthopedic Surgery
Workup:
A history, physical exam and x-ray will be performed. If a fracture is strongly suspected and not seen on X-ray, a CT scan may be recommended.
Tests:
X-ray
Specialists:
Orthopedic Surgery
Treatment
If the broken bones are not properly aligned, a reduction to restore the normal positioning will be performed. This can be accomplished without surgery (though with sedation) during a "closed reduction" but certain complicated fractures require surgical reduction. A splint or cast is then applied. Medications for pain including nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol) or codeine may be prescribed.