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Common Fractures and Treatments
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Spiral Fracture
Common causes: Twisting injuries, sports accidents. Symptoms: Intense pain, swelling, deformity. Treatments: Casting or immobilization, surgery if bones are misaligned, physical therapy.
Stress Fracture
Common causes: Overuse, repetitive activities, poor equipment. Symptoms: Pain with activity that subsides with rest, swelling. Treatments: Rest and cessation of the causative activity, protective footwear, gradual return to activity.
Galeazzi Fracture
Common causes: Fall on an outstretched hand, direct impact. Symptoms: Pain, deformity of the forearm, wrist abnormality. Treatments: Surgical reduction and fixation, immobilization in a cast, physical therapy.
Pathological Fracture
Common causes: Osteoporosis, tumors, or diseases that weaken bones. Symptoms: Sudden pain without a major trauma, possible deformity. Treatments: Treating the underlying condition, immobilization, surgical repair if necessary.
Hairline Fracture
Common causes: Overuse, repetitive motion, mild trauma. Symptoms: Gradual onset of pain, swelling, tenderness at the site. Treatments: Rest, limited weight-bearing, possibly bracing or casting.
Comminuted Fracture
Common causes: High-impact trauma, accidents. Symptoms: Severe pain, swelling, inability to move the affected limb. Treatments: Surgical fixation with plates and screws, casting, physical therapy.
Avulsion Fracture
Common causes: Sudden acceleration or deceleration, direct impact. Symptoms: Sharp, localized pain, bruising, swelling. Treatments: Rest, ice, immobilization, possible surgical intervention.
Monteggia Fracture
Common causes: Direct blow or fall on the outstretched arm. Symptoms: Pain, deformity of the forearm, inability to rotate the arm. Treatments: Surgery to realign the bones, casting, physical therapy.
Oblique Fracture
Common causes: Falls, sports injuries, car accidents. Symptoms: Pain, swelling, angular deformity. Treatments: Immobilization, surgical fixation if necessary, physical therapy.
Compression Fracture
Common causes: Osteoporosis, traumatic injury from falls. Symptoms: Back pain, reduced height, possible deformity. Treatments: Pain management, bracing, vertebroplasty or kyphoplasty for severe cases.
Intraarticular Fracture
Common causes: Direct trauma, falls, motor vehicle accidents. Symptoms: Joint pain, swelling, reduced range of motion. Treatments: Immobilization, possible surgical repair to restore joint surface, physical therapy.
Pott's Fracture
Common causes: Twisting injury to the ankle, falls, impact. Symptoms: Severe ankle pain, inability to bear weight, swelling. Treatments: Casting or splinting, surgery if severe, rehabilitation exercises.
Transverse Fracture
Common causes: Direct blows, falls. Symptoms: Pain, swelling, the visible break across the bone. Treatments: Immobilization, sometimes surgical fixation, rehabilitation exercises.
Greenstick Fracture
Common causes: Falls, sports injuries. Symptoms: Pain, swelling, deformity. Treatments: Immobilization, casting, possibly surgery for alignment.
Impacted Fracture
Common causes: Falls, direct impacts. Symptoms: Sudden pain at the site of impact, reduced mobility. Treatments: Can heal without surgery if aligned, surgical intervention for serious cases, physical therapy.
Buckle Fracture
Common causes: Falls on an outstretched hand, minor trauma. Symptoms: Swelling, pain at the site of injury, difficulty moving the affected limb. Treatments: Casting or splinting, rest, typically no surgery required.
Le Fort Fracture
Common causes: High-impact trauma to the face, car accidents. Symptoms: Facial swelling, deformity, mobility of the midface. Treatments: Surgical fixation of the facial bones, monitoring for airway issues, antibiotics to prevent infection.
Maisonneuve Fracture
Common causes: Twisting injury to the ankle, falls. Symptoms: Pain from ankle up to the knee, difficulty in bearing weight. Treatments: Surgical reduction and fixation, immobilization with a cast, physical therapy.
Torus Fracture
Common causes: Compression injury in children, falls with a bent wrist or knee. Symptoms: Mild to moderate pain, swelling, tenderness on touch. Treatments: Cast or splint immobilization, rest, usually heals without surgical intervention.
Segond Fracture
Common causes: Sport-related trauma, particularly with internal rotation of the knee. Symptoms: Knee pain, difficulty in bearing weight, possible ACL injury. Treatments: Surgical repair of the knee ligaments, physical therapy.
Smith's Fracture
Common causes: Fall on a flexed wrist, direct impact to the back of the wrist. Symptoms: The 'garden spade' deformity of the wrist, pain, swelling. Treatments: Reduction, immobilization with a cast or splint, surgery if alignment is off, physical therapy.
Jones Fracture
Common causes: Inversion injuries to the foot, overuse, direct force. Symptoms: Pain near the midfoot, bruising, difficulty bearing weight. Treatments: Non-weight bearing cast, surgery for poor healing, gradual return to weight bearing.
Clay Shoveler's Fracture
Common causes: Repetitive stress from heavy lifting and throwing activities. Symptoms: Pain in the upper back or neck, muscle spasm, limited neck mobility. Treatments: Rest, pain relief, immobilization with a cervical collar, physical therapy.
Hangman's Fracture
Common causes: Hyperextension of the head, motor vehicle accidents. Symptoms: Neck pain, possible neurological deficits if spinal cord is involved. Treatments: Cervical immobilization, possible surgical stabilization, neurologic follow-up.
Nightstick Fracture
Common causes: Direct blow to the forearm, defensive injuries. Symptoms: Pain and swelling at the site, reduced forearm rotation. Treatments: Immobilization in a cast or splint, possible surgery, physical therapy.
Hill-Sachs Lesion
Common causes: Shoulder dislocation from trauma, sports injuries. Symptoms: Limited shoulder movement, pain, repeated dislocations. Treatments: Activity modification, physiotherapy, surgery for engaging lesions.
Open Fracture
Common causes: High-energy trauma, car accidents, severe falls. Symptoms: Bone protruding through the skin, pain, bleeding. Treatments: Emergency surgical debridement, IV antibiotics, fixation of the bone, follow-up surgeries if needed.
Colles' Fracture
Common causes: Fall on an outstretched hand, direct blow to the wrist. Symptoms: A classic 'dinner fork' deformity of the wrist, pain, swelling. Treatments: Closed reduction and casting, possible surgical pinning, physical therapy.
Boxer's Fracture
Common causes: Impact from punching a hard object. Symptoms: Pain and swelling over the 5th metacarpal, knuckle depression. Treatments: Splint or cast for 3-6 weeks, hand therapy, surgery if severe.
Barton's Fracture
Common causes: Wrist injuries from falls or direct impacts. Symptoms: Wrists pain, swelling, difficulty in moving the wrist. Treatments: Surgical fixation if displaced, casting, physical therapy for rehabilitation.
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