A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, it does not cause a clean break in the bone, there is only a separation or discontinuity in the bone material.
A crack in the bone caused due to repeated stress is often called as 'hairline fracture'. Here are the basic differences between a crack and a fracture in the bone and how to treat them:
A broken bone or a crack in the commonly known as a fracture. Any bone in the arm can be broken, but common areas for fractures in the arm is wrist, specifically the distal radius, forearm bones (radius and ulna), elbow, humerus and shoulder.
What causes fracture in bones?
How to identify?
An audible snap or cracking sound may be your first indication you've broken an arm.
Signs and symptoms include:
When to see a doctor?
If you have enough pain in your arm that you can't use it normally, see a doctor right away and do the same for your child. Delay in diagnosis and treatment of a broken arm, especially for children who heal faster than adults do, can lead to poor healing and deformity.
Is that stiffness in joints taking a toll on your daily activity like walking, exercise. These best orthopedic doctors in Gurgaon, can help in getting your life back on track by treating any kind of join or muscle related surgeries or disorders. Here is the list of best orthopedic doctors and surgeons in Gurgaon:
MBBS, MS - Orthopaedics, Fellowship in Interventional Pain Practice(FIPP), Fellow Adult Knee Reconstruction and Sports Injuries
Consultation fees: ₹400 - 1000
Dr. Himanshu is a well experienced orthopedic surgeon with 16 years of practice. He specialises in knee reconstruction and sports injuries. His other areas of interest are arthroscopic surgery along with interventional spine & pain treatments. He has successfully done more than 4500 spine interventions, including lumbar ,sacral & cervical areas which are considered to be complicated and tricky. He is currently associated with Nivaran Pain Relief Centre in Sector-41, Gurgaon & Fortis Escorts Heart Institute & Research Centre - Okhla Road, Delhi.
MBBS, Diploma in Orthopaedics, MS - Orthopaedics
Consultation fees: ₹500
Dr. Sanjay Kapoor is a senior consultant. He is specialised as Joint Replacement & Sports Injury Surgeon. Hw currently practices as Managing Director at K.K Healthcare Centre, Gurgaon. His areas of keen interest are Hip Replacement, Knee Replacement and Spine treatment like Laminectomy, Disc Removal, Nerve Decompression. He has successfully operated more than 10000+ patients for knee and hip surgery from across the globe. He is a recipient of Global Health Care Excellence Award 2014 for best Orthopaedic Surgeon in Gurgaon Haryana.
Diploma In Orthopaedics, MBBS
Consultation fees: ₹500
With more than 48 years of experience he is a popular name in Gurgaon, when it comes to orthopedists fraternity. Dr. Ahmed specialises in orthopaedics, paediatric orthopaedics, treatment of spine related problems, spine & joint replacement surgery. He has also done fellowship in minimal access surgery. He is also associated with Indian Orthopaedic Association and International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty. He currently practices at Ahmed Hospital.
MBBS, MS - Orthopaedics, DNB, FRCS - General Surgery & Trauma & Orthopedic Surgery, CCST - Internal Medicine
Consultation fees: ₹1000
Dr. Bedi has 30 years of national & international experience. He has worked for 12 years in England. Currently he is director of Orthopaedic department at Fortis Hospital, Vasant Kunj. Previously he was associated with some of the prestigious hospitals like MAX, Primus and Sitaram Bhartiya Hospital. His special interest areas are joint replacement, arthroscopy and treatment of diabetic foot. He is also associated with many prestigious institutes and medical associations.
MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Consultation fees: ₹1000- 1500
Dr. Vikas Gupta a well known name in the field of orthopedist, has more than 27 years of experience. He is currently associated with Max Hospital in Sushant Lok I, Gurgaon and Max Smart Super speciality Hospital in Saket, Delhi and Hand 2 Shoulder Clinic, GK -1 Delhi. His area of speciality are hand and shoulder surgery. He was the first surgeon to perform wrist replacement (Ceramic on ceramic) in India and has successfully performed over 6000 complex hand upper & extremity surgeries.
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Consultation fees: ₹400 - 700
Dr Prince Gupta is an experienced joint and spine surgeon who is practicing in Gurgaon. He is practicing for more than 12 years. He is skilled in joint replacement surgeries like knee replacement, hip replacement, shoulder replacement and elbow replacement surgeries. Apart from joint surgeries he also specialises in performing orthopaedic spine surgeries using the best techniques as per the international standards. He has worked with some of the best hospitals in Gurgaon and Delhi like Artemis Hospital, Fortis Hospital and Sir Ganga Ram Hospital.
M.B.B.S, M.S. (Ortho)
Consultation fees: ₹500 - 900
Dr. Gupta is a senior consultant in Orthopaedics, Spine & Joints. He specialises in Spine Surgery. In 14 years of his practice he has done more than 3000 Orthopedic and Spine surgeries in India and abroad. He has done extensive training in all aspect of spinal surgery. He currently practices at Khushansh Clinic, Gurgaon and Max Smart Superspeciality Hospital, Delhi.
MBBS, MS - Orthopaedics, Fellowship in Shoulder Surgery
Consultation fees: ₹500 - 900
Dr. Akram Jawed is amongst the best experienced orthopedic surgeons in Gurgaon with 8 years of experience. He has done some special courses like Advance course in trauma management (2013), Advance course on Periarticular plating (2013), Principles of Fracture Fixation (2009) and National Trauma Management Course (2011). He currently practices at consultant in orthopaedics at Max Super Speciality Hospital, Saket and Med Harbour Family Clinic Gurgaon. He is also the director of Mobility Clinic.
FRCS, MS - Orthopaedics, MBBS
Consultation fees: ₹1200
Dr. Ashok is best orthopaedic surgeon. He is a pioneer of many advancement of knee surgeries and has many accomplishments in his field like successfully completing 28 Total Knee Replacement surgeries in under 12 hours. In 40 years of his experience he has more than 25,000 Total Knee Replacement surgeries. He is the first orthopaedic surgeon in India who has carried virtual total knee replacement employing patient-specific instruments. He is a recipient of PadmaShri recipient. He currently heads bone and joint clinic- Fortis Hospital.
MBBS, MS - Orthopaedics, Fellowship in Arthroscopy and Joint replacement of Knee and Shoulder
Consultation fees: ₹400
Dr. Ankit Bhartia is an experienced Orthopedist with 9 years of career. His areas of keen interest are Knee Replacement, Hip Replacement, Arthroscopic Surgery, Spine Surgery and Pediatric Orthopaedics. He currently practices at ''Sparsh - Orthopaedics and Sports Injury Centre'' , which is his own clinic and is also the ''Managing Director'' there. He is a member of many Indian and international associations.
A broken bone is medically known as a fracture. Age plays a major role in determining the risk and extent of your fracture. In children, broken bones are common place. Children’s fractures are generally less complicated and easier to treat than those in adults. Brittle bones due to calcium weaning away is more pronounced in adults. Bones in general become weaker as you age as decalcification occurs as the bones start undergoing resorption.
Till the time a child turns 18, the bone density keeps increasing if sufficient calcium intake continues. On the other hand, when you turn into an adult, the density can’t increase despite sufficient calcium intake. On the other hand, calcium ions get slowly released into the blood stream if there is inadequate consumption of calcium containing foods.
The main categories of fractures based on damage to the surrounding tissues are non-displaced, displaced, open and closed. Non-displaced and displaced fractures refer to the manner in which the bone has broken. The bone breaks into more than one component in displaced fractures and both ends move in such a way that they are not in proper alignment. In a comminuted fracture, the bone breaks into many pieces.
Non-displaced fractures involve the cracking of a bone in its entirety or a part of it, but there isn’t much movement and it maintains proper alignment. A bone breaks in a closed fracture but there isn’t any open wound relating to the skin. The bone breaks past the skin in an open fracture. It might then recede back into the trauma and not be seen through the skin. There is a risk of a deep bone infection in an open fracture and this is an important difference from a closed fracture.
Some fractures based on how and the extent of the breakage include:
Broken bone is commonly known as bone fracture a d it occurs when an exorbitant amount of force is applied causing the bone to split or shatter. While some minor fractures lead to cracks and crannies, others may lead to complete breakage of the bones. Despite being hard, bones are formed in such a way that they can absorb pressure to only a certain extent, beyond which they break. Statistically, the incidence of broken bones are most common in children and in old age people.
Causes of Bone Fracture
Bone fracture can be caused due to a number of reasons; both intentional and accidental. Some of them include:
1. Accidents and injuries: Sports injuries, being hit by a car and tripping and falling are some of the typical episodes.
2. Old age: Diseases such as osteoporosis and brittle bone disease are common in aged people. As bones tend to become more fragile among the aged, they are at a greater chance of bone fractures.
Type of bone fractures
Primarily bone fractures are of four types, based on the way the bone splits. They are:
Treatment of bone fractures
In case of a broken bone, the immediate course of action would be to reach for the first aid box. This can be done to stabilize the bone prior to hospitalization. Icing the injury, elevating the injured area to prevent further swelling and covering the wound with bandages are common measures. In many cases, people also make household splints (made of newspapers) to keep the bone stabilized. Hospitalization and especially surgery, can be also opted for in case of severe fractures.
People who regularly work out can go on about its benefits and also show off a toned physique. However, a bad or improper movement can be more harmful than no exercise at all. Read on to know some common exercises that are best avoided for their potential harmful effects.
Make sure you get a professional trainer's advice on the right ways to work out so as to get the maximum benefits and avoid injuries.
Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.
Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.
There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.
In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.
As a person grows older, the body undergoes wear and tear. This can be experienced in many ways. It can be quite frustrating for an elderly person to realize that they cannot do the tasks they once completed with ease. Making a healthy choice when it comes to diet and lifestyle can help people live comfortably in their old age.
Some of the most common problems experienced by elderly people are:
Much of these conditions associated with chronic diseases can be avoided through home remedies and preventive measures such as healthy lifestyle, regular exercise, injury prevention and proper care.
Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn’t happen in accordance with the removal of old bones.
The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.
Abnormally less or high body weight
Menopause or low levels of sex hormones
Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.
Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.
Having a family history of osteoporosis will put you at a greater risk of this disorder.
Fractured or collapsed vertebra causing back pain
A stooped posture
A shrunken appearance (as if one has had loss of height)
Very fragile bones, thus increasing risks of fractures
Severe and sudden pain in the back
Difficulty in twisting or bending the body
Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.
Diagnosis and Treatment:
Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.
Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.
Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.
Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.
Salt: Limit salt intake
Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor.
If you are the on the wrong side of your fifties, then you will know the importance of regular checkups to the orthopedist. Aging related physical changes such as greying hair and wrinkles are a few things that you can cope with easily, however, when it comes to the health of your bones and muscles, you need to be very careful. You need to be particular about being active, as it can help reverse or reduce the risks of most of the bone disorders that you may suffer from. Ageing affects both the muscles and bones, but not always in the same manner. So, it is important that you understand how each is affected by ageing.
Changes in your muscles due to aging
As you age, your muscles tend to lose strength and size. This can make you prone to fatigue, weakness and a decrease in your tolerance levels to exercise. The various factors that play a role in this are:
Changes in your bones due to aging
Ageing impacts the structure of the bone and leads to a loss of the bone tissue. Aging causes low bone mass, thus rendering them weak. This means a simple fall can have a serious effect on your bones.
The various causes that can bring about these changes are:
Common conditions that affect your musculoskeletal system in your old age: