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Fracture Treatment Tips

Spine Fracture - What Causes It?

Spine Fracture - What Causes It?

Spinal fractures occur as a result of an injury or dislocation of the bony vertebra. This causes the bone fragments to pinch and damage the spinal cord. Fractures can occur anywhere along the spine but the most common site of fracture is the lower back.

What causes spinal fractures?

Spinal fractures are often a result of the following-

• A sudden traumatic injury
• A high-velocity accident
• Falling from a height
Sports injuries
• Spinal instability
• A whiplash

Types of spinal fractures:

Spinal fractures are classified into three categories, such as the following-

• Compression fracture - If you exert excessive pressure on the vertebra, it will break. This type of fracture occurs when the bones in the spine become fragile or weak to the extent that they easily crumble. People living with osteoporosis, certain types of cancer or tumours are prone to a compression fracture.

• Dislocation - When the discs and/or ligaments linking the vertebrae is torn or stretched, the bones may dislocate or come out of alignment.

• Fracture-dislocation - Torn ligament and broken bone lead to this condition. A fracture-dislocation is a debilitating condition and often requires surgical intervention.

Symptoms of spine fractures:

Following an accident or an injury, you can tell if you have ended up fracturing your spinal column by identifying these symptoms-

• Excruciating pain
Tingling sensation
Numbness
Muscle spasm
• Swelling of the muscle
• Sudden onset of back pain
• Restricted spinal mobility
• The pain worsens if you walk or stand for long
• Deformity or disability of the spine

How are spinal fractures treated?

Spinal fracture treatment begins with administering pain-management drugs and medications to ease the symptoms, and stabilization methods to prevent injury. Depending on the nature of the fracture, your doctor may follow these lines of treatment-

• Fusion and instrumentation - These are surgical procedures to cure unstable fractures. Fusion refers to the joining of the vertebrae using a bone graft along with hardware such as hooks, rods, plates, or pedicle screws. The bone graft joins the vertebrae below and above to form a solid piece of bone.

• Kyphoplasty and vertebroplasty - These are minimally invasive procedures, wherein the surgeon injects bone cement into the fractured body through a needle. During kyphoplasty, the surgeon first inserts and inflates a balloon to expand the compressed vertebrae and then fills it with bone cement.

Spinal fractures are an extremely uncomfortable and painful condition to live with. It can hinder your day-to-day activities and affect your quality of life. It is imperative that you seek immediate treatment if you end up with fractures or dislocation of the spine.

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Pelvic Acetabulum Fracture Fixation - Know About It!

Pelvic Acetabulum Fracture Fixation - Know About It!

Fractures in the pelvis or acetabulum are serious issues, especially when the patient has met with an accident. It is the most complex type of orthopedic surgery and requires immediate medical attention. The fractures are more common in old ages as older patients have a weak hip bone. Although, all ages are prone to pelvic or acetabulum fractures. To understand the fractures and treatment, you must understand the anatomy of the pelvis. The acetabulum is the part of the pelvis and the hip joint is the largest joint in the body. These parts are connected with a ball and socket method. Acetabulum forms the socket in the structure, and the ball is the femoral head which connects the thigh bone and acetabulum. The pelvis supports most of the lower part of the body, including major blood vessels, nerves, abdominal system, bladder, and reproductive organs. A pelvic or acetabulum fracture may happen due to vehicle accident or fall. But the severity of the fracture is determined by the number of fractures, fracture in the socket or ball of the joint.

Causes

Acetabulum fractures are caused due to the force in the hip joints, femur head, or the sockets on the joints. The force can be from the knee or sides. The direction of the force can result in the dislocation of the hips. This force can dislocate the femur balls from the sockets, which can be very painful. Severe acetabulum fracture can be due to a high impact force like high fall or vehicle accidents. These cases are taken immediately to the surgery and need immediate medical attention. Apart from this, weak bones or joint in the old age is the most common reason for acetabulum fractures. Hip joints take the weight of the entire body and hence gets weak with age. Even a simple fall from walking or standing can result in a pelvic fracture.

Symptoms

A fractured pelvis or acetabulum causes severe pain for the patient. If the injury is caused due to a high impact force, it can also result in bleeding. The numbness in the legs and nerve damage can leave tingling sensation which can be part of the fracture. The patient is required to be operated at soonest and needs complete rest for months. Treatment Doctors suggest various treatment to the patient with acetabulum fracture. Sometimes nonsurgical treatment is offered to the patient whose fractures are stable and may heal naturally. In such cases, the doctor recommends walking aids like crutches to help them walk. However, most acetabulum fracture needs surgery. If the damage is in the joint and it is impossible for the patient to move, then doctors recommend surgery.

Take Away

Pelvis fracture is an extremely painful damage to the most essential joint in the body. Though there are surgery available for correcting the fracture, it is always advisable to consult a doctor before going for any treatment option.

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Nonunion Fractures - What Should You Know?

Nonunion Fractures - What Should You Know?

Both young and old are vulnerable to fractures. While the former gets them during intense physical activities, the latter experience fractures due to less bone density. Thus, quite common, they are, however, if you experience a persistent pain in the fracture spot even after undergoing treatment, you must visit your doctor without delay as it might be a case of nonunion.

Despite modern treatment methods that heal most fractures, sometimes new bone tissue doesn't begin to form and repair the broken pieces. This hindrance to the healing of bones is known as ‘nonunion.' Patients suffering from nonunion of fractures usually feel pain in the fractured area even after the fracture disappears and can last for months or years. In some cases, these pains may get triggered, if pressure is applied to the fractured area.

Why does nonunion occur?
The three most important aspects of bone healing include stability, blood supply, and nutrition. If the broken bones that have been put together are moved out of place before they fully heal, it can lead to complications. Cases, where surgical fixation is involved, can be disrupted due to various reasons, including ineffective surgery which can happen due to unforeseen complications and can cause nonunion.

  • Limited blood supply to the fracture site can be caused due to a lack of or disruption of the body's healing cells. Blood supply to the injured area usually returns to normal during the healing period, but there might be medical complications that prevent fractured bones from healing.
  • Nutrition is the third biggest factor that can cause nonunion of fractures if the patient does not have a well-balanced diet and lacks essential vitamins, calcium, and proteins in the body. Dietary guidelines need to be followed to allow proper healing.
  • Other situational risk factors that may contribute to nonunion include age, diabetes, infections, anemia or use of tobacco and other forms of nicotine.

Treatment of A Nonunion

  • Depending on the situation, treatment is possible using both surgical and non-surgical methods. A bone stimulator may be used to treat a nonunion non-surgically. This small device helps send ultrasonic waves to stimulate healing, and through repeated usage of the device, it can help patients start healing.
  • Surgical treatment involves the usage of a bone graft that can help new bone (or bones) to grow in the affected area. Bone grafts are surgically planted, and they provide fresh bone cells and necessary chemicals that the body needs for healing. Surgeons make an incision and remove pieces of bone from different areas of the patient and transplant them into the affected area. Bone harvesting can be a painful process, but it does not affect bodily functions or cause any cosmetic problems in any way to the patient.
  • In many cases, bone harvesting can be avoided by using allografts (bone grafts from cadavers) or other substitutes (known as osteobiologics) made of chemicals that can be fixated both internally and externally.
  • These methods kickstart the healing process and allow the fractured bones to heal and return the area to its normal and undamaged state.

Spinal Compression Fracture - How To Avoid It?

Spinal Compression Fracture - How To Avoid It?

What is spinal compression fracture?
Spinal compression fractures are getting frequent due to the many lifestyle changes which we undergo. The body should not be made to be put use in a certain way like posture, lifting heavy weights, etc. However, prolonged and repeated usage affects the spine directly and results in compression fractures. Though the condition looks, gratifying, modern science has advanced to levels where the fractures can be addressed very effectively, and the pain symptoms can be eradicated almost completely. Let us have a summary of the treatment methods.

The treatment
The treatment plan of any spinal compression fracture should effectively highlight the pain, the factors leading to the pain and lastly the fracture itself. Our body has been designed in such a way that the spine can withstand an amount of pressure and force. As a result of it, it is one of the strongest parts of the human body. Hence most fractures heal with pain medications and strength exercises. These activities can be embraced as a permanent one- thus eradicating the pain altogether.

Pain killers are administered gradually for a few weeks along with rest and once the pain subsidises strength exercises are imparted as a part of the treatment plan. In a few cases, anti-inflammatory drugs and antidepressants can also help in relieving the nerve-related pain. A back brace like an easily removable cast can also be put when doing the usual activities. This, directly stiffness the spine and provides it with support. The pressure to the spine can be greatly relieved due to the back brace.

Surgery for Spinal compression fractures
As stated, most of the spinal pain can go away with certain lifestyle changes and medications. However, in some extreme cases even after putting all the effort the pain does not go, then a surgical treatment has to be performed to correct the fractures. There are two minimally invasive procedures namely Vertebroplasty and Kyphoplasty and one complicated procedure known medically as the Spinal fusion surgery. In vertebroplasty and kyphoplasty, bone cement is spread across in layers to the affected region.

These blocks of cement have a tendency to get strong in a matter of minutes, thus relieving the pressure immediately. Spinal fusion surgery is done in extremely rare cases where two or more vertebras are connected together using metal screws. Sometimes even a bone graft is affixed to provide support to the fractured region. Doctors, however, do not go for it usually as the procedure causes extreme inconvenience even after the treatment.

Prevention
Spinal compressions are a frequent occurrence nowadays, and a good physician would suggest prevention is better than cure. Making the much-needed changes to life and the activities we perform can drastically reduce the chances of getting a spinal compression fracture.

Fracture Surgery - When Is It Required?

Fracture Surgery - When Is It Required?

Our bones are one of the most essential parts of our body. Without bones, we will not even be able to stand or sit properly. Due to various reasons, our bones receive damage as well. Bone fracture is one of the most common problems that people face. When any bone in our body breaks due to some accident, it is known as bone fracture.

Once you suffer from a bone fracture, it can be treated in different ways. But in serious cases, bone fracture surgery needs to be performed. So, if you are suffering from a bone fracture, read this article to know more about bone fracture surgeries and important details related to it.

Details About Bone Fracture

Bone fracture is a partial or severe break in any of your bones present in the body. Fractures can be caused due to various reasons and in most of the cases, it is because of any kind of accident. There are some basic symptoms of bone fracture like - abnormal swelling over an area, unable to walk in most of the cases and excruciating pain where the bone has broken.

Therefore, as you can understand that bone fracture is a very serious condition which can cause serious lifestyle changes in a person's life. Bone fractures are of different kinds and two of the most common types of bone fractures are - Complete and Compound.

In a complete fracture, the bone gets damaged in two or more than two parts of the body. In a compound fracture, the bone breaks and tries to penetrate the skin.

Diagnosis and Treatment Through Fracture Surgery

Whenever you suffer from a bone fracture, do not neglect it. Go straight to the doctor and undergo an X-ray which will provide the important details and images of your affected area. Now, depending on the type of injury you have received, the doctor will decide if surgery will be performed or not. When surgery is going to take place, different equipment like rods, plates and screws are used to support the bone.

The surgery takes place as per the doctor's recommendations and advice depending on the condition of the patient who is suffering from the fracture.

Eligibility For Bone Fracture Surgery

Everyone can undergo a bone fracture surgery if the condition is very serious and it is very important to undergo a surgery to recover. So, individuals of all age can undergo bone fracture surgery if they are suffering from a compound or serious bone fracture. But keep one thing in mind - children recover from bone fracture surgery much quicker than teenagers and old aged people.

So here is some important information which you should be knowing about bone fracture surgeries.

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Spine Fracture - How Can You Get It Fixed?

Spine Fracture - How Can You Get It Fixed?

Spinal fractures occur as a result of an injury or dislocation of the bony vertebra. This causes the bone fragments to pinch and damage the spinal cord. Fractures can occur anywhere along the spine but the most common site of fracture is the lower back.

What causes spinal fractures?

Spinal fractures are often a result of the following-

• A sudden traumatic injury
• A high-velocity accident
• Falling from a height
Sports injuries
• Spinal instability
• A whiplash

Types of spinal fractures:

Spinal fractures are classified into three categories, such as the following-

• Compression fracture - If you exert excessive pressure on the vertebra, it will break. This type of fracture occurs when the bones in the spine become fragile or weak to the extent that they easily crumble. People living with osteoporosis, certain types of cancer or tumours are prone to a compression fracture.

• Dislocation - When the discs and/or ligaments linking the vertebrae is torn or stretched, the bones may dislocate or come out of alignment.

• Fracture-dislocation - Torn ligament and broken bone lead to this condition. A fracture-dislocation is a debilitating condition and often requires surgical intervention.

Symptoms of spine fractures:

Following an accident or an injury, you can tell if you have ended up fracturing your spinal column by identifying these symptoms-

• Excruciating pain
Tingling sensation
Numbness
Muscle spasm
• Swelling of the muscle
• Sudden onset of back pain
• Restricted spinal mobility
• The pain worsens if you walk or stand for long
• Deformity or disability of the spine

How are spinal fractures treated?

Spinal fracture treatment begins with administering pain-management drugs and medications to ease the symptoms, and stabilization methods to prevent injury. Depending on the nature of the fracture, your doctor may follow these lines of treatment-

• Fusion and instrumentation - These are surgical procedures to cure unstable fractures. Fusion refers to the joining of the vertebrae using a bone graft along with hardware such as hooks, rods, plates, or pedicle screws. The bone graft joins the vertebrae below and above to form a solid piece of bone.

• Kyphoplasty and vertebroplasty - These are minimally invasive procedures, wherein the surgeon injects bone cement into the fractured body through a needle. During kyphoplasty, the surgeon first inserts and inflates a balloon to expand the compressed vertebrae and then fills it with bone cement.

Spinal fractures are an extremely uncomfortable and painful condition to live with. It can hinder your day-to-day activities and affect your quality of life. It is imperative that you seek immediate treatment if you end up with fractures or dislocation of the spine.

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Hand Fracture - Exercise That Can Be Beneficial Post It!

Hand Fracture - Exercise That Can Be Beneficial Post It!

A hand fracture is a condition characterized by discontinuity in the alignment of bones of the hand. The bones in the hand include the bones that are present in the wrist, palm and fingers. A fracture of the hand tends to occur commonly due to a fall on the outstretched hand. It may also be caused by injuries related to sports and falls.

Symptoms:

Swelling and pain are the most common symptoms of fracture. The range of motion for the affected hand will be reduced as well. The knuckle bone may appear to have been sunken in due to swelling in case of fracture in the palm bones (metacarpal bones). Most obviously, it will be difficult in carrying out regular tasks like squeezing or gripping which need the hands.

Therapies:

The initial treatment for a hand fracture will be focused on reducing the pain. Pain relieving medications such as ibuprofen will be administered which provides relief from the pain. The next step will be to keep the affected hand immobilized to enhance the healing process. Once stability is restored, therapeutically relevant exercises are prescribed to help normalize the regular hand movements and hand functions.

The following exercises are relevant in case of a hand fracture:

1. Wringing a towel: This is an exercise wherein you wring a towel to improve flexibility and strength in the hand. Simply grab a towel and twist it in both directions; imagine wringing water from the towel.

2. Rolls of the wrist: Wrist rolls aim to increase the ROM (range of motion) in your wrists and the hands. Hold the hand steady and rotate your wrists both clockwise and anticlockwise. You can also hold a lightweight in your hand to make it more challenging.

3. Prayer stretch: A prayer stretch is another exercise that can help boost your wrist flexibility. You start by positioning the palms together like in prayer, then hold up the elbows while pushing the hands against each other. You should feel a stretch in your wrists and hands.

4. Grasping: This is a technique wherein you grasp objects to improve your grip strength. Try gripping objects such as a tennis ball or stress balls to get your gripping ability up to normal levels.

Caution: If pain or swelling appears, stop the exercises immediately. Consult a physiotherapist for advice specific to your condition.

Bone Fracture - What Are The Types & Causes Of It?

Bone Fracture - What Are The Types & Causes Of It?

A 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 is most common in children and in old age people.

Causes of Bone Fracture:

A 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:

  1. Complete fracture: This type of fracture refers to complete breakage of the bone wherein the fracture may occur at various parts of the bone.
  2. Incomplete fracture: In this type of fracture, the bone partially breaks instead of splitting entirely.
  3. Compound fractures: This is a type of a fracture wherein the bone breaks past the skin. It is also known as an open fracture.
  4. Simple fracture: In this type of a fracture, the bone breaks without causing an open wound on the skin.

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 given by an expert Orthopedic. 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.

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Shikhar Dhawan Ruled Out Of World Cup For 3 Weeks - What Should You Know?

Shikhar Dhawan Ruled Out Of World Cup For 3 Weeks - What Should You Know?

In a shocking news for all the Indian cricket fans, opening batsman Shikhar Dhawan has been ruled out of the World Cup 2019 for at least three weeks owing to a hairline fracture in the thumb.

He sustained the fracture en route to his match-winning 117-run knock against Australia. Despite having a fractured thumb, he continued playing and ensured his team posts a comprehensive total on the board.

When the entire country is saddened by the news, here we are with all the relevant information regarding the condition.

Hairline Fracture: What causes it?

A hairline fracture is one of the most common types of sports injuries. A hairline fracture on the thumb usually occurs when a portion of your wrist suffers a blow or direct stress from an external force. The thumb may be bent down or pulled back, triggering intense pain.

The most common causes of hairline fractures are –

  • Repetitive activity or overuse
  • Increase in the frequency or duration of the activity

Symptoms of Hairline Fracture:

Hairline fractures are characterized by the following symptoms –

  • Excruciating pain
  • Swelling
  • Inability to move the injured part
  • Bruising
  • Tenderness

Over time, the symptoms usually get worse, especially if you engage in strenuous activities and heavy weightlifting. You should speak with your doctor and discuss the treatment plan in case the pain worsens. 

Treatment and Recovery:

Hairline fractures require immediate attention. The condition, once diagnosed, must be treated right away.

The doctor will likely recommend the following treatment methods –

  • RICE The RICE method is a simple, self-care technique that combines Rest, Ice, Compression, and Elevation. You can get some relief by resting and applying an ice pack on the injured area. You should also compress the area and keep it elevated for faster recovery.
  • Medications – Certain medications, such as painkillers and Non-steroidal Anti-inflammatory Drugs (NSAIDs) can help reduce swelling and pain. 

The line of treatment depends on the severity and site of the injury. You might have to wear a splint for a couple of days. You will notice an improvement in the condition within a few weeks. However, under normal circumstances, complete recovery from a hairline fracture takes about 6-8 weeks. 

Ways to Prevent Hairline Fractures:

A little caution and some preventive measures such as the following can help prevent hairline fractures –

  • Use superior-quality exercise equipment
  • Wear insoles for heels to support anatomical abnormalities
  • Make sure that changes made in the intensity, frequency, or duration of your activity are gradual and not abrupt
  • Get sufficient rest in between activities/exercises
  • Eat a balanced and healthy diet, which incorporates the right amount of vitamins and calcium
  • Do not ignore an existing injury, which might potentially lead to a hairline fracture. Consult a doctor/ physiotherapist immediately.

Hairline fractures are common in athletes as well as non-athletes. It is important that you identify the symptoms early and seek appropriate treatment. Besides, take adequate measures to avoid such injuries in the first place.

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Ways To Deal With Fractured Bones!

Ways To Deal With Fractured Bones!

A bone may break due to several reasons starting from a fall or an injury or a condition like osteoporosis that makes the bones brittle and leaves them susceptible to fractures. The fracture usually takes a few weeks to get fixed as the broken bones grow back together with the help of various forms of treatment including plaster and sling applied by the orthopedic specialist or general physician. Find out more about how bones heal with this article.

Types of fracture: Before we get to the subject of how bones heal, it is important to understand the various kinds of fractures recognized by doctors. The first kind is the complete fracture where the bone breaks into two distinct parts. The next kind is the greenstick fracture or hairline fracture where there is simply a crack on one side of the bone due to pressure. Further, there is a single fracture which occurs where there is breakage of the bone only in one place. A bowing fracture may occur when the bones bend instead of breaking completely. This kind of fracture is pretty common for children. The comminuted fracture happens when the bone is crushed or broken in many places. And finally, the open fracture is one where the bone ends up protruding from the skin.

Treatment: Once you have broken a bone, the doctor will conduct an X-ray which will help in understanding the type of fracture and the extent of the damage caused. The doctor will then apply a cast and plaster that will help in bringing the bone back to its normal position so that it grows back with the main bone. In case the bone has broken in various parts or there is a complete fracture, then the doctor may even insert metal pins.

  1. Natural healers: Bones are known as natural healers that can heal with the process of new cells and vessel production which rebuilds the bone by covering the broken ends and closing the gap caused due to the damage or the crack.
  2. Clot: Once a bone has broken, a blood clot or callus forms in the surrounding region, which kind of acts towards sealing the area.
  3. Threads: Once these clots have formed, the new threads of the bone cells begin to grow slowly from the ends of the broken bones. This will grow on both sides of the affected and fractured bones, almost as if drawing a line from one broken end to another.
  4. Absorption: Finally, the callus will be absorbed by the new cell and the gap will close.

 

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