Fractures and Dislocations - Symptoms, Causes, Treatment

Ruhi Singh
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Fractures: Fractures are breaks in bones that can occur due to various reasons, including trauma, overuse, and underlying medical conditions. The image highlights several common types of fractures:

Clavicle Fracture

Causes: Often caused by direct falls onto the shoulder or trauma during birth.

Symptoms: Pain, swelling, and tenderness in the collarbone area.

Treatment: Typically treated with a sling for 4-6 weeks, followed by physical therapy.

Shoulder Fracture

Causes: Common in elderly individuals with rotator cuff tears.

Symptoms: Pain, swelling, and limited shoulder motion.

Treatment: Immobilization for 2-3 weeks, followed by passive range of motion exercises and light strengthening exercises at 6 weeks.

Fractures and Dislocations - Symptoms, Causes, Treatment

Humerus Fracture

Causes: Can occur due to falls or direct blows to the upper arm.

Symptoms: Pain, swelling, and deformity in the upper arm.

Treatment: May require surgery (ORIF) for displaced fractures.

Supracondylar Fracture

Causes: Common in children due to falls on an outstretched hand.

Symptoms: Pain, swelling, and deformity in the elbow area.

Treatment: Posterior long arm cast for displaced fractures.

Radial Head Fracture

Causes: Often caused by falls on an outstretched hand.

Symptoms: Pain, swelling, and tenderness in the lateral elbow.

Treatment: Long arm cast and sling.

Nightstick Fracture

Causes: Caused by a direct blow to the ulna bone.

Symptoms: Pain, swelling, and tenderness along the ulna.

Treatment: Functional brace.

Colles Fracture

Causes: Caused by falling on an outstretched hand, resulting in a dorsal (backward) angulation of the wrist.

Symptoms: Pain, swelling, and deformity in the wrist.

Treatment: Reduction or casting.

Smith Fracture

Causes: Caused by falling on a flexed wrist, resulting in a volar (forward) angulation of the wrist.

Symptoms: Pain, swelling, and deformity in the wrist.

Treatment: Sugar-tong splint.

Scaphoid Fracture

Causes: Caused by falling on an outstretched hand.

Symptoms: Pain in the anatomical snuffbox (the depression between the base of the thumb and the wrist).

Treatment: Thumb spica cast for 10 weeks.

Boxer's Fracture

Causes: Caused by punching with a clenched fist.

Symptoms: Pain, swelling, and deformity in the metacarpal bones of the hand.

Treatment: Ulnar gutter splint at 60 degrees of flexion.


Fractures and Dislocations


Dislocations: Dislocations occur when bones are displaced from their normal position at a joint. The image illustrates several common types of dislocations:

Shoulder Dislocation

Causes: Can occur due to sports injuries or falls.

Symptoms: Pain, swelling, and deformity in the shoulder area.

Treatment: Reduction under sedation or anesthesia, followed by immobilization in a sling and physical therapy.

Radial Head Subluxation

Causes: Caused by pulling upward on a child's arm.

Symptoms: Lateral elbow pain.

Treatment: Holding the arm in flexion and pronation, and applying a splint.

Hip Dislocation

Causes: Can occur due to high-impact trauma, such as falls or motor vehicle accidents.

Symptoms: Severe hip, groin, or thigh pain.

Treatment: Closed reduction under conscious sedation or open reduction if closed reduction fails.

Knee Dislocation

Causes: Caused by high-impact injuries, such as motor vehicle accidents or sports injuries.

Symptoms: Severe pain, swelling, and deformity in the knee area.

Treatment: Early reduction is essential to prevent complications.

Ankle Dislocation

Causes: Can occur due to falls, motor vehicle accidents, or sports injuries.

Symptoms: Pain, swelling, and deformity in the ankle area.

Treatment: Reduction and immobilization in a cast.

Additional Considerations

Stress Fractures: These are tiny cracks in the bone that can occur due to overuse or repetitive stress. They are common in athletes and military personnel.

Maisonneuve Fracture: This is a fracture of the proximal fibula that is often associated with a dislocation of the ankle joint.

Compartment Syndrome: This is a serious condition that can occur after a fracture or dislocation. It is caused by increased pressure within a compartment of the body, which can damage nerves and blood vessels.

FAQs about Fractures and Dislocations

What is the difference between a fracture and a dislocation? 

A fracture is a break in the bone, while a dislocation occurs when the bones in a joint are displaced from their normal position.

What are the common symptoms of a fracture or dislocation?

Common symptoms include pain, swelling, bruising, deformity, and difficulty moving the affected area.

What is the first aid treatment for a suspected fracture or dislocation?

  • Do not attempt to move or realign the injured area.
  • Apply ice to reduce swelling.
  • Elevate the injured area above the heart to reduce swelling.
  • Apply a splint or sling to immobilize the injured area.
  • Seek immediate medical attention.

What is a stress fracture?

A stress fracture is a tiny crack in the bone caused by repetitive stress. It's common in athletes and people who engage in high-impact activities.

What is a compound fracture?

A compound fracture is a fracture where the broken bone pierces the skin.

What is a hairline fracture?

A hairline fracture is a very small crack in the bone that is often difficult to see on X-rays.

What is a shoulder dislocation?

A shoulder dislocation occurs when the head of the humerus bone slips out of the shoulder socket.

What is a hip dislocation?

A hip dislocation occurs when the ball-shaped head of the femur bone slips out of the hip socket.

What is a knee dislocation?

A knee dislocation occurs when the bones in the knee joint are forced out of their normal position.

How are fractures and dislocations treated?

Treatment may involve immobilization, medication, physical therapy, or surgery.

How long does it take to recover from a fracture or dislocation?

Recovery time varies depending on the severity of the injury and the type of treatment received.

What are the potential complications of a fracture or dislocation?

Potential complications include infection, nerve damage, and chronic pain.