![]() ![]() Keeping your arm from moving and elevating it will decrease swelling.įixation devices - such as wires, plates, nails or screws - might be needed to hold your bones in place during healing. ![]() ![]() If the fracture didn't break the skin, your doctor might wait to do surgery until the swelling has gone down. Surgery is required to stabilize some fractures. In most cases, it's important, if possible, to begin some motion to minimize stiffness in your arm, hand and shoulder while you're wearing your cast or sling.Īfter your cast or sling is removed, your doctor might recommend additional rehabilitation exercises or physical therapy to restore muscle strength, joint motion and flexibility. Rehabilitation begins soon after initial treatment. If you have an open fracture, in which you have a wound or break in the skin near the wound site, you'll likely be given an antibiotic to prevent infection that could reach the bone. Ask your doctor if you can take them for pain relief. Nonsteroidal anti-inflammatory drugs can help with pain but might also hamper bone healing, especially if used long term. If your pain is severe, you may need a prescription medication that contains a narcotic for a few days. To reduce pain and inflammation, your doctor might recommend an over-the-counter pain reliever. Your doctor might ask you to return for X-rays during the healing process to make sure the bones haven't shifted. In the meantime, you'll likely wear a splint. Before applying a cast, your doctor will likely wait until the swelling goes down, usually five to seven days after injury. Restricting movement of a broken bone, which requires a splint, sling, brace or cast, is critical to healing. Depending on the amount of pain and swelling you have, you might need a muscle relaxant, a sedative or even a general anesthetic before this procedure. If you have a displaced fracture, your doctor might need to move the pieces back into position (reduction). This type of fracture is also more common in children. One side of the bone is compressed, which causes the other side to bend (buckle). Most broken bones in children are greenstick fractures because children's bones are softer and more flexible than are those of adults. The bone cracks but doesn't break all the way - like what happens when you bend a green stick of wood. The bone is broken into pieces, so it might require surgery. Surgery might be required to realign the fragments. The bone fragments on each side of the break aren't aligned. The broken bone pierces the skin, a serious condition that requires immediate, aggressive treatment to decrease the risk of infection. The time needed for healing depends on a variety of factors, including severity of the injury other conditions, such as diabetes your age nutrition and tobacco and alcohol use.įractures are classified into one or more of the following categories: A torus is the convex portion of the upper part of the base of a Greek column and resembles the appearance of the cortical buckling seen in the "column" of bone which has been fractured in the pattern discussed in this article.Treatment of a broken arm depends on the type of break. The term torus is the Latin word meaning protuberance. Sometimes a cast may be applied, but often a splint is all that is required with a period of rest and immobilization. They are self-limiting and typically do not require operative intervention, although a manipulation may be required if the angulation is severe. In some cases, angulation is the only diagnostic clue Subtle deformity or buckle of the cortex may be evident This most commonly occurs at the distal radius or tibia following a fall on an outstretched arm the force is transmitted from carpus to the distal radius and the point of least resistance fractures, usually the dorsal cortex of the distal radius. PathologyĬortical buckle fractures occur when there is axial loading of a long bone. There has been a single case report of a torus fracture of the distal radius in an adult 9. In adults, the commonest form of torus fracture by far is a buckle fracture of the ribs. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. However, the terms are often used interchangeably. Strictly speaking, a torus fracture refers to a circumferential buckle fracture 7. ![]()
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