Dr. Sana Altaf BSPT (LMDC), MS-OMPT* (RIU) Common bone injuries Dr. Sana Altaf BSPT (LMDC), MS-OMPT* (RIU)

Disruption in the continuity of bone.

Nature of fracture depends upon; Direction of load Magnitude of load Loading rate Duration Health of bone

Classification of fractures

types Bone end remains within surrounding soft tissues. Simple/Closed fractures Compound/Open fracture Bone end remains within surrounding soft tissues. One or both end protrude out of the skin.

KEVIN WARE’s injury !

Transverse fracture Fracture travels across the bone. Common In blunt trauma i.e., RTA, fall etc

Fissure / linear fracture Cracks or fissure lines will occur when direct trauma is applied to any long or flat bone. Generally the fissures are formed in one cortex of the bone and are covered by an intact periosteum.

Comminuted fracture The fracture has more than two parts, multiple fragments are present.

OBLIQUE FRACTURE An oblique fracture occurs at an angle other than right angle to the axis of bone. Bending, with superimposed compression. Tends to occur in longer bones. *diagonal*

Spiral / torsion fractures These fractures are typically caused by a twisting force and result in spiral type of fracture. Occur when one end of an extremity is fixed (e.g., a foot is planted on the floor) but the rest of the extremity remains in motion. *twisting force*

Greenstick fracture In young children, the bones are not yet solid and when force is applied, it tends to bow and not break completely through. The term comes from a similar situation when trying to break a young branch off a tree.

AVULSION FRACTURE A small chunk of bone attached to a tendon or ligament gets pulled away from the main part of the bone.

Impacted fracture* A buckled fracture, also known as an impacted fracture, is one whose ends are driven into each other.

Stress / fatique fractures* Repeated loading of low magnitude force. Stress reaction ?

RECALL !

Comminuted fracture

Comminuted fracture + open

Greenstick fracture

Spiral fracture

Transverse fracture

Thank you for your patience !