![]() ![]() This mechanism is analogous to the crumple zones in cars. As the bone buckles (or crushes), instead of breaking, they are a stable injury as there is no displacement of the bone. Torus fractures are low risk and may cause acute pain. The word "torus" originates from the Latin word "protuberance." A radiograph image of a torus (buckle) fracture Simplified diagram of a buckle fracture Signs and symptoms The compressive force is provided by the trabeculae and is longitudinal to the axis of the long bone, meaning that the fracture itself is orthogonal to that axis. As the bulge is only on one side of the bone, this injury is can be classified as an incomplete fracture. It is a common occurrence following a fall, as the wrist absorbs most of the impact and compresses the bony cortex on one side and remains intact on the other, creating a bulging effect. Open fractures, fractures that cannot be repositioned during a closed reduction, and fractures that are accompanied by nerve or vascular injuries require open surgery or open reduction and internal fixation.A Torus fracture, also known as a buckle fracture is the most common fracture in children. The pins and cast are removed after healing has begun, a few weeks after surgery. A splint is applied to protect the area for the first week, then is typically replaced with a cast. The pins are inserted through the skin, into the bone and across the fracture. In this procedure, the displaced bone fragments are repositioned during closed reduction and held in place with metal pins. If the bone fragments are displaced, surgery may be required to ensure that the fracture heals fully.Ĭlosed reduction and percutaneous pinning. Your doctor may schedule additional x-rays to make sure the bones stay in place as they heal. ![]() Your child will be given some form of sedation or anesthesia for this procedure. In this procedure-called a closed reduction-your doctor gently moves the arm to manipulate the bones back into place. In some stable elbow fractures, the bones may need to be repositioned before applying a splint or cast. As swelling subsides, a full cast may replace the splint. In many cases, a splint is applied to a fresh injury first. ![]() Splints provide less support than casts however, they can be easily adjusted to accommodate swelling from injuries. If the fracture is stable with no displacement, your doctor may directly apply a splint or cast to keep the bones in proper alignment while they heal. Many stable fractures heal successfully with cast or splint immobilization. Treatment for elbow fractures depends on the type of fracture and the degree of displacement. For this reason, it is important that the fracture be treated correctly at the time of the initial injury. If an elbow fracture heals in the wrong position, the elbow may remain permanently crooked and have limited range of motion. An open fracture may involve damage to the muscles, tendons, and ligaments and take a longer time to heal. When a broken bone breaks through the skin, it is called an open fracture. If the dislocation is not recognized, and only the fracture is treated, it can lead to permanent impairment of elbow joint function. A fracture of the ulna associated with a dislocation of the top of the radius at the elbow is called a Monteggia fracture. Fractures of the tip (olecranon) of the ulna are rare.įracture dislocation. Because growth plates help determine the length and shape of the mature bone, a fracture that disrupts the growth plate can result in arrested growth and/or deformity if not treated promptly.įorearm. A fracture can occur at the top (head) of the radius bone, causing it to move out of place. The upper arm bone and both forearm bones have areas of cartilage called growth plates located near the end of the bone. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2003. Reproduced and adapted from J Bernstein, ed: Musculoskeletal Medicine. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |