Saturday, April 24, 2010

Fracture

DEFINITIONS
Broken bones (fractures) is the breakdown of bone, usually accompanied by injuries to the surrounding tissue.

Types of fractures:

a
1. Closed fractures (broken bones simplex).A broken bone is not visible from the outside.2. Open fracture (compound fracture).A broken bone looks from the outside because the bone has penetrated through the skin or skin laceration.Open fracture more easily infected.3. Compression fractures (broken bones because of the emphasis).Is the result of a force that moves against other bones or bone is pressing against the power of bone length.Often occurs in older women who become vulnerable due to spinal osteoporosis.4. Because the crushed bone fractures.Very great power caused some cracks that resulted in several broken bones.If blood flow to the affected bone disorder, then the healing will be running very slow.5. Avulsion fractures.caused by strong muscle contractions, so the interesting part of the bone where the muscle tendon is attached.Most often occur on the shoulder and knee, but can also occur in the legs and ankles.6. Pathological fractures.Occur if a tumor (usually cancer) has grown into the bone and cause bones to become brittle.Fragile bones that can break bones even with minor injuries or no injuries at all.
 
Type of fracture type fracture
CAUSE
Most fractures are the result of injury, such as car accidents, sports or a fall.
Fractures occur when force is greater than the bone against bone strength.The type and severity of fractures is influenced by:- The direction, speed and strength of the force against the bone- Age of patients- Flexibility bone- Types of bone.With the power that is very light, fragile bones due to osteoporosis or tumor may have a broken bone.
SYMPTOMS
Pain is usually a symptom that is very real.Pain can be very severe and usually the longer it gets worse, especially if the affected bone is moved.Touching the area around the broken bone can also cause pain.
Tool motion can not function properly, so the patient can not move her arm, standing on one leg or with his hands clasped.
Blood can leak from a broken bone (sometimes in a rather large amount) and enter the surrounding tissue or out of the wounds caused by injury.
Fractures
 
DIAGNOSIS
X-rays usually can show the existence of fractures.
Sometimes it is necessary for a CT scan or MRI can see more clearly the areas that suffered damage.
If the bones began to improve, x-rays are also used to monitor healing.
TREATMENT
The goal of treatment is to place the ends of broken bones to each other so close together and to keep them attached properly.The healing process takes a minimum of four weeks, but in the elderly usually require a longer time.Once healed, the bones strong and back functioning normally.
In some fractures, carried pembidaian to restrict movement.With this treatment is usually a broken collarbone (especially in children), shoulder bones, ribs, toes and fingers, will recover completely.
 

gips
Other fractures should really not be driven (immobilization).Immobilization can be done through:# Pembidaian: hard object placed in the area around the bone.# Installation of gypsum: a strong material that wrapped around the broken bone# Withdrawals (traction): using weights to hold a limb in place. It is now rarely used, but once the main treatment for hip fractures.# Internal Fixation: surgery to place a dish or a metal rod on the bone fragments. Is the best treatment for hip fractures and fractures with complications.
Immobilization arm or leg causing the muscles become weak and shrinking. Because the majority of patients need to undergo physical therapy.Therapy begins at the time of immobilization performed and continued until pembidaian, plaster or traction has been released.In particular fractures (especially hip fractures), to achieve complete healing, patients need to undergo physical therapy for 6-8 weeks or sometimes longer.
 
source : http://www.dokter-online.org   

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