Describe the types of fractures, the healing process in bone,and potential complications.

Principles Of Radiographic Imaging: An Art And A Science
6th Edition
ISBN:9781337711067
Author:Richard R. Carlton, Arlene M. Adler, Vesna Balac
Publisher:Richard R. Carlton, Arlene M. Adler, Vesna Balac
Chapter36: Bone Densitometry
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Describe the types of fractures, the healing process in bone,
and potential complications.

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Step 1

In a bone fracture, the continuity of the bone is broken. A significant percentage of bone fractures are caused by high force impact or stress.

A fracture can, however, be caused by a number of medical conditions that weaken the bones. Among these are osteoporosis and some malignancies.

Types of fractures:

*Avulsion fractures occur when a muscle or ligament pushes on a bone, causing it to fracture.

*An impact breaks the bone into several fragments, resulting in a comminuted fracture.

*Compression, or crush, fracture: This occurs most commonly in the spine's spongy bone. Osteoporosis, for example, can cause the front half of a vertebra to collapse.

*When a joint dislocates and one of the joint's bones fractures, this is known as fracture-dislocation.

*Greenstick fracture: The bone breaks partially on one side, but not totally because the rest of the bone can bend.

*Hairline fracture: A hairline fracture is a thin, partial bone fracture.

*Impacted fracture: When a bone breaks, a portion of it, may strike another bone.

*Articular fracture: When a fracture extends into the joint's surface, it's called an articular fracture.

*The term "longitudinal fracture" refers to a fracture that runs the length of the bone.

*Oblique fracture: An oblique fracture happens when a bone's long axis is broken in the opposite direction.

*Pathological fracture: When an underlying ailment weakens the bone and causes a fracture, this is referred to as a pathological fracture.

*Spiral fracture: At least one component of the bone twists during a break.

*A stress fracture occurs when a bone is strained and stressed repeatedly. This is a highly regular occurrence in sportsmen.

A transverse fracture is a crack in the bone that runs parallel to the surface.

Step 2

Types of Healing process:

1. Direct Healing:

There is no callous formation with this type of bone healing. With firm fixation, good anatomic reduction, and alignment, direct bone healing occurs.

*There is no cartilaginous stage

*Fragments are immobile

*Healing can be difficult to detect radiographically

2. Indirect Healing:

A callous grows as a result of this sort of bone healing. The most prevalent method of bone healing is indirect. Indirect bone healing is characterised by a lack of strict fixation but an increase in tissue rigidity as the healing process develops. More stress-tolerant tissues initially bridge the fracture. Due to the mobility of fracture pieces, callus develops over time.

Step 3

Process of healing:

Process of Direct Healing:

Fracture healing is a complicated process that can take one of two forms: direct or indirect. Cells, signalling pathways, and numerous chemicals must all be integrated in both types of healing. When adjacent bone cortices come into contact with one another during direct (or primary) healing, intramembranous bone growth occurs. When surgical fixation is utilised to heal a broken bone, this is the most common complication. Direct bone healing does not result in the production of calluses.

Process of Indirect Healing:

Intramembranous and endochondral bone creation, callus formation, and final solid bone remodelling are all part of indirect (or secondary) healing. The bone formation that begins with an underlying cartilage scaffold is known as endochondral bone creation.
Callus formation is a characteristic of indirect fracture healing. Indirect fracture healing is most common when a fracture is treated with a cast or similar nonsurgical treatment.

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