Broken bone and fever
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While the word fracture conjures up images of broken bones, it is simply another name for a broken bone. Fractures are very common, as you may recall from your own childhood. In fact, among children under the age of six, they are the fourth most common injury. The majority of fractures in this age group are caused by falls, but car accidents typically result in the most severe bone breaks.
A broken bone in a child differs from a broken bone in an adult because young bones are more resilient and have a thicker coating, allowing them to withstand more shock. Fractures in children are seldom repaired surgically. They generally only need to be kept motionless, which is usually achieved with the aid of a molded cast.
Most fractured bones in children are either “greenstick” fractures, in which the bone bends like green wood and only splits on one side, or “torus” fractures, in which the bone buckles, twists, and weakens but is not entirely broken. A “bend” fracture is a bone that has been bent but not broken, and it is fairly common among children. In young children, “complete” fractures, in which the bone breaks all the way through, are also common.
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Since bacteria enter the body after the traumatic event, infections are common after fractures. Bacteria can reach the body during surgery to set broken bones or later, after the fracture has healed, though this is rare.
An “open” or compound fracture occurs when a bone fractures in such a way that bone fragments protrude through the skin or a wound penetrates down to the bone. Outside pathogens, such as bacteria, are normally blocked by the skin. Bacteria can quickly migrate down the broken bone when the skin is broken, resulting in infection.
The doctor slices through skin and soft tissues to enter the fractured bone during surgery to heal a fracture. In this environment, the risk of infection is very low, generally less than 1% in healthy persons, but this varies depending on the injury and the procedure performed. Antibiotics are given prior to surgery to reduce the risk of infection.
An infection at the surgical site may occur less often, even after the injury has healed.
Bacteria join the body during another surgical operation (such as a tooth extraction or root canal) and travel to the implants used to treat the fracture.
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Within families, some folklore is passed down from generation to generation. “If you don’t throw up, it isn’t broken,” my grandmother maintained. Before beginning medical school at CU, I was finishing up my bachelor’s degree at the University of Florida. I dropped, jumped on, and probably broke my outstretched hand while leaving a Gators football game. “Did you throw up?” my mother wondered. I didn’t do it. “Well, then you didn’t split it,” she replied. When a broken bone heals in an irregular position, it is called a malunion. It can be caused by a failure to seek medical attention after a break. To surgically realign the fracture and allow it to heal properly, the bones in my hand had to be rebroken. I went on to become an orthopedic surgeon after graduating from the University of Colorado. I can assure you that throwing up is not a guarantee that you have broken anything.
A fracture is the same as a fractured bone. A fall, a car accident, sports injuries, or osteoporosis, which is when bones weaken as a result of age, may all cause it. How can you tell if it’s really broken? Swelling, warm bruising, redness, tenderness to the touch, fatigue, a “pop” at the time of the fracture, and discomfort are all symptoms of a broken bone. A fracture’s pain is usually so intense that you can’t place much weight on the injured leg or foot, and you lose grip power in your arm or hand. Deformity is another visible symptom of a fractured bone. The injured area may appear crooked or lumpy due to swelling. I had all of these signs but didn’t vomit. If you are experiencing some of the signs of a broken bone, you should see an orthopedic surgeon as soon as possible. You don’t want your fractures to heal poorly, as mine did.
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A fracture is a crack in the bone that is either partial or complete. Breaks and fractures are the same thing. Fractures are categorized in a variety of ways based on the form and location of the bone break. Closed reduction and casting can be used to treat most fractures in infants.
The history of the injury (what happened? ), the physical examination (what does it look like?) and radiographs are all used to diagnose a fractured bone (x-rays). X-rays are a diagnostic tool that helps us to see your bones and decide whether you have a fracture or injury.
Fractures occur when the bone is exposed to more force than it can withstand. When bones are bent, they become the weakest. Umbles and trauma are common causes of fractures. Children’s fractures vary from adult fractures in a variety of ways. For starters, every long bone in a child’s body has growth plates (also known as physes). The physes are in charge of a bone’s longitudinal development. Fractures may pass through the growth plate, posing a new set of problems.