Bone Fractures Essay, Research Paper
Bone Fractures
“Thank goodness it’s only a fracture. I thought it might be broken.” People
often think that a fracture is less severe than a broken bone, but fractures are broken
bones.
To understand why bones break, it helps to know what bones do and what
they are made of. The bones of the body form the human frame, or skeleton, which
supports and protects the softer parts of the body. Bones are living tissue. They
grow rapidly during one’s early years, and renew themselves when they are broken.
Bones have a center called the marrow, which is softer than the outer part of
the bone. Bone marrow has cells that develop into red blood cells that carry oxygen
to all parts of the body and into white blood cells that help fight disease. Bones also
contain the minerals calcium and phosphorus. These minerals are combined in a
crystal-like or latticework structure. Because of their unique structure, bones can
bear large amounts of weight.
Bones are rigid, but they do bend, or “give” somewhat when an outside force
is applied to them. When this force stops, bone returns to its original shape. For
example, if you fall forward and land on your outstretched hand, there’s an impact
on the bones and connective tissue of your wrist as you hit the ground. The bones of
the hand, wrist and arm can usually absorb this shock by giving slightly and then
returning to their original shape and position. If the force is too great, however,
bones will break, just as a plastic ruler breaks after being bent too far.
The severity of a fracture usually depends on the force that caused the
fracture. If the bone’s breaking point has been exceeded only slightly, then the bone
may crack rather than breaking all the way through. If the force is extreme, such as
in an automobile collision or a gunshot, the bone may shatter. If the bone breaks in
such a way that bone fragments stick out through the skin or a wound penetrates
down to the broken bone, the fracture is called an “open” fracture. This type of
fracture is particularly serious because once the skin is broken, infection in both the
wound and the bone can occur.
Because fractures hurt and make it difficult if not impossible to use the part of
the body that is injured, most people call a doctor or seek emergency care quickly.
In some cases, however, a person can walk on a fractured bone in the leg or foot, or
use a fractured arm. Just because you can use your hand or foot does not mean that
you do not have a fracture. If you think a bone may be broken, you should seek
medical help immediately. A medical examination and x-rays are usually necessary
to tell for sure and to ensure proper treatment.
It is very important to control the movement of a broken bone. Moving a
broken or dislocated bone can cause additional damage to the bone, nearby blood
vessels, and nerves or other tissues surrounding the bone. That’s why people giving
first aid or emergency treatment may splint or brace your injury before medical
treatment is given. Also, if there is an open wound it should be covered by a clean
cloth or bandage on the way to further medical treatment.
At the emergency room, clinic or doctor’s office, the physician usually applies
a splint to prevent further damage, to lessen the pain and to help stop any bleeding.
The patient is usually asked to recline and elevate the injured part. Elevation helps
to reduce bleeding and swelling.
X-rays can help the physician determine whether there is a fracture, and if so,
what type of fracture it is. If there is a fracture, the doctor will “reduce” it, by
restoring the parts of the broken bone to their original positions. “Reduction” is the
technical term for this process.
All forms of treatment of broken bones follow one basic rule: the
broken pieces must be put back into position and prevented from moving out
of place until they are healed. Broken bone ends heal by “knitting” back
together with new bone being formed around the edge of the broken parts.
The specific method of treatment depends on the severity of the break,
whether it is open or closed, and the specific bone involved.
There are many different treatments for bone fractures.
A plaster or fiberglass cast is the most common type of fracture treatment,
because most broken bones can heal successfully once they have been
repositioned and a cast has been applied to keep the broken ends in proper
position while they heal.
The cast or brace allows limited or “controlled” movement of nearby joints.
This treatment is desirable for some but not all fractures.
Traction is usually used to align a bone or bones by a gentle, steady pulling
action. The pulling force may be transmitted to the bone through skin tapes or
a metal pin through a bone. Traction may be used as a preliminary treatment,
before ot
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