OUR INSTITUTES: CANCER | HEART | NEUROSCIENCE | ORTHOPAEDICS
 
 

Pediatric Health Library :: Pediatric Health Library Topics
Share |
Printer Friendly
ORTHOPAEDICS

Fractures

What is a fracture?

A fracture is a partial or complete break in the bone. When a fracture occurs, it is classified as either open or closed:

  • open fracture (Also called compound fracture.) - the bone exits and is visible through the skin, or a deep wound that exposes the bone through the skin.
  • closed fracture (Also called simple fracture.) - the bone is broken, but the skin is intact.

Fractures have a variety of names. Below is a listing of the common types that may occur in children:

  • greenstick - incomplete fracture. The broken bone is not completely separated.
Illustration of greenstick fracture
Click Image to Enlarge
  • transverse - the break is in a straight line across the bone.
Illustration of transverse fracture
Click Image to Enlarge
  • spiral - the break spirals around the bone; common in a twisting injury.
Illustration of spiral fracture
Click Image to Enlarge
  • oblique - diagonal break across the bone.
Illustration of oblique fracture
Click Image to Enlarge
  • compression - the bone is crushed, causing the broken bone to be wider or flatter in appearance.
Illustration of a compression fracture
Click Image to Enlarge
  • comminuted - the break is in three or more pieces.

What causes a fracture?

Fractures occur when there is more force applied to the bone than the bone can absorb. Bones are weakest when they are twisted.

Breaks in bones can occur from falls, trauma, or as a result of a direct blow or kick to the body.

A child's bone differs from adult bone in a variety of ways:

  • A child's bone heals much faster than an adult's bone. The younger the child, the faster the healing occurs.
  • Bones are softer in children and tend to buckle or bend rather than completely break.
  • Children have open growth plates, also called epiphysis, located at the end of the long bones. This is an area where the bone grows. Injury to the growth plate can lead to limb length discrepancies or angular deformities.

What are the symptoms of a fracture?

The following are the most common symptoms of a fracture. However, each child may experience symptoms differently. Symptoms may include:

  • pain in the injured area
  • swelling in the injured area
  • obvious deformity in the injured area
  • difficulty using or moving the injured area in a normal manner
  • warmth, bruising, or redness in the injured area

The symptoms of a broken bone may resemble other conditions. Always consult your child's physician for a diagnosis.

How is a fracture diagnosed?

The physician makes the diagnosis with physical examination and diagnostic tests. During the examination the physician obtains a complete medical history of the child and asks how the injury occurred.

Diagnostic procedures may include:

  • x-rays - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
  • magnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body. This test is done to rule out any associated abnormalities of the spinal cord and nerves.
  • computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.

Treatment for a fracture:

Specific treatment for a fracture will be determined by your child's physician based on:

  • your child's age, overall health, and medical history
  • extent of the fracture
  • your child's tolerance for specific medications, procedures, or therapies
  • expectations for the course of the fracture
  • your opinion or preference

The goal of treatment is to control the pain, promote healing, prevent complications, and restore normal use of the fractured area.

An open fracture (one in which the bone exits and is visible through the skin, or where a deep wound exposes the bone through the skin) is considered an emergency. Seek immediate medical attention for this type of fracture by calling 911.

Treatment may include:

  • splint/cast - immobilizes the injured area to promote bone alignment and healing to protect the injured area from motion or use.
  • medication (for pain control)
  • traction - the application of a force to stretch certain parts of the body in a specific direction. Traction consists or pulleys, strings, weights, and a metal frame attached over or on the bed. The purpose of traction is to stretch the muscles and tendons around the broken bone to allow the bone ends to align and heal.
  • surgery - required to put certain types of broken bones back into place. Occasionally, internal fixation (metal rods or pins located inside the bone) or external fixation devices (metal rods or pins located outside of the body) are used to hold the bone fragments in place to allow alignment and healing.

Click here to view the
Online Resources of Orthopaedics

GR_ATP

It is important to remember the health information found on this website is for reference only not intended to replace the advice and guidance of your healthcare provider. Always seek the advice of your physician with any questions you may have regarding a medical condition. If you think you may have a medical emergency, call your physician or 911 immediately.
PEDIATRIC HEALTH LIBRARY
ORTHOPAEDICS HOME
TOPIC INDEX
CONDITIONS
RESOURCES
GLOSSARY
CENTERS:
ORTHOPAEDIC INSTITUTE
RELATED SPECIALTIES:
ORTHOPAEDICS
RELATED LINKS:
ARTICLES
STORIES
NEWS
VIDEO
spacer

Facebook  Twitter  Pinterest  Instagram  Foursquare  LinkedIn  YouTube  RSS  CHOC Blog

US News     CAPE Award   Magnet      Beacon Award      Most Trusted Brand     Leapfrog

chocChildren's Hospital of Orange County | UCI University of California, Irvine

Children's Hospital of Orange County is affiliated with UC Irvine Healthcare and UC Irvine School of Medicine

CHOC Children's - 1201 W La Veta Ave, Orange, CA. Phone: 714-997-3000. .