Does a fracture hurt?

Written by Lv Yao
Orthopedics
Updated on October 21, 2024
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Fractures refer to the disruption of the continuity and integrity of the bone, which can lead to symptoms such as localized pain, swelling, deformity, and even limited mobility. Therefore, pain is a primary symptom of fractures. Due to the displacement of fracture ends and the irritation of nerves around the periosteum, severe pain can occur. After a fracture, it is important to immobilize the affected area to avoid exacerbating the symptoms during transportation or movement, and immobilization can also help reduce localized pain.

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Written by Zhang Ying Peng
Orthopedics
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How long to stay in bed with a rib fracture?

Rib fractures are very common clinically. After a rib fracture, it is necessary to rest in bed, immobilize, and reduce activity, otherwise excessive pulling of the ribs will cause pain. Generally, the bed rest period is about 10-14 days. Generally, after two weeks of treatment, the ribs will form fibrous connections and no longer cause severe pain. After two weeks, appropriate activity out of bed can be resumed. At the same time, oral antibiotics can be taken to prevent infection, as well as medications that promote blood circulation and remove blood stasis to enhance the absorption of the hematoma.

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of toe fracture

The symptoms of a toe fracture primarily include pain, swelling, and limited mobility. If there is a noticeable displacement of the fracture ends, a typical deformity can also occur. For the treatment of toe fractures, conservative treatment such as casting or using a brace may be sufficient if it is a simple linear fracture without significant misalignment of the fracture ends. However, if there is substantial shortening, rotation, separation, or if the fracture is comminuted, surgical treatment is required. During surgery, the fracture ends are repositioned through an incision. After repositioning, a Kirschner wire is used to internally fixate the fracture ends, allowing the bone to heal in the proper alignment without leaving any deformity. This describes the surgical treatment method.

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Written by Lv Yao
Orthopedics
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Rib fracture complications

Rib fractures often result from trauma and can involve a single fracture or multiple fractures in one rib. In severe cases, there might be multiple fractures across several ribs, causing a flail chest condition. Rib fractures initially lead to localized bleeding and swelling, making breathing difficult. This situation might also result in increased pleural effusion or hemothorax. In severe cases, it leads to significant breathing difficulties. Therefore, if a rib fracture occurs, it is advisable to visit the thoracic department of a formal hospital for medical consultation.

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Written by Dai Ru
Orthopedics
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How to immobilize a fracture

Fractures, based on the method of fixation, can be divided into external fixation and internal fixation. External fixation can further be divided into various methods, commonly including plaster fixation, small splint fixation, external fixator brace fixation, orthotic fixation, and traction fixation, among others. Internal fixation, depending on the type of internal fixation device used, can be divided into steel plate screw fixation, simple compression screw fixation, intramedullary nail fixation, etc. Regardless of the type of fixation, the main purpose is to maintain the stability of the fracture and promote fracture healing.

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Written by Lv Yao
Orthopedics
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How to exercise with a patellar fracture?

After a patellar fracture occurs, through immobilization or surgical treatment, it's possible to actively contract the quadriceps early on to strengthen muscle exercise and avoid muscle atrophy. Ankle pump exercises can also be performed, which are beneficial for the contraction of the calf muscles in the lower limbs, can help prevent thrombosis, and aid in the recovery of function. After the removal of external fixation or once the wound has healed, one can actively flex the knee joint. For example, by sitting at the edge of the bed with the knee naturally hanging, the knee joint can be flexed to 90 degrees. If there is difficulty in bending, one can push the healthy limb backward against the injured limb to help bend the knee joint. For exercises exceeding 90 degrees, one can lie flat on the bed, then flex the hip joint while holding the thigh of the injured limb with both hands, and allow the knee joint to naturally bend through gravity. This exercise can help restore the flexion and extension functions of the knee joint.