It is important that your doctor know the specifics of how you hurt your leg. Oblique fracture: This type of fracture has an angled line across the shaft.
Transverse fracture: In this type of fracture, the break is a straight horizontal line going across the tibial shaft. The most common types of tibial shaft fractures include:
#Comminuted open fracture pictures skin
Whether the skin and muscle over the bone is torn by the injury (open fracture). The pattern of the fracture (for example, the bone can break in different directions, such as crosswise, lengthwise, or in the middle). The location of the fracture (the tibial shaft is divided into thirds: distal, middle, and proximal). Tibia fractures are classified depending on: In many tibia fractures, the fibula is broken as well.ĭoctors describe fractures to each other using classification systems. The skin around the fracture may be intact (closed fracture) or the bone may puncture the skin (open fracture). The pieces of bone may line up correctly (stable fracture) or be out of alignment (displaced fracture). Find a hand surgeon near you.Tibia fractures vary greatly, depending on the force that causes the break. This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand. © 2015 American Society for Surgery of the Hand Occasionally, additional treatment or surgery is needed. Severe wrist fractures can result in arthritis in the joint. Even then, some patients may have stiffness or aching. It is not unusual for recovery to take months. Recovery time varies and depends on a lot of factors. Hand therapy is often helpful to recover motion, strength and function. Your hand surgeon will have you start moving your wrist at the right time for your fracture. Recoveryĭuring recovery, it is very important to keep your fingers moving to keep them from getting stiff. Your hand surgeon will discuss the options that are best for your healing and recovery. In these cases, a bone graft may be added to help the healing process. Sometimes the bone is so severely crushed that there is a gap in the bone once it has been realigned. A small camera might be used to help visualize the joint from the inside. Pins, screws, plates, rods or external fixation can all be used (Figure 2). Other fractures may benefit from surgery to put the broken bones back together and hold them in correct place.įractures may be fixed with many devices. If the fracture is not too unstable, a cast may be used to hold a fracture that has been set. Your age, job, hobbies, activity level, and whether it is your “dominant” handĪ padded splint might be worn at first in order to align the bones and support the wrist to provide some relief from the initial pain. Type of fracture, whether it is displaced, unstable or open. Treatment depends on many factors, including: This can cause an increased risk of infection in the bone. An open fracture occurs when a fragment of bone breaks and is forced out through the skin. These severe types of fractures often require surgery to restore and hold their alignment. Fractures that break apart the smooth joint surface or fractures that shatter into many pieces (comminuted fractures) may make the bone unstable. Some fractures are more severe than others. In unstable fractures, even if the bones are put back into position and a cast is placed, the bone pieces tend to move or shift into a bad position before they solidly heal. Some “displaced” breaks (which need to be put back into the right place, called “reduction” or “setting”) also can be stable enough to treat in a cast or splint. “Non-displaced” breaks, in which the bones do not move out of place initially, can be stable. 
This is called a distal radius fracture by hand surgeons (Figure 1). Although a broken wrist can happen in any of these 10 bones, by far the most common bone to break is the radius. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. A wrist fracture is a medical term for a broken wrist.
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