Loss of movement is one of the signs of fracture. Our body restricts our movements by using the pain mechanism in case of fracture. Another reason for the limitation of movement is the deterioration of the bone structure. Especially in intra-articular or comminuted fractures, loss of movement develops due to the loss of integrity of the bone structure.
Loss of movement is one of the signs of fracture. Our body restricts our movements by using the pain mechanism in case of fracture. Another reason for the limitation of movement is the deterioration of the bone structure. Especially in intra-articular or comminuted fractures, loss of movement develops due to the loss of integrity of the bone structure.
The term crack is used to express undissociated fractures. Although the limitation of movement and pain complaints are more common in dissociated fractures, they may also occur in cracks.
The first symptoms of the fracture are pain, difficulty in moving, deformity, and swelling. Since fractures can sometimes be accompanied by vascular nerve injuries, symptoms such as pallor and loss of sensation in the limbs can be observed.
This is related to whether the fracture involves the joint or not and the amount of dissociation in the bone. Bones are the carrier columns of our movement system. They provide movement in an orderly manner together with muscle, ligament, tendon, and nerve tissue. Therefore, loss of movement occurs in fractures due to loss of integrity in the bone structure. Another mechanism that prevents movement is the bone fragments that cause intra-articular restriction and the deterioration of the smooth structure of the joint, especially in the case of intra-articular fractures.
An undissociated fracture can often be treated non-surgically. On the other hand, patients may lose this chance if it is neglected and in case of loading or movement.
Although pain is one of the main findings of fracture, the presence or absence of pain is not a criterion for fracture. This is related to the person's pain threshold. People with a high pain threshold can ignore the pain in simple fractures. Insufficiency fractures due to chronic trauma, such as stress fractures, may also cause low-level pain.
There is no direct relationship between the size of the fracture and pain. However, the greater the energy creating the fracture, the greater the damage to the bone and soft tissue will be. Since one of the ways of interpretation of trauma is pain, this question can be indirectly answered as yes. However, it should be kept in mind that the interpretation of pain may vary from person to person, and pain tolerance may differ.
In cases where the pain is interpreted as little and the movement is continued, the amount of dissociation in the fracture may increase. This may require the application of more complex treatment methods in patients who can be treated easily. In addition, since the movement must be restricted for the healing of the fracture, moving causes the healing period to prolong.
Fracture is the loss of integrity of bone tissue caused by trauma. However, the energy that causes the fracture can also damage the soft tissue. Therefore, the pain can be felt not only in the fracture area but also in a wider area.
Some of the patients may describe a slight pain sensation even after the union of the fracture, especially in cold weather.
Finger fractures often occur as a result of hitting the hand with a hard object. Another common mechanism occurs after the finger is trapped between two surfaces, such as a car door.
Functional success after union in fractures depends on the location of the fracture and the level of dissociation. In finger fractures, the amount of angulation and whether the fracture is in the joint are critical. Particularly, intra-articular fractures or dissociated finger fractures may cause difficulty in grasping, limitation of movement, and cosmetic deformities. Treatment results are more satisfactory in toe fractures compared to fingers. However, it should not be forgotten that in the presence of a suspected fracture, treatment is required.
Another important point in finger fractures is the age of the patient. Especially in children, there are growth nuclei different from adults. Childhood fractures are particularly important, as growth nucleus injuries can cause deformities in the long run.
The treatment method in fractures varies according to many parameters such as the level of dissociation of the fracture, the patient's age, expectations, and occupation. In simple finger fractures, small splints are applied rather than plaster. However, surgical treatment can also be applied in serious injuries.
The union time of the fracture varies according to the age group. The average duration of fracture union in adults can be expressed as 6 weeks. In children, this period is shorter.
In patients who cannot be treated appropriately, deformity of the fingers, limitation of movement, and difficulty in grasping may occur.
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Alo Yeditepe