About all

Broken Hand Photo: Understanding Different Types of Fractures, Signs, and Treatment

What are the different types of bone fractures. How can you identify a broken bone. What are the signs and symptoms of various fractures. How long does it take for a fracture to heal. What special care do fractures require.

Содержание

Types of Bone Fractures: Understanding the Basics

Bone fractures come in various forms, each with unique characteristics and treatment requirements. Understanding these differences is crucial for proper diagnosis and management. Here’s a breakdown of the main types:

  • Non-displaced fractures (simple fractures): The bone breaks but remains aligned
  • Displaced fractures: The broken bone segments move out of alignment
  • Compound fractures (open fractures): The broken bone pierces the skin
  • Closed fractures: The bone breaks without breaking the skin
  • Stress fractures: Tiny cracks in the bone due to repetitive force or overuse

Is it always obvious when a bone is broken? Contrary to popular belief, not all fractures are immediately apparent. Many can be quite subtle, presenting with mild swelling, bruising, or pain. The most consistent symptoms across all types of fractures are pain and impaired movement, often due to the pain itself or associated nerve damage.

Identifying a Broken Hand: Signs and Symptoms

A broken hand can be a painful and debilitating injury. How can you tell if your hand is broken? Look out for these common signs:

  • Severe pain that increases with movement
  • Swelling and tenderness
  • Bruising or discoloration
  • Visible deformity or misalignment of fingers
  • Difficulty moving fingers or making a fist
  • A snapping or grinding sensation during the injury

Can you move your fingers with a broken hand? While some movement might be possible, it will likely be significantly limited and painful. If you suspect a broken hand, it’s crucial to seek medical attention promptly for proper diagnosis and treatment.

Displaced vs. Non-Displaced Fractures: Key Differences

Understanding the distinction between displaced and non-displaced fractures is essential for proper treatment. What sets these two types apart?

Non-Displaced Fractures

In a non-displaced fracture, also known as a simple fracture, the bone breaks but remains in its correct anatomical position. These fractures typically have a better prognosis and may heal with less intervention.

Displaced Fractures

Displaced fractures occur when the broken bone segments move out of their normal alignment. These injuries often require more intensive treatment, including manual realignment or surgery to ensure proper healing.

Are displaced fractures more serious? Generally, yes. Displaced fractures often involve more tissue damage and have a higher risk of complications. They typically require medical or surgical intervention to reposition the bone fragments correctly.

Compound Fractures: When Bone Meets Skin

Compound fractures, also known as open fractures, present unique challenges in treatment and recovery. What defines a compound fracture? In these cases, the broken bone penetrates the skin, creating an open wound. This type of fracture requires immediate medical attention due to the high risk of infection.

  • Increased risk of infection due to exposure to external environment
  • Often requires surgical intervention
  • May involve damage to surrounding tissues, blood vessels, and nerves
  • Typically longer healing time compared to closed fractures

How are compound fractures treated? The primary goals in treating compound fractures are to prevent infection, promote proper bone healing, and restore function. Treatment usually involves:

  1. Thorough cleaning of the wound
  2. Administration of antibiotics
  3. Surgical debridement to remove contaminated tissue
  4. Stabilization of the fracture using internal or external fixation methods
  5. Wound closure, which may involve skin grafts in severe cases

Stress Fractures: The Silent Injury

Stress fractures are tiny cracks in the bone that develop over time due to repetitive force or overuse. These injuries are common in athletes, particularly runners, but can affect anyone who engages in repetitive high-impact activities.

What causes stress fractures? Several factors can contribute to the development of stress fractures:

  • Sudden increase in physical activity intensity or duration
  • Improper technique in sports or exercise
  • Inadequate rest between workout sessions
  • Nutritional deficiencies, particularly in calcium and vitamin D
  • Weakened bones due to conditions like osteoporosis

How can stress fractures be prevented? Implementing proper training techniques and taking care of overall bone health can significantly reduce the risk of stress fractures:

  1. Gradually increase exercise intensity and duration
  2. Use proper footwear and equipment
  3. Cross-train with low-impact activities
  4. Maintain a balanced diet rich in calcium and vitamin D
  5. Allow adequate rest and recovery between workouts

The Healing Process: Timeline and Factors

The healing time for fractures can vary significantly depending on several factors. How long does it typically take for a fracture to heal? For most young children, fractures can heal within a month if promptly treated and properly immobilized. However, adults may require several months or longer for complete healing.

What factors influence fracture healing time?

  • Age: Younger individuals generally heal faster than older adults
  • Location and severity of the fracture
  • Overall health and nutrition status
  • Presence of chronic illnesses
  • Adherence to treatment plan and rehabilitation

Can certain behaviors speed up fracture healing? While the body has its own timeline for healing, certain practices can support the process:

  1. Following the prescribed treatment plan meticulously
  2. Eating a nutrient-rich diet, especially foods high in calcium and vitamin D
  3. Quitting smoking, as it can impair bone healing
  4. Engaging in appropriate physical therapy exercises
  5. Getting adequate rest and sleep

Special Treatment and Care for Fractures

Proper treatment and care are crucial for optimal fracture healing and prevention of complications. What special considerations are necessary when dealing with fractures?

Immobilization

Most fractures require some form of immobilization to allow the bone to heal correctly. This may involve:

  • Casts or splints
  • Braces or supportive boots
  • Traction devices in some cases

Pain Management

Controlling pain is essential for comfort and to facilitate early mobilization when appropriate. Pain management strategies may include:

  • Over-the-counter pain relievers
  • Prescription pain medications in severe cases
  • Ice therapy to reduce swelling and discomfort

Surgical Intervention

In some cases, surgery may be necessary to ensure proper healing. Surgical options may include:

  • Internal fixation using pins, plates, or screws
  • External fixation devices
  • Bone grafting in complex cases

Rehabilitation

Once the initial healing phase is complete, rehabilitation plays a crucial role in restoring function and preventing long-term complications. Rehabilitation may involve:

  • Physical therapy to improve strength and range of motion
  • Occupational therapy to regain daily living skills
  • Gradual return to activities under professional guidance

Why is proper care so important for fracture healing? Appropriate treatment and care not only promote faster healing but also help prevent complications such as:

  • Malunion (improper alignment of the healed bone)
  • Nonunion (failure of the bone to heal)
  • Joint stiffness and muscle atrophy
  • Chronic pain and disability

Preventing Fractures: Strategies for Bone Health

While not all fractures can be prevented, taking steps to maintain strong, healthy bones can significantly reduce the risk. How can you protect your bones and minimize the chance of fractures?

Nutrition for Strong Bones

A balanced diet rich in essential nutrients is crucial for bone health. Key nutritional considerations include:

  • Calcium: Found in dairy products, leafy greens, and fortified foods
  • Vitamin D: Obtained through sunlight exposure and dietary sources like fatty fish and egg yolks
  • Protein: Essential for bone matrix formation
  • Vitamin K: Helps regulate bone metabolism

Regular Exercise

Weight-bearing and resistance exercises help strengthen bones and improve balance, reducing the risk of falls and fractures. Effective exercises include:

  • Walking or jogging
  • Dancing
  • Weight lifting
  • Yoga or Pilates

Fall Prevention

Many fractures, especially in older adults, result from falls. Implementing fall prevention strategies can significantly reduce fracture risk:

  • Removing tripping hazards in the home
  • Improving lighting in living spaces
  • Using assistive devices like handrails or walking aids when necessary
  • Practicing balance exercises

Regular Health Check-ups

Routine medical check-ups can help identify and address factors that may increase fracture risk, such as:

  • Osteoporosis or low bone density
  • Vitamin D deficiency
  • Hormonal imbalances
  • Medications that may affect bone density

Can lifestyle changes really make a difference in preventing fractures? Absolutely. While some factors like age and genetics are beyond our control, adopting a bone-healthy lifestyle can significantly reduce the risk of fractures and improve overall skeletal health.

When to Seek Medical Attention for Suspected Fractures

Recognizing when to seek medical care for a potential fracture is crucial for proper treatment and optimal recovery. What signs indicate that you should see a doctor immediately?

  • Severe pain that doesn’t improve with rest or over-the-counter pain relievers
  • Visible deformity of the affected area
  • Inability to bear weight on the injured limb
  • Numbness or tingling in the affected area or beyond
  • Open wounds associated with the injury
  • Significant swelling or bruising

Is it necessary to go to the emergency room for all suspected fractures? Not always. Minor fractures can often be evaluated at an urgent care center or by your primary care physician. However, severe pain, open fractures, or injuries involving joints should be assessed in an emergency setting.

What can you expect during a medical evaluation for a suspected fracture?

  1. Physical examination of the injured area
  2. Questions about how the injury occurred
  3. Imaging studies, such as X-rays, CT scans, or MRI
  4. Pain management and initial treatment
  5. Referral to a specialist if necessary

Remember, early and accurate diagnosis is key to proper treatment and optimal healing of fractures. When in doubt, it’s always better to seek medical attention to ensure appropriate care and prevent potential complications.

Different Types of Fractures: Signs and Pictures

Not all fractures (broken bones) are obvious. In fact, most of them are quite subtle when it comes to their appearance. You might have mild swelling or a bruise. Pain and sometimes impaired movement (usually due to pain or associated nerve damage) are the most consistent symptoms of a fracture.

You might know that you had a fracture if you heard a bone crack or if part of your body looks like it’s bent out of shape. These fracture pictures should help illustrate the wide variety of ways broken bones can look.

Non-displaced fractures, also called simple fractures, are broken bones that haven’t moved out of position. Displaced fractures are broken bones that have moved out of place.

Frequently Asked Questions (FAQs)

What are displaced bone fractures?

Bone fractures include displaced fractures (the broken bone has moved out of place), and simple, non-displaced fractures (the fractured bone is in its correct place). Displaced fractures often require medical or surgical repositioning of the bone for proper healing.

What is a compound fracture?

A compound fracture is an open fracture that is associated with broken skin, whereas a closed fracture is not associated with any skin wound. Sometimes the bone or other structures protrude from the open wound. Infection precautions, including cleaning the wound and antibiotics, are often necessary with a compound fracture.

What is a stress fracture?

A stress fracture occurs due to repeated pressure or pounding on a bone. These fractures are associated with repetitive movements, such as in sports or work.

How long does a fracture take to heal?

For most young children, fractures can heal within a month if they are promptly treated and/or immobilized. It can take several months or longer for adults to heal after a fracture. Older age, large fractures, multiple fractures, or chronic illness can further delay healing.

Why They Need Special Treatment and Care


Choose an AuthorAaron Barber, AT, ATC, PESAbbie Roth, MWCAdam Ostendorf, MDAdriane Baylis, PhD, CCC-SLPAdrienne M. Flood, CPNP-ACAdvanced Healthcare Provider CouncilAila Co, MDAlaina White, AT, ATCAlana Milton, MDAlana Milton, MDAlecia Jayne, AuDAlessandra Gasior, DOAlex Kemper, MDAlexandra Funk, PharmD, DABATAlexandra Sankovic, MDAlexis Klenke, RD, LDAlice Bass, CPNP-PCAlison PeggAllie DePoyAllison Rowland, AT, ATCAllison Strouse, MS, AT, ATCAmanda E. Graf, MDAmanda Smith, RN, BSN, CPNAmanda Sonk, LMTAmanda Whitaker, MDAmber Patterson, MDAmberle Prater, PhD, LPCCAmy Coleman, LISWAmy Dunn, MDAmy E. Valasek, MD, MScAmy Fanning, PT, DPTAmy Garee, CPNP-PCAmy Hahn, PhDAmy HessAmy Leber, PhDAmy LeRoy, CCLSAmy Moffett, CPNP-PCAmy Randall-McSorley, MMC, EdD CandidateAnastasia Fischer, MD, FACSMAndala HardyAndrea Brun, CPNP-PCAndrea M. Boerger, MEd, CCC-SLPAndrew AxelsonAndrew Kroger, MD, MPHAndrew SchwadererAngela AbenaimAngela Billingslea, LISW-SAnn Pakalnis, MDAnna Lillis, MD, PhDAnnette Haban-BartzAnnie Drapeau, MDAnnie Temple, MS, CCC-SLP, CLCAnthony Audino, MDAnup D. Patel, MDAri Rabkin, PhDAriana Hoet, PhDArielle Sheftall, PhDArleen KarczewskiAshleigh Kussman, MDAshley EcksteinAshley Kroon Van DiestAshley M. Davidson, AT, ATC, MSAshley Minnick, MSAH, AT, ATCAshley Overall, FNPAshley Parikh, CPNP-PCAshley Parker MSW, LISW-SAshley Parker, LISW-SAshley Tuisku, CTRSAsuncion Mejias, MD, PhDAurelia Wood, MDBailey Young, DOBecky Corbitt, RNBelinda Mills, MDBenjamin Fields, PhD, MEdBenjamin Kopp, MDBernadette Burke, AT, ATC, MSBeth Martin, RNBeth Villanueva, OTD, OTR/LBethany Uhl, MDBethany Walker, PhDBhuvana Setty, MDBill Kulju, MS, ATBlake SkinnerBonnie Gourley, MSW, LSWBrad Childers, RRT, BSBrandi Cogdill, RN, BSN, CFRN, EMT-PBrandon MorganBreanne L. Bowers, PT, DPT, CHT, CFSTBrendan Boyle, MD, MPHBrian Boe, MDBrian K. Kaspar, PhDBrian Kellogg, MDBriana Crowe, PT, DPT, OCSBrigid Pargeon, MS, MT-BCBrittney Hardin, MOT, OTR/LBrooke Sims, LPCC, ATRCagri Toruner, MDCaitlin TullyCaleb MosleyCallista DammannCami Winkelspecht, PhDCanice Crerand, PhDCara Inglis, PsyDCarl H. Backes, MDCarlo Di Lorenzo, MDCarol Baumhardt, LMTCasey Cottrill, MD, MPHCasey TrimbleCassandra McNabb, RN-BSNCatherine Earlenbaugh, RNCatherine Sinclair, MDCatherine Trimble, NPCatrina Litzenburg, PhDCharae Keys, MSW, LISW-SCharles Elmaraghy, MDChelsie Doster, BSCheryl Boop, MS, OTR/LCheryl G. Baxter, CPNPCheryl Gariepy, MDChet Kaczor, PharmD, MBAChris Smith, RNChristina Ching, MDChristina DayChristine Johnson, MA, CCC-SLPChristine Mansfield, PT, DPT, OCS, ATCChristine PrusaChristopher Goettee, PT, DPT, OCSChristopher Iobst, MDChristopher Ouellette, MDCindy IskeClaire Kopko PT, DPT, OCS, NASM-PESCody Hostutler, PhDConnor McDanel, MSW, LSWCorey Rood, MDCorinne Syfers, CCLSCourtney Bishop. PA-CCourtney Hall, CPNP-PCCourtney Porter, RN, MSCrystal MilnerCurt Daniels, MDCynthia Holland-Hall, MD, MPHDana Lenobel, FNPDana Noffsinger, CPNP-ACDane Snyder, MDDaniel Coury, MDDaniel DaJusta, MDDaniel Herz, MDDanielle Peifer, PT, DPTDavid A Wessells, PT, MHADavid Axelson, MDDavid Stukus, MDDean Lee, MD, PhDDebbie Terry, NPDeborah Hill, LSWDeborah Zerkle, LMTDeena Chisolm, PhDDeipanjan Nandi, MD MScDenis King, MDDenise EllDennis Cunningham, MDDennis McTigue, DDSDiane LangDominique R. Williams, MD, MPH, FAAP, Dipl ABOMDonna Ruch, PhDDonna TeachDoug WolfDouglas McLaughlin, MDDrew Duerson, MDEd MinerEdward Oberle, MD, RhMSUSEdward Shepherd, MDEileen Chaves, PhDElise Berlan, MDElise DawkinsElizabeth A. Cannon, LPCCElizabeth Cipollone, LPCC-SElizabeth Zmuda, DOEllyn Hamm, MM, MT-BCEmily A. Stuart, MDEmily Decker, MDEmily GetschmanEmma Wysocki, PharmD, RDNEric Butter, PhDEric Leighton, AT, ATCEric Sribnick, MD, PhDErica Domrose, RD, LDEricca L Lovegrove, RDErika RobertsErin Gates, PT, DPTErin Johnson, M.Ed., C.S.C.S.Erin Shann, BSN, RNErin TebbenFarah W. Brink, MDGail Bagwell, DNP, APRN, CNSGail Besner, MDGail Swisher, ATGarey Noritz, MDGary A. Smith, MD, DrPHGeri Hewitt, MDGina Hounam, PhDGina McDowellGina MinotGrace Paul, MDGregory D. Pearson, MDGriffin Stout, MDGuliz Erdem, MDHailey Blosser, MA, CCC-SLPHanna MathessHeather Battles, MDHeather ClarkHeather Yardley, PhDHenry SpillerHenry Xiang, MD, MPH, PhDHerman Hundley, MS, AT, ATC, CSCSHiren Patel, MDHoma Amini, DDS, MPH, MSHoward Jacobs, MDHunter Wernick, DOIbrahim Khansa, MDIhuoma Eneli, MDIlana Moss, PhDIlene Crabtree, PTIrene Mikhail, MDIrina Buhimschi, MDIvor Hill, MDJackie Cronau, RN, CWOCNJacqueline Wynn, PhD, BCBA-DJacquelyn Doxie King, PhDJaime-Dawn Twanow, MDJames Murakami, MDJames Popp, MDJames Ruda, MDJameson Mattingly, MDJamie Macklin, MDJane AbelJanelle Huefner, MA, CCC-SLPJanice M. Moreland, CPNP-PC, DNPJanice Townsend, DDS, MSJared SylvesterJaysson EicholtzJean Hruschak, MA, CCC/SLPJeff Sydes, CSCSJeffery Auletta, MDJeffrey Bennett, MD, PhDJeffrey Hoffman, MDJeffrey Leonard, MDJen Campbell, PT, MSPTJena HeckJenn Gonya, PhDJennifer Borda, PT, DPTJennifer HofherrJennifer LockerJennifer PrinzJennifer Reese, PsyDJennifer Smith, MS, RD, CSP, LD, LMTJenny Worthington, PT, DPTJerry R. Mendell, MDJessalyn Mayer, MSOT, OTR/LJessica Bailey, PsyDJessica Bogacik, MS, MT-BCJessica Bowman, MDJessica BrockJessica Bullock, MA/CCC-SLPJessica Buschmann, RDJessica Scherr, PhDJim O’Shea OT, MOT, CHTJoan Fraser, MSW, LISW-SJohn Ackerman, PhDJohn Caballero, PT, DPT, CSCSJohn Kovalchin, MDJonathan D. Thackeray, MDJonathan Finlay, MB, ChB, FRCPJonathan M. Grischkan, MDJonathan Napolitano, MDJoshua Watson, MDJulee Eing, CRA, RT(R)Julia Colman, MOT, OTR/LJulie ApthorpeJulie Leonard, MD, MPHJulie Racine, PhDJulie Samora, MDJustin Indyk, MD, PhDKady LacyKaleigh Hague, MA, MT-BCKaleigh MatesickKamilah Twymon, LPCC-SKara Malone, MDKara Miller, OTR/LKaren Allen, MDKaren Days, MBAKaren Rachuba, RD, LD, CLCKari A. Meeks, OTKari Dubro, MS, RD, LD, CWWSKari Phang, MDKarla Vaz, MDKaryn L. Kassis, MD, MPHKasey Strothman, MDKatherine Deans, MDKatherine McCracken, MDKathleen (Katie) RoushKathryn Blocher, CPNP-PCKathryn J. Junge, RN, BSNKathryn Obrynba, MDKatie Brind’Amour, MSKatie Thomas, APRKatrina Hall, MA, CCLSKatrina Ruege, LPCC-SKatya Harfmann, MDKayla Zimpfer, PCCKelley SwopeKelli Dilver, PT, DPTKelly AbramsKelly BooneKelly HustonKelly J. Kelleher, MDKelly McNally, PhDKelly N. Day, CPNP-PCKelly Pack, LISW-SKelly Tanner,PhD, OTR/L, BCPKelly Wesolowski, PsyDKent Williams, MDKevin Bosse, PhDKevin Klingele, MDKim Bjorklund, MDKim Hammersmith, DDS, MPH, MSKimberly Bates, MDKimberly Sisto, PT, DPT, SCSKimberly Van Camp, PT, DPT, SCSKirk SabalkaKris Jatana, MD, FAAPKrista Winner, AuD, CCC-AKristen Armbrust, LISW-SKristen Cannon, MDKristen Martin, OTR/LKristi Roberts, MS MPHKristina Booth, MSN, CFNPKristina Reber, MDKyle DavisLance Governale, MDLara McKenzie, PhD, MALaura Brubaker, BSN, RNLaura DattnerLaurel Biever, LPCLauren Durinka, AuDLauren Garbacz, PhDLauren Justice, OTR/L, MOTLauren Madhoun, MS, CCC-SLPLauryn RozumLee Hlad, DPMLeena Nahata, MDLelia Emery, MT-BCLeslie Appiah, MDLinda Stoverock, DNP, RN NEA-BCLindsay Pietruszewski, PT, DPTLindsay SchwartzLindsey Vater, PsyDLisa GoldenLisa M. Humphrey, MDLogan Blankemeyer, MA, CCC-SLPLori Grisez PT, DPTLorraine Kelley-QuonLouis Bezold, MDLourdes Hill, LPCC-S Lubna Mazin, PharmDLuke Tipple, MS, CSCSLynda Wolfe, PhDLyndsey MillerLynn RosenthalLynne Ruess, MDMaggy Rule, MS, AT, ATCMahmoud Kallash, MDManmohan K Kamboj, MDMarc Levitt, MDMarc P. Michalsky, MDMarcel J. Casavant, MDMarci Johnson, LISW-SMarco Corridore, MDMargaret Bassi, OTR/LMaria HaghnazariMaria Vegh, MSN, RN, CPNMarissa Condon, BSN, RNMarissa LarouereMark E. Galantowicz, MDMark Smith, MS RT R (MR), ABMP PhysicistMarnie Wagner, MDMary Ann Abrams, MD, MPHMary Fristad, PhD, ABPPMary Kay SharrettMary Shull, MDMatthew Washam, MD, MPHMeagan Horn, MAMegan Brundrett, MDMegan Dominik, OTR/LMegan FrancisMegan Letson, MD, M.EdMeghan Cass, PT, DPTMeghan Fisher, BSN, RNMeika Eby, MDMelanie Fluellen, LPCCMelanie Luken, LISW-SMelissa and Mikael McLarenMelissa McMillen, CTRSMelissa Winterhalter, MDMeredith Merz Lind, MDMichael Flores, PhDMichael T. Brady, MDMike Patrick, MDMindy Deno, PT, DPTMitch Ellinger, CPNP-PCMolly Gardner, PhDMonica Ardura, DOMonica EllisMonique Goldschmidt, MDMotao Zhu, MD, MS, PhDMurugu Manickam, MDNancy AuerNancy Cunningham, PsyDNancy Wright, BS, RRT, RCP, AE-C Naomi Kertesz, MDNatalie Powell, LPCC-S, LICDC-CSNatalie Rose, BSN, RNNathalie Maitre, MD, PhDNationwide Children’s HospitalNationwide Children’s Hospital Behavioral Health ExpertsNeetu Bali, MD, MPHNehal Parikh, DO, MSNichole Mayer, OTR/L, MOTNicole Caldwell, MDNicole Dempster, PhDNicole Greenwood, MDNicole Parente, LSWNicole Powell, PsyD, BCBA-DNina WestNkeiruka Orajiaka, MBBSOliver Adunka, MD, FACSOlivia Stranges, CPNP-PCOlivia Thomas, MDOmar Khalid, MD, FAAP, FACCOnnalisa Nash, CPNP-PCOula KhouryPaige Duly, CTRSParker Huston, PhDPatrick C. Walz, MDPatrick Queen, BSN, RNPedro Weisleder, MDPeter Minneci, MDPeter White, PhDPitty JenningsPreeti Jaggi, MDRachael Morocco-Zanotti, DORachel D’Amico, MDRachel Schrader, CPNP-PCRachel Tyson, LSWRajan Thakkar, MDRaymond Troy, MDRebecca Fisher, PTRebecca Hicks, CCLSRebecca Lewis, AuD, CCC-ARebecca Romero ShakReggie Ash Jr.Reno Ravindran, MDRichard Kirschner, MDRichard Wood, MDRobert A. Kowatch, MD, Ph.D.Rochelle Krouse, CTRSRohan Henry, MD, MSRose Ayoob, MDRose Schroedl, PhDRosemary Martoma, MDRoss Maltz, MDRyan Ingley AT, ATCSamanta Boddapati, PhDSamantha MaloneSammy CygnorSandra C. Kim, MDSara Bentley, MT-BCSara Bode, MDSara Breidigan, MS, AT, ATCSara N. Smith, MSN, APRNSara O’Rourke, MOT, OTR/L, Clinical LeadSara Schroder, MDSarah A. Denny, MDSarah Cline, CRA, RT(R)Sarah Driesbach, CPN, APNSarah GreenbergSarah Hastie, BSN, RNC-NIC Sarah Keim, PhDSarah MyersSarah O’Brien, MDSarah SaxbeSarah Schmidt, LISW-SSarah ScottSarah TraceySarah VerLee, PhDSasigarn Bowden, MDSatya Gedela, MD, MRCP(UK)Scott Coven, DO, MPHScott Hickey, MDSean EingSean Rose, MDSeth Alpert, MDShana Moore, MA, CCC-AShannon Reinhart, LISW-SShari UncapherSharon Wrona, DNP, PNP, PMHSShawn Pitcher, BS, RD, USAWShawNaye Scott-MillerShea SmoskeSheila GilesSimon Lee, MDStacy Whiteside APRN, MS, CPNP-AC/PC, CPONStefanie Bester, MDStefanie Hirota, OTR/LStephanie Burkhardt, MPH, CCRCStephanie CannonStephanie Santoro, MDStephanie Vyrostek BSN, RNStephen Hersey, MDSteve Allen, MDSteven C. Matson, MDSteven Ciciora, MDSteven CuffSuellen Sharp, OTR/L, MOTSusan Colace, MDSusan Creary, MDSwaroop Pinto, MDTabatha BallardTabbetha GrecoTabi EvansTabitha Jones-McKnight, DOTahagod Mohamed, MDTamara MappTammi Young-Saleme, PhDTerry Barber, MDTerry Bravender, MD, MPHTerry Laurila, MS, RPhTheresa Miller, BA, RRT, RCP, AE-C, CPFTThomas Pommering, DOThomas SavageTiasha Letostak, PhDTiffanie Ryan, BCBA Tim RobinsonTimothy Cripe, MD, PhDTracey L. Sisk, RN, BSN, MHATracie Rohal RD, LD, CDETracy Mehan, MATravis Gallagher, ATTrevor MillerTyanna Snider, PsyDTyler Congrove, ATVanessa Shanks, MD, FAAPVenkata Rama Jayanthi, MDVidu Garg, MDVidya Raman, MDW. Garrett Hunt, MDWalter Samora, MDWarren D. Lo, MDWendy Anderson, MDWendy Cleveland, MA, LPCC-SWhitney McCormick, CTRSWhitney Raglin Bignall, PhDWilliam Cotton, MDWilliam J. Barson, MDWilliam Ray, PhDWilliam W. Long, MD