What is the difference between fracture and dislocation: Fractures and dislocations | Hato Hone St John
Fractures and dislocations | Hato Hone St John
If a bone breaks, it’s called a fracture. If a bone has been knocked out of its normal position, it’s called a dislocation.
A person who has fractured or dislocated a bone may need your help until an ambulance arrives.
Quick help
|
Fractures A fracture is when the bone is broken. A ‘closed’ fracture is when the person’s skin is not broken and there’s no cut. An ‘open’ fracture is when the person’s bone has cut through their skin. |
Dislocations Dislocations are when bones are pulled out of their normal position. |
What to look for
Pain
The injured area hurts.
Swelling or bruises
Lumps or bumps around the injured area.
Deformity
The injured area seems crooked or a different shape than the uninjured area on the other side.
Difficulty moving
The person can’t move the injured part of their body normally.
A wound
The person’s bone may have broken through their skin.
Pins and needles
The person might have pins and needles, or their skin feels prickly or numb.
Grating
The person might feel like their bones are scraping against each other.
A breaking sound
The person might have heard or felt the bone break.
How you can help – Fractures
Fractured thigh
Call 111 for an ambulance straight away.
The thigh is the part of your leg above your knee.
The thighbone (called the femur) is a large bone, and a fracture could be serious.
Fractured face or jaw
If there is a cut, stop any bleeding by pressing around the injury with a clean cloth. (Don’t press on the injury.)
If the person is conscious let them rest in a position that’s comfortable for them.
If the person is unresponsive but breathing normally, put the person on their side with their chin tilted up and mouth towards the ground (the recovery position).
Fractured arm, wrist, or collarbone
If there is a cut, stop any bleeding by pressing around the injury with a clean cloth. (Do not press on the injury.)
Put the person in a position that’s comfortable for them and keep them still.
Use a pillow or folded clothes to support the person’s arm.
Make a sling to support their arm.
Fractured ribs
Put the person in a position that’s comfortable for them and keep them still.
Arrange for the person to see a doctor as soon as possible.
Fractured ankle
It can be difficult to tell whether an ankle is fractured or twisted. If you’re not sure, do the following (RICE):
REST: make the person comfortable and keep them still.
ICE: put ice wrapped in a cloth or something very cold on the ankle (to reduce swelling).
COMPRESSION: wrap the ankle in a clean elastic bandage but not too tight.
ELEVATION: keep the ankle propped up with a pillow or folded clothes underneath.
| If the person has a fractured thigh or is in severe pain call 111 for an ambulance. |
How you can help – Dislocations
Dislocated shoulder
DO NOT try to put the dislocated shoulder back into its normal position – that might make it worse.
Keep the person still and comfortable.
Use a pillow or folded clothes to support the person’s arm.
Make a sling to support their arm, but don’t move their shoulder.
Dislocated ankle, knee, or hip
DO NOT try to put the dislocated bone back into its normal position – that might make it worse.
Keep the person still and make them comfortable.
Use a pillow or folded clothes to support the person’s leg.
Dislocated hands, fingers, or toes
DO NOT try to put the dislocated bone back into its normal position – that might make it worse.
Keep the person still and make them comfortable.
Wrap plenty of soft material (a bandage or cloth) around their hand or fingers.
Make a sling to support their hand, but be careful not to touch their hand or fingers when you tie the knot.
For toes, lie the person down and put a pillow or folded clothes under their foot.
Put ice wrapped in a cloth or something very cold on their toes (to stop swelling).
| If you have a person in urgent need of medical attention, call 111 now. |
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Fractures and Dislocations | TriHealth
Hard falls, sudden twists and unexpected collisions can all result in fractures of the feet and ankle bones. From small cracks to major breaks, TriHealth Orthopedic & Sports Institute and Beacon Orthopaedics & Sports Medicine specialists treat foot and ankle fractures with advanced treatments to help you heal quickly.
There are 26 bones in your foot and three in your ankle joint. Breaks in these bones can range from stress fractures that just need rest and time to heal to compound fractures that require surgery to repair.
Ankle fractures and dislocations
Broken ankles may involve the long bone that runs down the front of your calf from knee to ankle (your shin bone or tibia), the smaller bone that runs alongside it (the fibula), or both. A simple ankle fracture occurs when the bone breaks but does not protrude through the skin.
A compound ankle fracture happens when the broken bone protrudes through the skin.
An ankle dislocation happens when the ligaments that hold your ankle bones in place are torn or pulled out of place, usually by an injury. This causes the bones to move out of place. Dislocations often happen with a fracture or severe sprain.
Foot fractures
While any bones in the feet may break, there are two types of fractures that are most common:
- A break in the long bone along the outside of the foot that connects to your little toe (fifth metatarsal fracture)
- A small bone chip is pulled away from the main part of the bone by a tendon or ligament injury (avulsion fracture)
Dislocations of the foot are rare.
Foot and ankle fracture causes
Fractures and dislocations of the ankle or foot are usually caused by:
- Falling
- Severe impact
- Stress from overuse
- Twisting or rolling the ankle
Foot and ankle fracture symptoms
Ankle and foot fractures have similar symptoms:
- Bone protruding through the skin
- Bruising that develops soon after the injury
- Change in the appearance of the ankle or foot
- Difficulty walking or unable to walk
- Pain and tenderness at the site of the fracture
- Swelling at and around the fracture location
Foot and ankle fracture treatment
Treatment for a broken foot or ankle will depend on the severity of the injury.
- A broken bone that has not moved out of place generally will not require surgery.
- A broken bone that has shifted so that the ends are no longer properly aligned will need to be reset, which may require surgery.
- A broken bone that is protruding through the skin is an emergency that requires immediate care to prevent infection and other potential complications.
Our team of specialists treat fractures of the foot or ankle using many of the newest techniques. Treatments may include:
- Immobilization with a cast, brace or walking boot to keep the ankle or foot from moving while the fracture heals.
- Minimally invasive arthroscopic ankle surgery that uses a tiny camera and surgical tools to repair the break without making large incisions and allows the surgeon to see and remove small bone chip fragments that could cause arthritis and pain if left behind.
- Surgical repair using plates and/or screws specifically designed for certain parts of the foot or ankle instead of a one-size-fits-all approach.
- Suture-button implants that use two metallic buttons and wire to hold the bone pieces together while they heal.
Foot and ankle fracture risk factors
Factors that may increase your risk of fracturing your foot or ankle include:
- Activities that involve running, jumping or sudden changes in movement
- Loose ligaments
- Past ankle sprain or fracture
- Walking or running on uneven surfaces
Foot and ankle fracture prevention
You can help reduce your risk of fracturing your foot or ankle by taking these precautions:
- Avoid overtraining, which can lead to stress fractures
- Be careful during activities that involve running or jumping
- Minimize walking or running on uneven or slippery surfaces
- Strengthen your ankle muscles
- Wear proper footwear for activities
Make an appointment
To learn more about foot and ankle fractures or make an appointment with an orthopedic specialist: Call TriHealth at 513 246 2300 or our orthopedic partner, Beacon Orthopaedics & Sports Medicine, at 513 354 3700.
Treatment of fractures and dislocations in St. Petersburg at an affordable price
Prices Doctors Reviews Popular questions Our centers
Signs of fractures and dislocations Methods of treatment
A bone fracture is a violation of the anatomical integrity of the bone, complete or partial, accompanied by damage to the soft tissues surrounding the bone and impaired function of the damaged segment.
Dislocation – complete and permanent displacement of the articular surfaces of the bones with loss of contact in the joint area.
Signs of fractures and dislocations
A fracture can be recognized by the following features:
- pain in the injured limb;
- bones crunching when trying to move;
- inability to actively move a limb or vice versa pathological mobility and unusual range of motion;
- swelling of the skin due to bleeding into internal tissues.
Dislocation has the following symptoms:
- sharp pain when trying to move;
- edema develops around the injured joint;
- low sensitivity in nerve injury;
- tingling and numbness;
- pale skin.
Treatment
The choice of a method for treating fractures and dislocations is selected by a doctor, taking into account the nature of the injury, the age of the patient, and the degree of his activity. To obtain a complete picture of the injury, X-rays are taken in our clinic. In cases where the displacement is extremely unstable, surgery may be necessary. In the SM-Clinic, experienced surgeons, if necessary, fasten the broken parts of the bone with metal rods or plates and apply a plaster cast. If dislocations are mostly treated by reduction, then pathological dislocations, which are the result of diseases such as rickets, osteomyelitis, tuberculosis, tumors, syphilis, etc., require surgical treatment, as well as treatment of the disease that caused them.
In our clinic, trauma surgeons treat all types of dislocations.
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| Surgeon’s consultation on surgery (ACTION)* | 0 | – |
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Reduction of dislocation of the joint I cat. difficulty | 3350 | – |
| Reduction of dislocation of the joint II cat. difficulty | 6050 | – |
| Reduction of dislocation of the joint III cat. difficulty | 7800 | – |
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Reviews
IRINA 04.01.2016 08:56
Mutchenko Ivan Vladimirovich My brother had a serious fracture of his arm and had to undergo surgery. It was done under local anesthesia and everything went well. Thanks to the specialists and true professionals of the SM-clinic!
Frequently Asked Questions
In case of a broken bone, you should first contact an orthopedic traumatologist.
After the examination, the doctor will definitely refer the patient to a radiologist who will take a picture to accurately determine the presence of a fracture and its features. Treatment, for example, the imposition of plates and a plaster cast, is carried out by the surgeon. Further monitoring of the patient’s recovery is also carried out by a surgeon or orthopedic traumatologist. The SM-Clinic surgery center employs experienced specialists who quickly conduct examinations and qualitatively treat fractures and dislocations with a minimal risk of complications.
A fracture causes severe pain, which sometimes drives people into dangerous activities. Improper behavior during a fracture can significantly aggravate the injury and cause serious complications. When an arm or leg is broken, never try to straighten the bone or push it back into the soft tissue if the fracture is open and the fragment is peeking out. You can not pull the limbs and try to correct the deformity. If we are talking about a suspected fracture of the spine or pelvis, you should not try to seat the patient, put him on his feet, transport him without proper fixation.
The main thing is to call for medical help as soon as possible.
The exact timing of injury healing depends on many factors: location, degree and nature of the fracture, age of the patient, presence of bone diseases, complications. An important role is played by a properly selected treatment regimen and rehabilitation measures. In some cases, the fracture grows together within 4-6 weeks, in others, the recovery lasts up to six months. If by this time the fracture has not healed, and the bone has not restored its integrity, this indicates a delayed union and possible complications.
The terms of rehabilitation and restoration of motor activity depend on the area of damage. The injury can be in the foot, ankle, leg bones, patella, hip joint. For example, with an ankle fracture, you can walk in about 1.5-2 months. In general, stepping on an injured leg is possible only after the cast has been removed, subject to minimal loads. At first, there will be pain and weakness. Exercise bikes and treadmills will help strengthen weakened muscles.
In any case, leg fractures are complex injuries that require a long recovery and are accompanied by a long period of freedom of movement.
Specialists in this field 27 doctors
Leading doctors 8 doctors
Giniyatov Anvar Rinatovich
Sports doctor, orthopedic traumatologist. Traumatologist of the volleyball club “Zenith”
Work experience: 8 years
Dunaysky, 47
Dunayskaya metro station
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Kozlov Igor Andreevich
Tra vmatologist-orthopedist
Work experience: 5 years
Marshala Zakharova, 20
Leninsky Prospekt
Vyborgskoe shosse, 17
metro Prosveshcheniya
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Dergulev Igor Olegovich
Orthopedic traumatologist
Work experience: 11 years
Danaisky, 47
Dunayskaya metro station
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Andrey Skulkin
Traumatologist-orthopedist
Work experience: 31 years
Vyborg highway, 17
metro Prosveshcheniya
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Belousov Evgeny Ivanovich
Orthopedic traumatologist
Work experience: 33 years
Udarnikov, 19
Ladozhskaya metro station
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90 146 Urbanovich Sergey Ivanovich
Traumatologist, burn surgeon
Work experience: 12 years
Vyborgskoe shosse, 17
m.
ilkin Aleksey Valerievich
Traumatologist, pediatric surgeon
Work experience: 15 years
Udarnikov, 19
Ladozhskaya metro station
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Garifulin Marat Sagitovich
Orthopedic traumatologist
Work experience: 19 years
Dunaysky, 47
Dunayskaya metro station
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Other doctors 19 doctors
Angelcheva Tatyana Avramovna
Traumatologist-orthopedist
Work experience: 8 years
Dybenko, 13k4
m. Dybenko street
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Antonov Ilya Alexandrovich
Traumatologist-orthopedist
Work experience: 9 years
Marshala Zakharova, 20
Leninsky Prospect metro station
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Borisova Olga Mikhailovna
Pediatric surgeon
Work experience: 16 years
Dunaysky, 47
Dunayskaya metro station
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Gvozdev Maksim Alexandrovich
Traumatologist-orthopedist
Work experience: 11 years
Vyborg highway, 17
Prospekt Prosveshcheniya metro station
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Grebenyuk Mikhail Viktorovich
Orthopedist-traumatologist
Work experience: 18 years
Vyborgskoe shosse, 17
Prospekt Prosveshcheniya metro station
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Drach Elvis Kwaku
Traumatologist-orthopedist
Work experience: 7 years
Vyborgskoe shosse, 17
metro Prosveshcheniya
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Ezhovsky Vyacheslav Yurievich
Traumatologist-orthopedist.
Doctor of the highest category.
Work experience: 23 years
Malaya Balkanskaya, 23
Kupchino metro station
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Islamov Magomedgadzhi Magomedhabibovich
Traumatologist-orthopedist
Work experience: 7 years
Dunaisky, 47
Dunayskaya metro station
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Karapetyan Sergey Vazgenovich
Orthopedist-traumatologist, podologist
Work experience: 15 years
Dunaysky, 47
Dunayskaya metro station
Malaya Balkanskaya, 23
9000 2 m. Kupchino
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Kikaev Adlan Olkhozurovich
Traumatologist-orthopedist
Work experience: 9years
Udarnikov, 19
Ladozhskaya metro station
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Kovalenko-Klychkova Nadezhda Alexandrovna
Traumatologist-orthopedist. Operating pediatric orthopedist. Doctor of the first category. Candidate of Medical Sciences.
Work experience: 13 years
Malaya Balkanskaya, 23
Kupchino metro station
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Kolyadin Maxim Alexandrovich
Traumatologist-orthopedist
Work experience: 15 years
Dunaisky, 47
Dunayskaya metro station
Malaya Balkanskaya, 23
Kupchino metro station
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Kustikov Anton Aleksandrovich
Traumatologist, pediatric surgeon
Work experience: 7 years
Marshala Zakharova, 20
Leninsky Prospect metro station
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Mitin Andrey Viktorovich
Orthopedic traumatologist, pediatric surgeon, pediatric urologist
Work experience: 24 years
Udarnikov, 19
Ladozhskaya metro station
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Mikhailov Alexander Pavlovich
Traumatologist-orthopedist
Work experience: 5 years
Vyborgskoe shosse, 17
Prospekt Prosveshcheniya metro station
Malaya Balkanskaya, 23
metro Kupchino
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Panfilov Artyom Igorevich
Traumatologist-orthopedist
Work experience: 10 years
Marshala Zakharova, 20
Leninsky Prospect metro station
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Petrov Artem Viktorovich
Orthopedic traumatologist
Work experience: 10 years
Polukhin Aleksey Alekseevich
Traumatologist-orthopedist
Work experience: 4 years
Malaya Balkanskaya, 23
m.
Kupchino
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Popov Evgeniy Sergeevich
Work experience: 22 years
Vyborgskoe shosse, 17
metro Prosveshcheniya
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Reviews
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Anastasia
03.03.2021
Many thanks to Marat Sagitovich for his attentive, sensitive attitude towards my mother, who was in the hospital with a very complex fracture of her arm. Thank you for the excellent operation, fast highly professional help. Thank you from the bottom of my heart!
01/04/2016
My brother went to the CM clinic to the surgeon Ivan Vladimirovich Smutchenko. My brother had a serious fracture of his arm and had to undergo surgery. It was done under local anesthesia and everything went well. Thanks to the specialists and true professionals of the SM-clinic!
Our offices in St. Petersburg
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Center for Surgery Dunayskaya metro station
47 Dunaisky prospect
Dunaiskaya metro station
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Center for Surgery Ladozhskaya metro station
Udarnikov Avenue, 19/1
Ladozhskaya metro station
daily from 09:00 to 22:00
Center for Surgery Metro station “Leninsky Prospekt”
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Marshal Zakharov, d.
daily from 09:00 to 22:00
Center for Surgery m. “Prospect of Education”
Vyborgskoye shosse, 17 k.1
metro Prospekt Prosveshcheniya
daily from 09:00 to 22:00
Center for Surgery Kupchino metro station
Malaya Balkanskaya street, 23
Kupchino metro station
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Center for Surgery Dybenko Street
Dybenko Street, 13k4
Dybenko Street
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Slippery topic: how to distinguish a fracture from a bruise, dislocation, and sprain? | News of Volzhsky
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A walk on a slippery sidewalk can end in a hospital bed. Therefore, try to protect yourself from falling as much as possible, for which you should choose the right clothes and shoes.
Angle of incidence
In stores you can buy special pads for the soles, there are also “folk remedies”: adhesive tape or stockings for shoes.
Climbing the icy stairs, hold on to the railing. Do not carry a bag on the crook of your elbow, generally refuse it for the winter – it is better to hang a backpack behind your back to free your hands.
Drive on icy road sections in small steps, slowly and without being distracted by mobile phone conversations. If you still lose your balance, try to fall properly. You should not throw your hands forward or vice versa, put them behind you – this increases the risk of fractures of the forearms and wrists.
Falling on your back, press your chin to your chest, and stretch your arms forward, while tensing your muscles as much as possible. If the body is relaxed, the risk of breaking an arm or leg increases.
It is best to land on your side with your head in your shoulders and your elbows close to your body. But, of course, in order to fall correctly, you need a certain skill and a quick reaction.
– What to do if you failed to protect yourself from falling?
— First aid for injuries sustained in a fall is the same: pain relief, cold and rest.
After returning home, hold an ice pack on the bruised place. First, leave a cold compress for 20-30 minutes, then apply for 10 minutes every two hours. But it is impossible to warm or rub the place of injury in the first day. And, if the pain does not go away, it is better to contact a traumatologist: the treatment of dislocations and fractures with “folk remedies” is a bad idea.
— How to distinguish a simple bruise from a dislocation and a fracture?
– A sign of injury – pain that goes away after some time. At the site of the bruise, swelling forms, and a few hours or even days later – a bruise. Apply to the damaged area cold – but not warming! – compress. If the pain and swelling do not go away, and the hematoma grows, you need to see a doctor, as the consequences of a severe bruise can be serious.
Dislocation is characterized by sharp pain at the moment of impact, deformity of the joint, inability to move the arm or leg. A cold compress is also applied to the injured joint to relieve pain.
The limb is fixed: the arm is bandaged to the chest, the leg is covered with soft pillows. The biggest mistake is to set the dislocation yourself or ask someone to do it. Seek immediate medical attention.
“Don’t go there, you go here”
— What if it’s not a dislocation, but a sprain?
— Ligament sprains most often happen to lovers of heels – as they say, “twisted her leg on a bump.” Its sign is aching pain, which can subside, and then, with an awkward movement, will again torment the person. A sprained leg can also result in a fracture. To distinguish it from a sprain, apply pressure to the protruding ankle bone from both sides. If there is no pain, you most likely have a sprain. In this case, you need rest, cold compresses immediately after the injury, and dry heat the next day.
— What are the signs of a fracture?
— Acute pain, aggravated by exertion, inability to move fingers, swelling. But even if it seems that everything is in order, after a serious fall it is better to see a doctor.
Leg fractures can be accompanied by thrombosis, and this leads to blockage of blood vessels and, in case of a late visit to the doctor, to very sad consequences.
— In winter, passers-by are in danger not only “from below”, but also “from above”: you can also suffer from falling icicles. What to do if a piece of ice falls on a person’s head?
— The advice is the same: don’t waste time. If there is an incised wound, apply a bandage from improvised materials, contact the nearest medical facility or even a pharmacy for first aid. Signs of a concussion are as follows: incoordination, dizziness, nausea, double vision. A person at the time of injury may lose consciousness, even if only for a few seconds, he may be tormented by vomiting. In this case, the victim must be laid on a bench and something cold should be applied to the head, and then an ambulance should be called. Whatever the case, be careful when you go outside. Look under your feet and take care of yourself.