How do fractures differ from dislocations. What are the main symptoms of each condition. What first aid techniques should be applied for fractures and dislocations. When should you call an ambulance for bone injuries. How can you distinguish between various types of fractures and dislocations.

Understanding Fractures: Types and Characteristics

A fracture occurs when a bone breaks. There are two main types of fractures:

• Closed fracture: The skin remains intact, with no visible wound.
• Open fracture: The bone breaks through the skin, creating an open wound.

Fractures can range from hairline cracks to complete breaks. They often result from high-impact trauma, repetitive stress, or underlying medical conditions that weaken bones.

Common Fracture Sites

While fractures can occur in any bone, some areas are more susceptible:

• Wrist
• Hip
• Ankle
• Collarbone
• Ribs

Are certain age groups more prone to fractures? Yes, children and older adults are generally at higher risk. Children’s bones are still growing and may be more flexible but also more vulnerable to injury. Older adults often have decreased bone density, making their bones more brittle and susceptible to fractures.

Dislocations Explained: Causes and Affected Joints

A dislocation occurs when a bone is forced out of its normal position in a joint. This can happen due to sudden impact, falls, or twisting motions. Dislocations are often painful and can lead to joint instability if not properly treated.

Which joints are most commonly affected by dislocations?

• Shoulder
• Finger
• Elbow
• Hip
• Knee
• Ankle

Dislocations can be partial (subluxation) or complete. In some cases, a dislocation may also involve ligament damage or fractures in the surrounding bones.

Identifying Symptoms: Fractures vs Dislocations

Recognizing the symptoms of fractures and dislocations is crucial for providing appropriate first aid. While there can be some overlap, certain signs can help distinguish between the two:

Fracture Symptoms

• Sharp, intense pain
• Swelling and bruising
• Difficulty moving the affected area
• Visible deformity or misalignment
• Grinding or grating sensation when moving
• Possible sound of bone breaking at the time of injury

Dislocation Symptoms

• Severe pain
• Joint appears visibly out of place or deformed
• Swelling and discoloration around the joint
• Limited or no movement in the affected joint
• Numbness or tingling around the injury

Can a person have both a fracture and a dislocation simultaneously? Yes, in some cases, particularly with high-impact injuries, a person may experience both a fracture and a dislocation in the same area. This is known as a fracture-dislocation and requires immediate medical attention.

First Aid Techniques for Fractures

Proper first aid for fractures can help prevent further injury and alleviate pain until professional medical help arrives. Here are some general guidelines:

1. Call for emergency medical assistance if the injury is severe or involves the spine, pelvis, or thigh bone.
2. Keep the injured person still and comfortable.
3. Apply ice wrapped in a cloth to reduce swelling and pain.
4. For open fractures, cover the wound with a clean, sterile dressing.
5. Avoid attempting to realign the bone or push it back under the skin.
6. If necessary, splint the injury in its current position to prevent movement.

Specific Fracture First Aid

Different types of fractures may require slightly different approaches:

• Arm or wrist fracture: Support the injured limb with a sling.
• Leg fracture: Keep the person lying down and immobilize the leg.
• Rib fracture: Help the person find a comfortable position that doesn’t restrict breathing.
• Spine or neck fracture: Do not move the person unless absolutely necessary to prevent further injury.

Is it always necessary to splint a suspected fracture? While splinting can help reduce pain and prevent further injury, it’s not always required, especially if professional medical help will arrive quickly. The priority is to keep the injured area still and supported.

First Aid Techniques for Dislocations

When dealing with a suspected dislocation, the primary goal is to immobilize the joint and seek medical attention. Here are some key steps:

1. Do not attempt to relocate the joint yourself – this could cause further damage.
2. Apply ice to the affected area to reduce swelling and pain.
3. Immobilize the joint in its current position using a splint or sling.
4. Elevate the injured area if possible to reduce blood flow and swelling.
5. Seek immediate medical attention.

Joint-Specific Dislocation First Aid

Different joints may require specific considerations:

• Shoulder dislocation: Support the arm with a sling.
• Finger dislocation: Immobilize the entire hand to prevent movement.
• Hip dislocation: Keep the person still and lying down until help arrives.
• Knee dislocation: Immobilize the entire leg and avoid putting any weight on it.

Why is it crucial not to attempt repositioning a dislocated joint? Attempting to relocate a joint without proper training can lead to further damage, including nerve injury, increased pain, and complications that may require more extensive treatment.

When to Call an Ambulance: Critical Scenarios

While many fractures and dislocations can be initially managed with first aid, certain situations require immediate professional medical attention. Call emergency services (111 in New Zealand) if:

• The injury involves the head, neck, or spine
• There is severe bleeding or an open fracture
• The person is experiencing extreme pain or shock
• The injury affects a large bone, such as the femur (thigh bone)
• There are signs of internal bleeding or organ damage
• The person is unresponsive or has difficulty breathing

How can you determine if a bone injury is severe enough to warrant an ambulance? Consider factors such as the mechanism of injury, the location of the injury, the level of pain, and any associated symptoms like dizziness, nausea, or loss of consciousness. When in doubt, it’s always better to err on the side of caution and seek professional medical help.

Prevention Strategies: Reducing the Risk of Fractures and Dislocations

While accidents can’t always be prevented, there are steps individuals can take to reduce their risk of fractures and dislocations:

1. Maintain good bone health through proper nutrition and regular exercise.
2. Practice balance and coordination exercises to prevent falls, especially for older adults.
3. Use appropriate safety gear during sports and physical activities.
4. Create a safe home environment by removing tripping hazards and improving lighting.
5. Be cautious on slippery or uneven surfaces.
6. Avoid overexertion and use proper techniques when lifting heavy objects.

Are there specific exercises that can help prevent fractures and dislocations? Yes, weight-bearing exercises, resistance training, and flexibility exercises can all contribute to stronger bones and muscles, reducing the risk of injury. Activities like walking, jogging, dancing, and strength training are excellent options for most people.

Osteoporosis and Fracture Risk

Osteoporosis, a condition characterized by decreased bone density, significantly increases the risk of fractures. Individuals at risk for osteoporosis should:

• Undergo regular bone density screenings
• Ensure adequate calcium and vitamin D intake
• Engage in weight-bearing exercises
• Avoid smoking and excessive alcohol consumption
• Discuss medication options with their healthcare provider if necessary

By implementing these preventive strategies, individuals can significantly reduce their risk of experiencing fractures and dislocations, maintaining better overall musculoskeletal health throughout their lives.

Long-Term Care and Rehabilitation After Fractures and Dislocations

Recovery from fractures and dislocations often extends beyond the initial treatment. Proper long-term care and rehabilitation are crucial for optimal healing and prevention of future complications. Here’s what to expect:

Fracture Recovery

The healing process for fractures typically involves:

• Immobilization: Casting or splinting to keep the bone in place
• Pain management: Medications and other techniques to control discomfort
• Physical therapy: Exercises to regain strength and mobility
• Nutritional support: Adequate intake of calcium, vitamin D, and protein
• Follow-up imaging: X-rays or other scans to monitor healing progress

Dislocation Recovery

After a dislocation, the focus is on:

• Joint stabilization: Bracing or taping to support the affected joint
• Gradual return to movement: Controlled exercises to restore function
• Strengthening surrounding muscles: Targeted exercises to improve joint stability
• Proprioception training: Exercises to improve balance and coordination
• Monitoring for recurring instability: Regular check-ups to prevent future dislocations

How long does recovery typically take for fractures and dislocations? The recovery time can vary greatly depending on the severity of the injury, the affected body part, and individual factors such as age and overall health. Simple fractures may heal in 6-8 weeks, while more complex injuries can take several months or even longer for full recovery.

Preventing Complications

Long-term care also involves monitoring for and preventing potential complications, such as:

• Chronic pain or stiffness
• Arthritis in the affected joint
• Muscle atrophy
• Nerve or blood vessel damage
• Complex regional pain syndrome (CRPS)

Regular follow-ups with healthcare providers and adherence to rehabilitation protocols are essential for identifying and addressing any emerging issues promptly.

Psychological Aspects of Recovery

The recovery process from fractures and dislocations isn’t just physical. Many patients experience psychological challenges, including:

• Frustration with limited mobility
• Anxiety about re-injury
• Depression due to prolonged recovery time
• Fear of returning to normal activities

Addressing these psychological aspects through counseling or support groups can be an important part of the overall recovery process.

Can lifestyle modifications help prevent future fractures or dislocations? Absolutely. After recovery, individuals should consider:

• Modifying high-risk activities
• Improving workplace ergonomics
• Continuing strength and flexibility exercises
• Maintaining a healthy weight to reduce stress on joints
• Using assistive devices if recommended by healthcare providers

By taking a comprehensive approach to long-term care and rehabilitation, individuals can maximize their recovery from fractures and dislocations, regain function, and reduce the risk of future injuries. This holistic strategy ensures not just physical healing, but also a return to quality of life and confidence in daily activities.

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.

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. 

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). 

How to call an ambulance 

When you call 111 our expert call handlers work with you to send the right response. 

Find out more 

First Aid Handbook 

Have information on hand when you need it the most 

Buy the First Aid Handbook

Learn the skills to save a life 

Our first aid courses range from basic first aid to advanced resuscitation.   

Book a first aid course

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.

Promotion! Free consultation with a surgeon about surgery

Take advantage of this unique opportunity and get a free consultation about elective surgery.

Our surgery center features

• more than 15 highly qualified surgeons;
• latest equipment;
• comfortable room;
• 24/7 surveillance;
• recovery in 1 day.

Methods of payment for medical services “CM-Clinic”

You can pay for the services of the clinic in any convenient way, including in cash, using bank cards of major payment systems, using a QR code, as well as using installment cards “Halva”

Surgeon’s consultation on surgery (ACTION)*	0	–
Online opinion of the doctor on the operation (ACTION)	0	–
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	–

View the entire list

* You can learn more about the conditions here – Treatment on credit or installments

Preliminary cost. The exact cost of the operation can only be determined by the surgeon during a free consultation.

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

Make an appointment

Kozlov Igor Andreevich

Tra vmatologist-orthopedist

Work experience: 5 years

Marshala Zakharova, 20

Leninsky Prospekt

Vyborgskoe shosse, 17

metro Prosveshcheniya

Make an appointment

Dergulev Igor Olegovich

Orthopedic traumatologist

Work experience: 11 years

Danaisky, 47

Dunayskaya metro station

Make an appointment

Andrey Skulkin

Traumatologist-orthopedist

Work experience: 31 years

Vyborg highway, 17

metro Prosveshcheniya

Make an appointment

Belousov Evgeny Ivanovich

Orthopedic traumatologist

Work experience: 33 years

Udarnikov, 19

Ladozhskaya metro station

Make an appointment

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

Make an appointment

Garifulin Marat Sagitovich

Orthopedic traumatologist

Work experience: 19 years

Dunaysky, 47

Dunayskaya metro station

Make an appointment

Show more
+19 doctors

Other doctors 19 doctors

Angelcheva Tatyana Avramovna

Traumatologist-orthopedist

Work experience: 8 years

Dybenko, 13k4

m. Dybenko street

Make an appointment

Antonov Ilya Alexandrovich

Traumatologist-orthopedist

Work experience: 9 years

Marshala Zakharova, 20

Leninsky Prospect metro station

Make an appointment

Borisova Olga Mikhailovna

Pediatric surgeon

Work experience: 16 years

Dunaysky, 47

Dunayskaya metro station

Make an appointment

Gvozdev Maksim Alexandrovich

Traumatologist-orthopedist

Work experience: 11 years

Vyborg highway, 17

Prospekt Prosveshcheniya metro station

Make an appointment

Grebenyuk Mikhail Viktorovich

Orthopedist-traumatologist

Work experience: 18 years

Vyborgskoe shosse, 17

Prospekt Prosveshcheniya metro station

Make an appointment

Drach Elvis Kwaku

Traumatologist-orthopedist

Work experience: 7 years

Vyborgskoe shosse, 17

metro Prosveshcheniya

Make an appointment

Ezhovsky Vyacheslav Yurievich

Traumatologist-orthopedist. Doctor of the highest category.

Work experience: 23 years

Malaya Balkanskaya, 23

Kupchino metro station

Make an appointment

Islamov Magomedgadzhi Magomedhabibovich

Traumatologist-orthopedist

Work experience: 7 years

Dunaisky, 47

Dunayskaya metro station

Make an appointment

Karapetyan Sergey Vazgenovich

Orthopedist-traumatologist, podologist

Work experience: 15 years

Dunaysky, 47

Dunayskaya metro station

Malaya Balkanskaya, 23

9000 2 m. Kupchino

Make an appointment

Kikaev Adlan Olkhozurovich

Traumatologist-orthopedist

Work experience: 9years

Udarnikov, 19

Ladozhskaya metro station

Make an appointment

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

Make an appointment

Kolyadin Maxim Alexandrovich

Traumatologist-orthopedist

Work experience: 15 years

Dunaisky, 47

Dunayskaya metro station

Malaya Balkanskaya, 23

Kupchino metro station

Make an appointment

Kustikov Anton Aleksandrovich

Traumatologist, pediatric surgeon

Work experience: 7 years

Marshala Zakharova, 20

Leninsky Prospect metro station

Make an appointment

Mitin Andrey Viktorovich

Orthopedic traumatologist, pediatric surgeon, pediatric urologist

Work experience: 24 years

Udarnikov, 19

Ladozhskaya metro station

Make an appointment

Mikhailov Alexander Pavlovich

Traumatologist-orthopedist

Work experience: 5 years

Vyborgskoe shosse, 17

Prospekt Prosveshcheniya metro station

Malaya Balkanskaya, 23

metro Kupchino

Make an appointment

Panfilov Artyom Igorevich

Traumatologist-orthopedist

Work experience: 10 years

Marshala Zakharova, 20

Leninsky Prospect metro station

Make an appointment

Petrov Artem Viktorovich

Orthopedic traumatologist

Work experience: 10 years
Polukhin Aleksey Alekseevich

Traumatologist-orthopedist

Work experience: 4 years

Malaya Balkanskaya, 23

m. Kupchino

Make an appointment

Popov Evgeniy Sergeevich

Work experience: 22 years

Vyborgskoe shosse, 17

metro Prosveshcheniya

Make an appointment

Hide list

Reviews

Leave feedback

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

6 branches

Center for Surgery Dunayskaya metro station

47 Dunaisky prospect

Dunaiskaya metro station

daily from 09:00 to 22:00

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”

st. 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

daily from 09:00 to 22:00

Center for Surgery Dybenko Street

Dybenko Street, 13k4

Dybenko Street

daily from 09:00 to 22:00

Slippery topic: how to distinguish a fracture from a bruise, dislocation, and sprain? | News of Volzhsky

advertisement

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.