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Childhood fractures
A fracture is defined as a break in the continuity of a bone (Hamblen and Simpson 2007). During play children undertake activities that can increase the risk of injury resulting in a fracture. The child with a fracture may present with pain, swelling, deformity, loss of function and movement; the diagnosis can be confirmed by X-ray.
There are two main classifications of fractures: closed and open (Dandy and Edwards 2009). For a closed fracture the skin remains intact whereas for an open fracture there is damage to the skin that communicates with the fracture site. This is also known as a compound fracture. Fractures can be displaced, where the bone fragments are not in alignment, or undisplaced.
Types of closed fractures
- Transverse: the fracture is horizontal across the bone
- Linear: the fracture is vertical.
- Oblique: –the fracture is at an angle of <90°.
- Spiral: the fracture runs in a spiral around the bone and is a result of a rotational force. Non-accidental injury should be suspected if this type of fracture is seen in an immobile infant.
- Comminuted: a fracture that consists of more than two fragments.
- Compression: this is where a bone has been crushed.
- Avulsion: a fragment of bone has been pulled away from the site of ligament insertion.
- Greenstick: this is an incomplete fracture where the bone remains intact on one side but breaks on the other. This is like trying to snap a new branch on a tree, hence its name.
- Buckle:
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