Fractures and Sprains

 
FRACTURES
 
 
The human body has 206 bones. In a world full of falls, slips and trips it is not surprise how some of them get broken. Certain bones in particular break more than others. As soon as a bone breaks, it immediately begins to deposit calcium at the site of the fracture. Once healing is completed, the bones are just as strong as they were before the fracture.

Certain fractures are more conducive to self-healing than others. This is true for non-displaced fractures, where the fractured parts of the bone remains in alignment. If you have a displaced fracture, each side of the bone will need to be placed back into alignment before being set.

An open fracture is when you can visibly see the fractured bone sticking our of your skin in contrast a closed fracture is a fracture underneath the skin. Upon fracturing, bones may fragment into several pieces this is know as a comminuted fracture. However there are times that the bone does not break at all but simply bends, as is the case with greenstick fractures (which are more common in pediatric cases).
 
 
The five most common fractures in adults are:

   Ankle
   Hip
   Wrist
   Arm
   Collarbone or Clavicle

Fractures are diagnosed by X-rays that can be taken and read at the clinic on-site.
 
 
Pediatric
 
 
An increase in pediatric sporting events has been attributed to the increase in pediatric sporting injuries that we witness. There are nearly 3 million emergency department visits annually for pediatric-related sports injuries and that number is still on the rise.

One of the major challenges that we face in the diagnosis of acute fracture in the pediatric population is the presence of growth plates, which can mimic subtle hairline fractures. Salter Harris fractures refer to the acute fractures that involve the growth plates in skeletally immature patients.

The goal for treatment in Salter-Harris fractures is to obtain anatomic growth plate reduction to avoid growth arrest. The doctors at Marque Urgent Care can stabilize fractures and refer you to an orthopedic specialist with a copy of your X-ray.
 
 
SPRAINS
 
 
Sprains are a common problem physicians see in the urgent care. Most sprains are from an injury and about half result from playing sports. We commonly see them in teenagers and young adults.

Immediate treatment for sprains is elevation and ice. Decreasing the swelling will reduce pain and improve recovery time. Severe sprains may need to be X-rayed, especially if it is painful. Studies show that a brace or compression support is helpful for reducing swelling and time to return to activities. Evidence suggests that early mobilization as tolerated is better than prolonged rest to return to sports, long term stability and patient satisfaction.

Anti-inflammatory medicines like ibuprofen, Advil or Aleve may help with the swelling and pain. Physical therapy may be needed for significant sprains. Marque Urgent Care physicians can check severe sprains to access ligament stability.