Category Archives: Fractures treatments

fracture treatment in Dwarka

Trauma & Fracture Management

Dr Ashu Consul is the best orthopaedic for bone fracture treatment in Dwarka, Delhi. A fracture is a crack or a break in a bone. Most fractures are a consequence of the force applied to a bone.

  • Fractures are often caused by injury or overuse.
  • The injured area hurts (especially when used), is usually swollen, and may be infected, distorted, angled, or out of position.
  • Other injuries, such as blood vessel and nerve injuries, compartment syndrome, infections, and long-term joint problems may also be present or develop later.
  • Sometimes orthopaedic in Dwarka can diagnose fractures based on symptoms, injury-causing circumstances, and clinical examination results, but x-rays are usually needed.
  • Most fractures heal well and cause few problems, but the time it takes to heal varies, depending on many factors, such as the patient’s age, the type and severity of the injury, and the presence of other disorders.
  • Trauma & fracture treatment in Dwarka, Delhi depends on the type and severity of the fractures and may include pain relievers, PRICE (protection, rest, ice-ice-, compression, and lifting), manoeuvres or procedures to put the damaged parts back into their normal position (reduction), immobilization of the injured part (for example, with a cast or splint), and sometimes surgery.

Bones are part of the musculoskeletal system, which also includes the muscles and tissues that connect them (ligaments, tendons, and other connective tissues, called soft tissues). These structures provide the body with its shape and stability and make it able to move.

Tissues of the musculoskeletal system can be damaged in a variety of ways in addition to fractures, including:

  • Joint bones can be completely separated from each other (called dislocation) or only partially out of position (called subluxation).
  • Ligaments (which bind bones together) can rupture (sprain).
  • Muscles can break (fibrillary ruptures, strains, or muscle sprains).
  • Tendons (which bind muscle to bone) can rupture.

Sprains, strains, and broken tendons are called soft tissue injuries.

Fractures (and other musculoskeletal injuries) vary greatly in both severity and the type of treatment required. For example, fractures can range from a small crack in a foot bone, which easily goes unnoticed, to a major life-threatening pelvic fracture.

A fracture can break the skin (called an open fracture) or not (closed fracture).

Trauma that breaks a bone can also seriously damage other tissues, including the skin, nerves, blood vessels, muscles, and various organs. These injuries can complicate the fracture treatment in Dwarka, Delhi, and/or cause problems temporarily or permanently.

In most cases, the limbs are fractured, but fractures can occur in the bones of any part of the body, such as:

  • Head
  • Face
  • Eyes
  • Ribs
  • Spine

Causes

The most common cause of fractures is trauma. Trauma includes

  • Direct trauma, such as in falls or traffic accidents
  • Repeated moderate force, such as in long-distance runners or soldiers who march with a heavy load on their backs (these fractures are called overexertion fractures)

The severity of the fractures depends in part on the intensity of the trauma. For example, a fall from the height itself usually causes minor fractures, but a fall from a tall building can cause serious fractures affecting multiple bones.

Some fractures occur during sports.

Some disorders can weaken the bone. These factors include the following

  • Certain infections
  • Bone tumors (which may or may not be cancerous), including cancers that have spread (metastasis) from anywhere in the body to the bone
  • Osteoporosis

People with one of these disorders are also more likely to break a bone, even when the force exerted is mild. These types of fractures are called pathological fractures.

Trauma & Fracture Management/Treatment in Dwarka, Delhi

  • Treating serious complications
  • Pain relief
  • Protection, rest, ice, compression, and elevation
  • Realignment (reduction) of out-of-place fragments
  • Immobilization, usually with a splint or cast
  • On certain occasions, surgery

Serious fractures and related serious injuries, if present, are treated immediately. For example, shock or compartment syndrome is treated right away. Without timely fracture treatment in Delhi, such injuries can worsen, becoming more painful, and being more likely to cause a loss of function. These injuries can cause serious problems or even death.

If a person thinks they have a fracture or other serious injury, they should go to an emergency room. If you are unable to walk or have multiple injuries, you must be transferred by ambulance. Until medical assistance can be obtained, the following should be done:

  • Prevent the injured limb from moving (immobilize it) and provide support with a makeshift splint, sling or pillow
  • Raise the limb, if possible above the height of the heart, to limit inflammation
  • Apply ice (covered by a towel or cloth) to the injured area to control pain and inflammation

Fracture Treatment in Dwarka of children

Fractures in children are often treated differently from fractures in adults, as children’s bones are smaller, more flexible, less brittle, and still growing. Fractures in children heal better and faster than in adults. Several years later, in most children’s fractures, the bone appears almost normal on the x-ray.

In children, treatment with plaster is often preferable to surgery because

  • Children develop less stiffness after wearing a cast than adults.
  • They are more likely to be able to move normally after carrying a cast.
  • Surgery near a joint can damage the part of the bone that allows children to grow (growth plate).

Treating serious injuries

In the emergency department, orthopaedic in Delhi determines the presence of injuries that require immediate treatment.

If a tear has occurred in the skin, the wound is cleaned, usually after using a local anaesthetic to numb the area, and covered with a sterile bandage. In addition, the injured person is given a vaccine to prevent tetanus and antibiotics to prevent infection.

To ensure that the injured part is not deprived of blood, damaged arteries are surgically repaired unless they are small and blood flow is unaffected.

The severed nerves are also surgically repaired, but this surgery may be delayed up to several days after the injury, if necessary. If the nerves are compressed or flooded, they can heal on their own.

Pain relief

Pain is treated as soon as possible, usually with opiate pain relievers and/or acetaminophen. In general, aspirin (acetylsalicylic acid) and other nonsteroidal anti-inflammatory drugs (NSAIDs) are not usually recommended in these cases because they are not usually more effective than acetaminophen, and in some people, they may worsen bleeding.

Sometimes orthopedic in Delhi injects an anaesthetic into the nerves in the area. This procedure (called a nerve block) prevents nerves from sending pain signals to the brain.

Clavicle-Fracture

Clavicle (Collarbone) Fracture

Dr Ashu Consul is a leading orthopaedic for collarbone fracture treatment in Dwarka, Delhi. The collarbone is one of the main bones of the shoulder joint. This, together with the acromioclavicular scapula and joint support of the shoulder, give stability and strength to the shoulder.

The clavicle also protects the bundle of nerves and vessels that go from the neck to the shoulder (brachial plexus).

Clavicle (Collarbone) Fracture Causes

A clavicle (collarbone) fracture occurs through trauma to an outstretched hand or by direct contact with the clavicle or shoulder. This type of accident occurs in sports such as football, wrestling, or ice hockey.

Symptoms

Symptoms of a clavicle (collarbone) fracture:

  • sudden acute pain after a direct hit on the clavicle or shoulder;
  • the impossibility of lifting the respective member due to the pain;
  • Friction sensation when trying to lift the affected limb.

Sometimes the shoulder appears detached and, if a deformity is present, it has a bulging or hinged appearance along the collarbone. Very rarely, the bone perforates the skin, but more often it can push it resulting in the appearance of a tent.

A clavicle (collarbone) fracture is not usually serious. In rare cases, it can pierce a lung or cause a rib fracture or the severing of nerves or vessels. These changes can result in a pale, cold, or cushioned limb and tingling.

Diagnostic

A clavicle (collarbone) fracture can be diagnosed by anamnesis and objective examination. The orthopaedic in Dwarka will check:

  • the affected area and will look for deformities of the bone or grooves;
  • the peripheral circulation of the arm by searching the pulse and observing the color of the skin and the temperature;
  • damage to the nerves or blood vessels;
  • the angles of movement of the shoulder and other joints;
  • muscle strength in the affected limb.

The orthopaedic in Delhi will recommend an x-ray to find the exact location of the fracture and the degree of severity.

Collarbone Fracture Treatment in Dwarka, Delhi

Collarbone Fracture Treatment in Dwarka Most heal without any intervention. The arm is immobilized in phase so that the movements of the shoulder during healing are reduced. An adult will wear the band for a few days up to a week; children may need 1 to 3-4 weeks. For children, a ribbon can also be used to keep the shoulder in the correct position.

Immediately after the fracture, a few slight movements can begin and as the pain subsides, it can start to tone movements. If the physical exercises start too soon, the fractured bone may not heal properly. If the patient is an athlete or has an active lifestyle, he is advised not to start the activity until his shoulder is functioning normally.

Non-steroidal anti-inflammatory drugs, including aspirin, ibuprofen, or naproxen, may be used to relieve pain. Aspirin is not given before the age of 20 due to the risk of developing Reye syndrome. Paracetamol can help relieve pain.

For severe fractures, surgery is recommended occasionally.

Proximal-Humerus-Fracture

Proximal Humerus Fracture

Proximal Humerus Fracture: Symptoms and Treatment

A proximal humerus fracture is a common shoulder injury. Particularly common in older people due to osteoporosis, fractures of the proximal humerus are among the most common broken bones in the shoulder. In fact, in patients over the age of sixty-five, proximal humerus fractures are the third most common broken bone (after wrist and hip fractures).

A proximal humerus fracture occurs when the ball of the shoulder joint breaks. The fracture is actually in the upper part of the arm bone (the humerus). Most proximal humerus fractures are not displaced (not out of place), but about 5 to 20% of these fractures are displaced, and may require more invasive treatment.

The most notable problem with proximal humerus fractures is that the treatment is very limiting and the results are usually fair or poor. Several patients suffering from this injury do not regain full strength or mobility of the shoulder, even with precise treatment.

Displaced Fractures of the Proximal Humerus

Proximal Humerus Fracture When the bone is not in precise alignment, the fracture is known as displaced. In proximal humerus fractures, severity is usually described by how many of the major parts of the proximal humerus fracture are displaced. There are 4 parts of the proximal humerus, therefore a displaced fracture can be 2 parts, 3 parts, or 4 parts (a nondisplaced fracture is, by meaning, part I). In general, the most displaced parts, the prognosis is lower.

The components of the proximal humerus are known as tuberosities (the major and minor tuberosity), the humeral head (the ball of the shoulder), as well as the humeral axis. The tuberosities are next to the ball and are junctions of the vital rotator cuff muscles. For a component to be considered displaced, it must be more than forty-five degrees apart from its usual place.

Treatment

About 80 percent of proximal humerus fractures are not displaced (not out of place), and these can almost always be treated with a sling. The typical treatment is to rest the shoulder in the sling for 2 to 3 weeks, and then start some light range of motion exercises. As healing progresses, more aggressive shoulder strengthening exercises can be resumed, as complete healing generally takes around three months.

In more serious injuries where the bone is displaced (out of place), it may be essential to realign or replace the damaged bone. Determining the best treatment depends on several factors, including:

  • Hand Mastery
  • Patient age
  • Degree of fracture displacement
  • Patient activity level

Options for surgery include realigning the bone fragments and holding them in place with metal orthopedic implants, or having a shoulder replacement procedure. Whether the bone fragments can be fixed, be it bone screws, dowels, wires, large sutures, or a bone plate. The plates and screws, as shown above, have become much more common because the coating technology has improved.

If there are problems with the bone repair, orthopaedic surgeon in Delhi may suggest you go for some type of shoulder replacement. If a replacement procedure is suggested, options include a standard shoulder replacement, hemiarthroplasty, or a reverse shoulder replacement.

The specific recommendation for which type of surgery is best depends on several factors, including the type of rest and the particular patient. For example, reverse shoulder replacements can be excellent treatments, but they are reserved for older, less active patients.