Make an appointment  07  5422450  

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FRACTURE CLINIC    Tel:  542 2450

At Papamoa Pines we have a dedicated Fracture Clinic that is held on Tuesday and Thursdays by Dr Symon Roberton

Dr Sy specialises in simple fractures and soft tissue injuries.  He has an interest in all aspects of sports medicine too

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Our nurses love dealing with plasters and bandages!!  Especially Lesley & Olivia.

 A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

  • Out-of-place or misshapen limb or joint
  • Swelling, bruising or bleeding
  • Intense pain
  • Numbness and tingling
  • Limited mobility or inability to move a limb

You need to get medical care right away for any fracture. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.

Broken bone

If more pressure is put on a bone than it can stand, it will split or break. A break of any size is called a fracture. If the broken bone punctures the skin, it is called an open fracture (compound fracture).

A stress fracture is a hairline crack in the bone that develops because of repeated or prolonged forces against the bone.

Considerations

It is hard to tell a dislocated bone from a broken bone. However, both are emergency situations, and the basic first aid steps are the same.

Causes

The following are common causes of broken bones:

  • Fall from a height
  • Motor vehicle accidents
  • Direct blow
  • Child abuse
  • Repetitive forces, such as those caused by running, can cause stress fractures of the foot, ankle, tibia, or hip

Symptoms

  • A visibly out-of-place or misshapen limb or joint
  • Swelling, bruising, or bleeding
  • Intense pain
  • Numbness and tingling
  • Broken skin with bone protruding
  • Limited mobility or inability to move a limb

 

First Aid

  1. Check the person's airway and breathing. If necessary, call 111 and begin rescue breathing, CPR, orbleeding control.
  2. Keep the person still and calm.
  3. Examine the person closely for other injuries.
  4. In most cases, if medical help responds quickly, allow the medical personnel to take further action.
  5. If the skin is broken, it should be treated immediately to prevent infection. Don't breathe on the wound or probe it. If possible, lightly rinse the wound to remove visible dirt or other contamination, but do not vigorously scrub or flush the wound. Cover with sterile dressings.
  6. If needed, immobilize the broken bone with a splint or sling. Possible splints include a rolled up newspaper or strips of wood. Immobilize the area both above and below the injured bone.
  7. Apply ice packs to reduce pain and swelling.
  8. Take steps to prevent shock. Lay the person flat, elevate the feet about 12 inches above the head, and cover the person with a coat or blanket. However, DO NOT move the person if a head, neck, or back injury is suspected.

CHECK BLOOD CIRCULATION

Check the person's blood circulation. Press firmly over the skin beyond the fracture site. (For example, if the fracture is in the leg, press on the foot). It should first blanch white and then "pink up" in about two seconds. Other signs that circulation is inadequate include pale or blue skin, numbness or tingling, and loss of pulse. If circulation is poor and trained personnel are NOT quickly available, try to realign the limb into a normal resting position. This will reduce swelling, pain, and damage to the tissues from lack of blood.

TREAT BLEEDING

  1. Place a dry, clean cloth over the wound to dress it.
  2. If the bleeding continues, apply direct pressure to the site of bleeding. DO NOT apply a tourniquet to the extremity to stop the bleeding unless it is life-threatening.

DO NOT

  • DO NOT move the person unless the broken bone is stable.
  • DO NOT move a person with an injured hip, pelvis, or upper leg unless it is absolutely necessary. If you must move the person, pull the person to safety by his clothes (such as by the shoulders of a shirt, a belt, or pant-legs).
  • DO NOT move a person who has a possible spine injury.
  • DO NOT attempt to straighten a bone or change its position unless blood circulation appears hampered.
  • DO NOT try to reposition a suspected spine injury.
  • DO NOT test a bone's ability to move.

When to Contact a Medical Professional

Call 111 if:

  • There is a suspected broken bone in the head, neck, or back.
  • There is a suspected broken bone in the hip, pelvis, or upper leg.
  • You cannot completely immobilize the injury at the scene by yourself.
  • There is severe bleeding.
  • An area below the injured joint is pale, cold, clammy, or blue.
  • There is a bone projecting through the skin.

Even though other broken bones may not be medical emergencies, they still deserve medical attention. Call us on 07 5422450  to find out where and when to be seen.

If a young child refuses to put weight on an arm or leg after an accident, won't move the arm or leg, or you can clearly see a deformity, assume the child has a broken bone and get medical help.