Talk:Bone fracture

Article changes

I have made a few minor changes in this article (multi-fragmentary is prefered over comminuted) and expanded the section on description of fractures. I know there is a section on bone healing but surely a brief account of healing is needed in this article to understand the basis of fracture treatment. --Mylesclough 05:25, 23 September 2005 (UTC)

Suggested template for Orthopaedic Conditions (see Talk:Orthopedic surgery) is
Name
Definition
Synonyms
Incidence
Pathogenesis
Pathology
Stages
Classification
Natural History/Untreated Prognosis
Clinical Features
Investigation
Non-Operative Treatment
Risks of Non-Operative Treatment
Prognosis following Non-Operative Treatment
Operative Treatment (Note that each operations should have its own wiki entry)
Risks of Operative Treatment
Prognosis Post Operation
Complications
Management
Prevention
History
--Mylesclough 05:20, 8 October 2005 (UTC)

Bone always Heals in 18 months or less?

I have been reading about broken bones because I recently broke two bones in my left foot. When I was reading the "Bone Response" section in this article, I got the feeling it was implying that bone remodelling shall never take more than 18 months, but I was looking at [1], and it says, "In the hand, the Remodelling Stage continues for many months to a few years in adults." However, I'm not sure if that website is reliable because I just found it after searching Google for "bone fracture healing". If it is correct, maybe the article ought to have something separate to say about "Bone Response in the Hand."

--JNeal 15:43, 16 October 2006 (UTC)

Suggesting a merge with Bone healing

Original tag added March, 2007. Lots of time with no action, so I removed the tag. WLU (talk) 16:26, 29 November 2007 (UTC)

broken but not fractured?

The article reads, in part, " A broken bone is not always defined as a fracture, much as a fracture is not always defined as a broken bone. (U.S. Gov't 2005) A broken bone is defined as a complete severing of the bone, as in opposition to a fracture covering any type of crack or break in the bone."

These two sentences appear to contradict each other. If "a fracture covers any type of crack or break in the bone", then how can it be that "a broken bone is not always defined as a fracture"?

Also, what does the bit in parentheses mean? Can I answer my own question by simply reading all the material the U.S. Government produced in 2005?

I agree. I think the second sentence should stay and the first should go (although we may need to place some sort of reference pointing to the authoritative definition, if we can find it. I have heard the same facts as mentioned in the second sentence, but I'm no MD. Root⁴(one) 03:53, 27 June 2007 (UTC)

Maisonneuve fracture

Having suffered one of these fractures (right tibia) in February, I came to WP for info, alas nothing here. Any of the resident experts fancy filling the gap? --WebHamster 15:21, 29 November 2007 (UTC)

Not an expert, but I haven't done enough content addition in a while. I'll see what pubmed says... WLU (talk) 15:36, 29 November 2007 (UTC)

Um... History dates back to 2004... May try expanding. WLU (talk) 15:59, 29 November 2007 (UTC)

Terminology

The first sentence is:

"A bone fracture is a medical condition in which a bone is cracked but not broken."

Further into the article simple fractures, multi-fragmentary fractures, and complete fractures are discussed. These all involve a bone that is divided into more than one piece. This contradicts the initial definition of fracture as "cracked but not broken".

Is this contradiction inherent in medical terminology or is it a specific problem with this article?

If the former, our article would be improved if it acknowledged that there is a problem with medical terminology in general.

Wanderer57 (talk) 16:45, 18 April 2009 (UTC)

I am not an MD, but rather an EMT, and was taught that a fracture is the correct technical term for any condition in which the bone cracks or breaks, while the term "broken bone" is a pure coloquialism (sp?). Wwelles14 (talk) —Preceding undated comment added 22:30, 26 April 2009 (UTC).

Replaced "contaminated" with "comminuted"

The text in the Orthopedic section described the difference between open and closed fractures, and the difference between simple and comminuted/multifragmentary. Then it compared the prognosis of simple, closed fractures to open, "contaminated" fractures. This looks like a mistake - it sounds like this was meant to be "comminuted". I looked back in the history and indeed it was in the past: http://en.wikipedia.org/w/index.php?title=Bone_fracture&diff=53009653&oldid=48820671 Since I believe it was mistakenly "corrected" I'm putting it back. Of course, if "comminuted" is an old term (how do we know this?) then perhaps it should be further changed to "multifragmentary". --Weeble (talk) 20:51, 25 April 2009 (UTC)

Treatment

I am going to delete the first section on 1st aid as it is inadequate and incorrect. You do NOT splint unless absolutely necessary.Desoto10 (talk) 06:05, 15 October 2009 (UTC)

Gruesome Photo

Is there any benefit in featuring a somewhat gory photo of somebody's toe hanging off? I wouldn't have thought so. Andrew WD (talk) 08:57, 5 November 2009 (UTC)

I think injury photos are worthwhile on WP because it helps keep people who are not in first-responder occupations from being too far detached from reality. It is worthwhile because if they are ever at the scene of trauma it won't be the first time they've ever seen a frank injury. Gets the initial shock out of their system ahead of time, rather than having it "when it counts"—when they need to keep a cool head. So it is legitimately educational. — ¾-10 03:51, 7 November 2009 (UTC)

File:Holstein-Lewis fracture-.jpg Deleted

An image used in this article, File:Holstein-Lewis fracture-.jpg, has been deleted from Wikimedia Commons by Adrignola for the following reason: Mass deletion of copyright violations added by Shabany

What should I do?

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This notification is provided by a Bot, currently under trial --CommonsNotification (talk) 23:45, 5 May 2011 (UTC)

File:Open-closed-fracture.jpg Deleted

An image used in this article, File:Open-closed-fracture.jpg, has been deleted from Wikimedia Commons by Adrignola for the following reason: {{{3}}}

What should I do?

You can remove the code for this image from the article text (which can look messy), however a different bot may already have done so. You could also try to search for new images to replace the one deleted. If you think the deletion was in error please raise the issue at Commons.

This notification is provided by a Bot, currently under trial --CommonsNotification (talk) 23:45, 5 May 2011 (UTC)

Plain English for "communicate"

Please translate the artful term "communicate" to plain English in the following sentence from the article:

  Open (compound) fractures involve wounds that communicate with the fracture, ...

204.210.242.157 (talk) 22:36, 11 December 2011 (UTC)