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If the fracture is displaced, surgical management is the proper treatment. If the instability risk of the wrist is more than 70%, then surgical management is required. 43% of displaced fractures will be unstable within the first two weeks and 47% of the remaining unstable fractures will become unstable after two weeks.
Nonunion is permanent failure of healing following a broken bone unless intervention (such as surgery) is performed. A fracture with nonunion generally forms a structural resemblance to a fibrous joint, and is therefore often called a "false joint" or pseudoarthrosis (from Greek pseudo-, meaning false, and arthrosis, meaning joint).
Clavicle fractures occur at 30–64 cases per 100,000 a year and are responsible for 2.6–5.0% of all fractures. [15] This type of fracture occurs more often in males. [15] About half of all clavicle fractures occur in children under the age of seven and is the most common pediatric fracture.
Treatment of a separated shoulder depends on the severity of the injury. When beginning treatment, the first steps should be to control inflammation, and to rest and ice the joint. Anti-inflammatories such as ibuprofen may also relieve pain and inflammation. The joint should be iced every four hours for fifteen minutes at a time.
A malunion is when a fractured bone does not heal properly. Some ways that it shows is by having the bone being twisted, shorter, or bent. Malunions can occur by having the bones improperly aligned when immobilized, having the cast taken off too early, or never seeking medical treatment after the break. [1]
Since bone healing is a natural process that will occur most often, fracture treatment aims to ensure the best possible function of the injured part after healing. Bone fractures typically are treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals.
A pathologic fracture is a bone fracture caused by weakness of the bone structure that leads to decrease mechanical resistance to normal mechanical loads. [1] This process is most commonly due to osteoporosis , but may also be due to other pathologies such as cancer , infection (such as osteomyelitis ), inherited bone disorders, or a bone cyst .
The fracture may be preventable by using wrist guards during certain activities. [1] In those in whom the fracture remains well aligned a cast is generally sufficient. [2] If the fracture is displaced then surgery is generally recommended. [2] Healing may take up to six months. [1] It is the most commonly fractured carpal bone. [3]