Comminuted Fracture Symptoms, Treatments & Preventive Tips

Three or more shattered bones are called comminuted fractures. A strongly comminuted bone has more than four fractured points. In contrast to greenstick fractures, comminuted fractures are complete bone fractures. Depending on the fracture site, tissue or organs may be affected. If bone fragments penetrate the pleural region of the lung, a comminuted rib fracture can produce a pneumothorax. Comminuted extremity fractures can induce internal bleeding, which increases muscle pressure and causes compartment syndrome, a painful condition. This can kill surrounding tissue if left untreated, requiring quick medical intervention.

## Open Vs. Closed Comminuted Fractures

Open fractures shatter bone through the skin. Some call open fractures complex fractures. Open fractures heal slower and are more prone to infections. Closed fractures are dangerous, but they do not penetrate the skin. Displaced or nondisplaced are other fracture terms your doctor may use. A displaced fracture occurs when bone components shift so much that a space forms around the fracture. Although non-displaced fractures are shattered bones, the pieces were not misaligned.

## Symptoms of Comminuted Fracture

Comminuted fractures usually cause pain near the shattered bones. How many times the bone is broken may increase the agony. Walking on a fractured leg may worsen the discomfort. Other signs of a [comminuted fracture](https://www.mypremierpain.com/blog/treatments/comminuted-fracture/) include:

Symptoms of a break include swelling, bruising, tingling, odd body angles, and increased discomfort or stiffness.

## Treatments for Comminuted Fractures

Comminuted fractures are diagnosed by physical examination and imaging, such as an x-ray, before repair. The kind and bone of a comminuted fracture determine its repair. However, most need surgery. Splints or casts are worn for weeks to months after surgery to restrict bone mobility. Muscle strength around the fracture is often improved by physical therapy. You won’t lose the ability to use your arm or leg after surgery because the bone can be fixed and made sure to heal well.When a bone is broken into several pieces, [Pain management in Dallas](https://www.mypremierpain.com/) may do surgeries for severe fractures.

### External Fixation

If the injury is too bad for surgery, a doctor may put screws into broken bones and connect them to a brace. Fixtures are held in place by this device while the bone and other internal damage heal.

### Surgical Method

When possible, closed reduction and stabilization are best. The severity of fractures, extended duration before bone union, and tendency to develop bandage sores make this method difficult for elderly patients. Open surgeries can be classic or minimally invasive. The “open but don’t touch” minimally invasive method is also used. The abbreviation OBDT describes this method. OBDT preserves vascular flow to the fracture site, resulting in faster healing, less intraoperative time, less postoperative pain, and early function. Interlocking nails, plate-rod hybrids, and external fixation perform well with OBDT.

A vascular pedicle will soon incorporate small, comminuted fragments into the bone callus. Small shards are difficult to reduce anatomically without compromising the blood supply. Using tissue from another bone, a donor, or artificial materials, a doctor can restore irreparably damaged bone. Inside fixing may also be used to keep your bones together while they heal and grow.

## Diagnosing Comminuted Fractures

An x-ray shows your bones and helps doctors locate and classify fractures. Other tests your doctor may order:

– MRIs can identify tissue changes in organs, tissues, bones, and malignancies with or without computer augmentation. Your [pain doctor in Dallas](https://www.mypremierpain.com/meet-our-team/rao-k-ali/) may examine these photos for fractures.

– CT scan employs X-rays and computer technology to create cross-sectional body pictures. CT scans provide more intricate bodily images than x-rays.

## Comminuted Fracture Complications

Comminuted fractures heal properly with adequate care, but problems may occur, such as:

– Avascular necrosis

– Misaligned bone growth and repair

– Bone growth disruption deformity

– Marrow infections

## Preventive Measurements

Several lifestyle changes and therapies can lower bone fracture risk.

– Diet affects fracture risk. Calcium is essential for bone health. Calcium-rich foods include milk, cheese, yogurt, and dark green leafy vegetables.

– Eat eggs and oily fish and acquire vitamin D from sunlight.

– Weight-bearing exercise builds muscle and bone. Both lessen bone fracture risk. Regular exercise and a balanced diet can lower osteoporosis fracture risk.

– Women’s estrogen levels, which affect bone health, decline significantly following menopause. This complicates calcium control and promotes osteoporosis and fracture risk. Thus, bone density and strength must be monitored during and following menopause.

## Final Words

A severe comminuted fracture breaks the bone into at least three fragments. Comminuted fractures are especially common in long bones like the arms and legs. Ribs are another possible location. These fractures require surgery, casting, and physical treatment for months. Discuss your recovery from a broken bone with your doctor.

Comminuted Fracture Symptoms, Treatments & Preventive Tips