What Is The Difference Between A Traumatic Fracture And A Pathological Fracture?

What causes an insufficiency fracture?

Insufficiency fracture is caused by normal or physiologic stress upon weakened bone.

Loss of bone trabeculae decreases the bone’s elastic resistance.

Causes include osteoporosis, prolonged use of corticosteroids, chronic diseases such as diabetes and renal failure, and previous radiotherapy..

Where do pathological fractures occur?

Pathologic fractures occur through areas of weakened bone attributed to either primary malignant lesions, benign lesions, metastasis, or underlying metabolic abnormalities, with the common factor being altered skeletal biomechanics secondary to pathologic bone.

What is the least painful bone to break?

What are the Easiest Bones to Break in the Body?Clavicle. The clavicle or collarbone is located near the front side of the chest near the shoulders and can fracture when pressure or stress is placed on the shoulders or when the arms are stretched out. … Arm. … Leg. … Hip. … Wrist.

Can you have a fracture and not know it?

Believe it or not, sometimes people can break bones and not realize it. Emergency room physician Dr. Troy Madsen says some bones are more prone to fractures. Swelling, trouble moving a joint, or lingering pain after a few days can all be indications of a bone fracture.

What is a pathological fracture?

A pathologic fracture is a break in a bone that is caused by an underlying disease. At the Spine Hospital at the Neurological Institute of New York, we specialize in pathologic fractures of vertebrae, or bones of the spine. For the most part, bones need a reason to break–for example, a significant trauma.

Is an insufficiency fracture the same as a pathological fracture?

An “insufficiency fracture” is produced by normal or physiological stress applied to bone with deficient elastic resistance. Fatigue and insufficiency fractures occur most frequently in the weight-bearing bones. The term “pathologic fracture” should be limited to any fracture in bone weakened by tumor.

How is a pathological fracture treated?

For all pathological fractures of the long bones, three principal surgical treatment options exist: intramedullary nail, plate, or (endo) prosthesis.

Can bones break without injury?

When there is normal bone but just not enough of it, we call it osteoporosis. This is by far the most common reason for a fracture without significant trauma. Osteoporosis lies in wait for every living human, if only they live long enough to develop it.

What is considered an osteoporotic fracture?

Osteoporotic fractures are a result of osteoporosis, a condition in which the bones become more fragile due to bone deterioration or low bone mass. Bones that are weaker or more fragile are at greater risk for fractures. Fractures occur commonly in the spine.

Which of the following could cause a pathologic fracture?

Only a small number of conditions are commonly responsible for pathological fractures, including osteoporosis, osteomalacia, Paget’s disease, osteitis, osteogenesis imperfecta, benign bone tumours and cysts, secondary malignant bone tumours and primary malignant bone tumours.

How is a pathological fracture diagnosed?

Your doctor will diagnose a pathologic fracture by first doing a physical exam. They may also ask you to do certain movements to help identify the broken bone. You’ll likely need an X-ray, which will give your doctor a clear view of the break.

What type of pre existing condition might likely cause a pathologic fracture to occur?

Pathologic fractures occur as the result of weakened cortices caused by resorption of calcium secondary to nutritional imbalance or preexisting disease processes such as osteomyelitis and neoplasia.

What happens if a fracture is left untreated?

If untreated, the pain experienced from a fracture will likely worsen as time goes on. The main risk of an untreated fracture, however, is improper healing. This can result in visible deformities, misalignment, limited movement, and infection.

How do you manage open fractures?

Options for wound closure in the treatment of open fractures include primary closure of the skin, split-thickness skin-grafting, and the use of either free or local muscle flaps. The timing of open wound closure has proponents in the immediate, early, and delayed categories.

What is considered a traumatic fracture?

A traumatic fracture is caused by some type of accident, fall, or other kind of force. For example, a traumatic fracture can occur during a motor vehicle accident or when a person is struck with a heavy object. A pathologic fracture is a broken bone caused by disease, such as osteoporosis or cancer.