What causes a fracture? * When outside forces are applied to bone it has the potential to fail. Fractures occur when bone cannot withstand those outside forces. Fracture, break, or crack all mean the same thing. One term is not better or worse than another. The integrity of the bone has been lost and the bone structure fails. * Broken bones hurt for a variety of reasons including: * The nerve endings that surround bones contain pain fibers and and these fibers become irritated when the bone is broken or bruised.
Broken bones bleed, and the blood and associated swelling (edema) causes pain * Muscles that surround the injured area may go into spasm when they try to hold the broken bone fragments in place, and these spasms cause further pain. * Often a fracture is easy to detect because there is obvious deformity. However, at times it is not easily diagnosed. It is important for the physician to take a history of the injury to decide what potential problems might exist. Moreover, fractures don't always occur in isolation, and there may be associated injuries that need to be addressed. * Fractures can occur because of direct blows, twisting injuries, or falls. The type of forces on the bone may determine what type of injury that occurs. Descriptions of fractures can be confusing. They are based on: where in the bone the break has occurred, * how the bone fragments are aligned, and * whether any