ABSTRACT

Children can also sustain injuries where the bone is only plastically deformed (misshapen). In contrast, compression fractures occur when cancellous bone is crumpled, such as in vertebral bodies, calcaneum and the tibial plateau. A universal, anatomically based system facilitates communication and exchange of data from a variety of countries and populations, thus contributing to advances in research and treatment. Displacement occurs partly due to the force of injury, partly gravity and partly the pull of attached muscles. Displaced fractures are manipulated to reduce them then splinted to maintain position until they unite. Joint movement and function must be preserved. Fracture healing is promoted by physiological loading of the bone, so muscle activity and early weight-bearing are encouraged. Experience is the best teacher and the patient is encouraged to use the injured limb as much as possible. Rehabilitation units may be useful, particularly for severely injured patients.