Fracture - disturbance of an anatomic integrity of a bone owing to a trauma. In the field of fracture the hematoma, as a rule, is formed. At the open fracture the blood gives vent in a wound, there is a fast becoming infected of fracture. Multiple fractures (some bones at one person) are often accompanied by a shock.
Signs, current. A pain, deformation and disturbance of function of an extremity. At fractures without shift clinical current is similar to a bruise. Character of accompanying traumas depends on localization of fracture. So, fracture of bones of a skull is usually accompanied by a brain injury; at a fracture of spinal column there can be a damage of a spinal cord; at fracture of a basin - a trauma of the urinary channel or a bladder; at fracture of bones of extremities probably damage of large vessels and nerves. At the open fractures quite often there is a pyesis of a wound and an osteomyelitis. Adverse current of fracture conducts to its failure of union, a nearthrosis, contractures. From older persons fractures, which treatment demands long stay in bed (for example, fracture of pelvic bones, femurs, a backbone), can become complicated fast development of decubituses, pneumonias, thromboembolisms of a pulmonary artery. Fractures of bones of a crest and the basis of a skull (the unconsciousness, a bleeding from ears and a nose), fractures of cervical vertebra with damage of a spinal cord (disturbance of respiration, a tetraplegia), multiple fractures of ribs (disturbance of respiration, a hypoxia, a shock is frequent), multiple fractures of a basin (a bleeding, a shock) are dangerous to a life.
