Sprains, Fractures and Dislocations
You've fallen over, you landed hard, you heard something pop and you think 'I’ve broken my ankle!' but, have you really? Sometimes it can be hard to tell the difference between a sprain or a fracture (or even a dislocation), especially when you're rolling around in pain, but there are a few ways to tell what damage is done.
Firstly, let's break down what each of the injuries actually are.
- A fracture is a broken bone, the severity can range from a thin crack right through to a complete break.
- A sprain is a stretched or torn ligament - they're the tissues that connect bones at a joint. Sprains aren't to be confused with strains, which is an injury to muscles and tendons.
- A dislocation is when a bone slips out of a joint, it can happen to almost any joint in the body but it most common to shoulders and fingers.
Knowing what each of the injuries are doesn't always make it easier to know what you've done as they can have similar symptoms such as bruising, swelling and pain. You also might have one or all of the injuries mentioned. Matt Ryan, Director of Emergency Medicine at Epworth Geelong says that “A dislocation is probably the easiest to identify, as the bone will usually look out of place, unless you've got a compound fracture where the bone breaks through the skin, that should be pretty obvious too.” Other fractures and sprains can look, feel and even sound the same as they happen so if you're unsure, always treat the injury as a fracture.
- Resting the affected area for up to two days, you can aid this recovery with the use of slings, crutches and other supports.
- Applying Ice to the area, to reduce swelling and help with pain.
- Using Compression to help reduce swelling, being careful not to cut off the circulation
- Elevating the injury as often as possible. Keeping the injured body part above heart level is a common way to remove swelling and fluid from the injury site.
If you suspect the injury is a fracture or a break, seek medical help. If the skin is broken, or there is significant swelling and pain it is always safest to check with a doctor as soon as possible. Do not attempt to put a dislocated bone back in it's place yourself, this will not only be incredibly painful but can also cause further injury - always get a medical professional to treat a dislocation.
For twenty-three years I’ve been an inpatient in hospital roughly a billion times- (okay, probably a million) but for the sake of my credibility in writing this let’s go with a billion. I’ve definitely determined a favourite vein for blood tests, I’ve memorised the exact tea/coffee/meal schedules, and semi shamefully/semi proudly I admit I’ve mastered the balancing act of rolling my orange-juice-topped IV machine back to bed after visiting the patient kitchenette snack drawer. There is a plethora of things you’ll learn about, yet no one tells you about being in hospital.
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