Broken Bones and Sprains


Injuries to bones, joints, and muscles are common. But without an x-ray, it may be impossible to tell whether a bone is broken or the injury is a sprain.  This emergency occurs when a muscle, bone, or joint moves in a direction that it is not supposed to go.  This movement can lead to broken bones, sprains, fractures and other injuries.

Causes:

Falling, tripping, motor vehicle accidents, running, walking, exercise, sports, physical activity, sudden impact. 

Signs and Symptoms:

Bruising and swelling, bone fragment(s) sticking out, coldness, numbness, discoloration (blue), deformity, inability to use the affected part normally.

Fracture/Broken Bone:  A fracture is a complete break, a chip, or a crack in the bone.  An open fracture involves an open wound, and is when a bone end tears through the skin. An open fracture is more dangerous and severe.  However, a closed fracture is more common.

Dislocation:  A dislocation is the movement of a bone at a joint from its normal position.  When the bone is moved out of place, the joint no longer functions.  Usually dislocations happen at the shoulder, elbow, wrist, jaw, and hip.

Sprain/Strain:  A sprain is the tearing of the ligaments at a joint. Sprains mostly occur at the ankle, knee, wrist and fingers.  A strain is the stretching and tearing of a muscle. They usually occur in the neck, back, thigh, or the back of the lower leg. 



Use RICE method when dealing with a sprain or strain. 

Rest:  Do not move or straighten the injury.

Immobilize:  Try to stabilize the person in the position he/she was found. Splint or sling the injured part only and use caution if moving the person.

Cold:  Indirectly cool the part using ice for up to 20 minutes

Elevate:  Only elevate the part if it does not cause more pain.



Actions to take for a person with a possible broken bone or sprain:

  • Make sure the scene is safe.
  • Get the first aid kit.
  • Wear PPE.
  • Cover any open wound with a clean dressing.
  • Put a towel on top of the injured body part. Place a bag filled with ice and water on top of the towel over the injured area for up to 20 minutes.

Phone 911 if:

  • There is a large open wound.
  • The injured body part is abnormally bent.
  • You’re not sure what to do.