Falls and Direct Impact
A fall onto an outstretched hand, a direct blow or landing forcefully on the shoulder, knee, hip or ankle can cause a fracture.
Think you broke a bone? Get rapid access to an orthopedic surgeon for evaluation and treatment of arm, shoulder, wrist, leg, knee, ankle and foot fractures. Call and tell our front desk that you may have a fracture. We will make every effort to see you the same day, time permitting.
Many stable arm, wrist, shoulder, leg, ankle and foot injuries can be evaluated directly by an orthopedic fracture specialist. Tell our front desk that you have a possible fracture or that another facility has already diagnosed a broken bone. We will make every effort to arrange a same-day appointment, time permitting.
Patients often hear several different terms after an injury. In orthopedics, a break, crack and fracture all describe an injury to the bone. The important questions are where the fracture is located, whether it has moved out of position and whether it remains stable.
Emergency rooms play an essential role in major trauma and true emergencies. However, many isolated arm and leg injuries can be evaluated directly in our orthopedic office.
Calling us first may allow you to receive a specialist evaluation, appropriate imaging and a treatment plan without spending hours waiting in an emergency department.
Same-day availability depends on the time of the call, office capacity and the nature of the injury.
Fractures can result from a major accident or from an everyday fall. The amount of force required to break a bone depends on the direction of the impact, the patient's age, bone quality and the health of the surrounding tissues.
A fall onto an outstretched hand, a direct blow or landing forcefully on the shoulder, knee, hip or ankle can cause a fracture.
Contact, twisting and high-speed changes in direction may injure the bone and nearby ligaments, tendons or cartilage at the same time.
Car accidents, motorcycle accidents and occupational injuries may produce higher-energy fractures with greater soft-tissue damage.
A planted foot or trapped limb can create rotational force and cause a spiral or angled fracture pattern.
Repeated impact may gradually overwhelm the bone and cause a stress fracture without one major traumatic event.
Osteoporosis and other conditions that reduce bone strength can allow a relatively minor fall to cause a significant fracture.
The fracture seen on an X-ray is only one part of the injury. Muscles, tendons, ligaments, nerves, blood vessels and skin surround every bone. These structures can be injured at the same time and may influence both the treatment plan and the timing of surgery.
Swelling, bruising, open wounds and damaged muscle can affect whether a fracture can be treated immediately or should first be protected while the surrounding tissues recover.
Fractures near a joint require particular attention. Restoring alignment and the joint surface can help reduce stiffness, instability, abnormal loading and future arthritis.
Whether the bone remains aligned is one of the most important factors in selecting treatment. The fracture location, stability, joint involvement and the patient's activity level are also considered.
The bone is cracked or broken but remains in acceptable alignment. This is often what patients mean when they say “hairline fracture.”
Many stable nondisplaced fractures can heal with protection in a splint, cast or brace and close follow-up with repeat X-rays.
Nondisplaced does not automatically mean minor. A fracture near a joint or important tendon attachment may still require specialist care.
The broken portions of the bone have moved away from their normal position. The bone may be angled, rotated, shortened or separated.
Treatment may require repositioning the fragments, called a reduction. Some fractures can then be held in a cast, while others require surgical fixation.
The goal is to restore alignment and hold it securely while healing occurs.
Bone healing begins soon after an injury. Swelling also changes rapidly, and some fracture fragments can shift after the initial examination. Early orthopedic evaluation allows the fracture to be protected, alignment to be assessed and the safest treatment window to be determined.
Waiting too long can allow a fracture to begin healing in an undesirable position, make reduction more difficult or delay necessary treatment. That is why suspected fractures receive priority scheduling in our office.
Call 404-298-3730 and tell the front desk you may have a fracture. We will make every effort to see you the same day, time permitting.
No single implant is best for every fracture. Our surgeons select the fixation method according to the bone involved, fracture pattern, bone quality, soft-tissue condition and the forces the repaired bone must withstand.
A plate is positioned along the outside of the bone and secured with screws. Plates allow precise control of alignment and are frequently used near joints and for many upper-extremity fractures.
A strong metal rod is inserted through the hollow center of a long bone and secured with locking screws. Nails are commonly considered for fractures of the femur, tibia and humerus.
Screws may be used without a plate to compress and stabilize selected fracture fragments. They may also be combined with plates or nails.
Our orthopedic surgeons treat fractures throughout the upper and lower extremities, from common falls and sports injuries to complex fractures involving the major long bones.
Advances in anesthesia, surgical imaging, minimally invasive techniques, fixation technology and postoperative pain control allow many appropriate fracture procedures to be performed at an ambulatory surgery center with discharge home the same day.
Access to multiple plate, screw and nail systems allows the fixation to be matched to the individual fracture.
Many isolated upper- and lower-extremity fractures can be treated without an overnight hospital stay in carefully selected patients.
Higher-energy injuries, open fractures and medically complex patients may require hospital-based treatment.
We make every effort to see suspected fractures the same day, time permitting. Call 404-298-3730 and clearly tell the front desk that you may have a broken bone or need fracture follow-up. Calling earlier in the day provides the best opportunity for a same-day appointment.
Many isolated arm and leg injuries can be evaluated directly by an orthopedic specialist. Call our office first when the injury appears stable. Major trauma, open wounds, loss of circulation, severe deformity or other emergency warning signs require emergency care.
No. Fracture is the medical term for a broken bone. A fracture may be a small crack, a complete break or a bone that has broken into multiple pieces.
Patients often use “hairline fracture” to describe a small crack or nondisplaced fracture. Although the bone has not shifted significantly, it still requires appropriate protection and follow-up.
No. Some displaced fractures can be repositioned without an incision and held in a cast. Surgery is considered when alignment cannot be achieved or maintained, the fracture is unstable or the joint or surrounding tissues require repair.
A suspected fracture should be evaluated promptly. The timing of treatment depends on the fracture pattern, swelling, skin condition, circulation, nerve function and overall medical status.
Many isolated upper- and lower-extremity fractures can be treated at an outpatient surgery center in properly selected patients. More severe trauma, open injuries or complex medical conditions may require hospital treatment.
Tell our front desk you have a possible fracture or need follow-up after an urgent care or emergency room visit. We will make every effort to see you the same day, time permitting.