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Avulsion Fracture

WHAT YOU NEED TO KNOW:

An avulsion fracture is when a small piece of bone breaks and pulls away from a larger bone. Part or all of the piece may break away. An avulsion fracture may happen when a muscle, tendon, or ligament is pulled very hard. This can occur during a fall or while playing sports.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.
  • Your leg feels warm, tender, and painful. It may look swollen and red.

Return to the emergency department if:

  • Your cast cracks or is damaged.
  • The pain in your injured limb gets worse even after you rest and take medicine.
  • The skin, toes, or fingers of your injured limb become swollen, cold, or blue.

Contact your healthcare provider if:

  • You have numbness or tingling in your hand or foot below your cast.
  • You cannot move your fingers or toes below the cast.
  • You have new sores or redness around your cast or splint.
  • You have new or worsening trouble moving your injured limb.
  • You have questions or concerns about your condition or care.

Medicines:

  • Pain medicine may be given. Ask your healthcare provider how to take this medicine safely.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

You will need to return for more tests to see how your fracture is healing. Write down your questions so you remember to ask them during your visits.

Limit activity as directed:

Get plenty of rest while your fracture heals. When the pain decreases, begin normal, slow movements. Slowly start to do more each day. Rest when you feel it is needed.

Ice:

Apply ice on your injury for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.

Elevation:

Elevate your injured limb above the level of your heart as often as you can. This will help decrease swelling and pain. Prop your injured limb on pillows or blankets to keep it elevated comfortably.

Bathing with a cast or splint:

If you have a cast or splint, it is important not to get it wet. Before bathing, cover the cast or splint with a plastic bag. Tape the bag to your skin above the cast or splint to seal out the water. Hold your arm or leg away from the water in case the bag leaks. Ask when it is okay to take a bath or shower.

Cast or splint care:

  • Check the skin around the cast or splint every day.
  • Do not push down or lean on any part of the cast or splint because it may break.
  • Do not use a sharp or pointed object to scratch your skin under the cast or splint.

Walking devices:

You may need to use crutches or a walker until your fracture heals. Ask for more information about how to use these walking devices if needed.

Physical therapy:

A physical therapist may teach you exercises to strengthen your injured limb once the pain is gone.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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