Overview
what it is and why it matters
A fracture is any disruption of bone continuity. In adults, fractures result from acute trauma (falls, sports collisions, direct blows), stress (repetitive loading exceeding bone fatigue tolerance), or pathologic causes (tumor, infection, osteoporosis reducing bone strength). Fractures are described by location, pattern (transverse, oblique, spiral, comminuted), displacement, and whether the skin is intact (closed) or broken (open/compound).
OSI surgeons treat the full spectrum of adult extremity fractures across all six locations, from simple forearm fractures to complex periarticular injuries requiring specialized reconstruction.
Diagnosis
exam first, imaging secondX-rays in at least two planes are the foundation of fracture evaluation. CT provides three-dimensional detail for complex periarticular and intra-articular fractures. MRI detects occult fractures (stress fractures, non-displaced fractures invisible on X-ray). Labs (CBC, coagulation, metabolic panel) are obtained for operative planning and bone health assessment.
Treatment Path
how care progresses at OSISplint / cast immobilization
Stable, minimally displaced fractures in acceptable alignment can be managed with immobilization until union (typically 6–12 weeks depending on bone and location).
Functional bracing
Allows controlled motion during healing for select fractures (e.g., humeral shaft).
Bone health optimization
Calcium, vitamin D, and consideration of bisphosphonates for osteoporotic fractures.
Surgical Options at OSI
if non-operative care isn't enoughSurgery is indicated for unstable fractures, displaced articular fractures, open fractures, fractures with associated neurovascular injury, and fractures that cannot be adequately maintained with casting.
Further Reading
authoritative sourcesExternal patient-education references and related OSI pages for additional background: