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No fracture JUST A SPRAIN

Discussion in 'Ask your questions here' started by FootDoc, Mar 7, 2010.

  1. FootDoc

    FootDoc New Member

    I so often read posts here from questioners who believe that their traumatic injuries are of lesser concern because they were diagnosed with "just a joint sprain" rather than the apparently dreaded fracture. Often, that relief is totally misplace. When a severe trauma take place, to an extremity and especially where torque is a component of the force of injury, the body structure has 2 choice (though not voluntary) . . either the bone fractures or the joint gives in with tearing of ligaments, joint capsule, maybe articular cartilage and possibly dislocation. The fact is that, for the most part, bony fractures, properly treated and nominally healed, will return to their "original factory condition," such that their function is fully restored. That is because bone is one of the few tissues in the body which heals with the identical tissue of which it was originally made. On the other hand, torn ligaments, joint capsules and articular cartilage and most other tissues in the body heal through a process of fibrous scar, and that fibrous tissue is not only different than the original tissue of which the body part was made, but that replacement tissue does not have the ability to function as did the original tissue. Sure . . fractures can be more dramatic and their treatment in some cases needs to be more immediate and aggressive. But isn't the goal after a traumatic injury that the part be returned to a functional state as close to it was prior to the injury? If it were me, either as the patient or the care giver, after a severe injury to an extremity, I would often be relieved that it was the bone that gave rather than the joint. So, the though that "it's ONLY a sprain," might not be realistic.

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