For example, a fall down several steps and landing with 1 leg folded or twisted underneath a child can lead to excessive torsional loading of the femur and a spiral fracture. Spiral fractures are complete fractures of long bones that result from a rotational force applied to the bone. Your bone can even fracture into many pieces if the force. Discuss with Orthopaedic team for further management. In both ambulatory and nonambulatory children, under some circumstances, falls on a stairway can cause a spiral femoral fracture. Weight bearing Physical therapy What is a spiral fracture A spiral fracture occurs when a bone is twisted or torqued in one direction and subsequently fractures from the force, causing extreme pain. This type of break is caused from blunt force or persistent forceful motion, such as running (i.e. But a lot of force, like that during an accident or fall, might cause your bone to fracture (break).Spiral fractures are the result of a twisting injury and may be secondary to non-accidental injury especially in children 50% displacement.Fall or direct trauma to the proximal humerus.Clinicians should also consider the local skill level available and their local area policies before following any guideline. Stress fracture: Repeated stress and strain can fracture a bone. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. A spiral fracture occurs from a strong twisting motion, causing a fracture that resembles a corkscrew or spiral staircase. Spiral fracture: Here, at least one part of the bone twists during a break. Clinical common-sense should be applied at all times. They are not strict protocols, and they do not replace the judgement of a senior clinician. These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital.
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