Types of Fractures Symptoms and First Aid Procedures

Table of Contents

Fractures, commonly known as broken bones, can range from mild cracks to severe breaks. They occur when excessive force is applied to a bone, causing it to crack or snap. Fractures can be classified into two main types: open fractures and closed fractures.

Open Fractures:

In an open fracture, the broken bone penetrates the skin, leading to an open wound near the site of the fracture. This type of fracture is particularly serious as it increases the risk of infection and requires immediate medical attention.

Closed Fractures:

Closed fractures, on the other hand, do not break through the skin. While the skin remains intact, the bone may still be severely damaged internally. Closed fractures can also cause swelling, bruising, and pain around the affected area.

Signs and Symptoms:


Recognizing the signs and symptoms of a fracture is crucial for providing timely assistance. Common indicators include:

  • Deformity: The affected area may appear misshapen, swollen, or bruised.
  • Pain and Difficulty Moving: The individual may experience severe pain and find it challenging to move the injured limb.
  • Visible Changes: A limb may appear shorter, twisted, or bent, indicating a possible fracture.
  • Grating Sensation: Some fractures may produce a grating noise or feeling when the broken bone ends rub against each other.
  • Inability to Move Normally: The casualty may have difficulty or be unable to move the limb normally, especially if the fracture is severe.

In cases of open fractures, there may be additional signs such as a visible wound with bone protrusion or signs of shock, particularly with fractures of major bones like the thigh, hip, or pelvis.

First Aid Procedures:


Prompt action is essential when managing fractures to prevent further injury and complications. Here’s what to do:

  1. Call Emergency Services: For open fractures, suspected broken backs, necks, or pelvises, immediate transfer to the Emergency Room (ER) by calling 999 or 112 is necessary.
  2. Remove Constrictive Items: Remove any rings, watches, or tight clothing from the injured limb to prevent constriction and swelling.
  3. Cover Wounds: If the fracture is open or there’s a visible wound, cover it with a sterile dressing or clean cloth to reduce the risk of infection. Apply pressure around the wound, avoiding direct pressure on the bone, and secure the dressing with a bandage.
  4. Immobilize the Limb: Keep the injured limb still by supporting it with padding and stabilizing it using nearby joints. Avoid unnecessary movement to prevent further damage.
  5. Assess Sensation: Check for any changes in sensation, such as numbness, tingling, or temperature differences, which may indicate nerve damage.
  6. Seek Medical Help: If emergency services have not been contacted, do so immediately. Do not attempt to move the casualty unless they are in immediate danger.
  7. Treat for Shock: If necessary, provide first aid for shock by laying the casualty down, elevating their legs (unless there’s suspicion of lower limb or pelvic fractures), and monitoring their condition until help arrives.

By following these first aid procedures, you can effectively manage fractures and provide essential support to those in need until professional medical assistance is available. Remember, early intervention is key to minimizing complications and promoting a speedy recovery.

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