Callus after fracture

2023 Author: Alfred Shackley | [email protected]. Last modified: 2023-05-21 13:14

Violation of the integrity of the bones is a serious injury and negatively affects the general condition of the body, limiting its statics and movement. When bone tissue regenerates, callus appears - a fragment of connective tissue formed at the site of injury.

Recovery takes place in several stages:

• first, connective tissue provisional corn grows;
• a week later, it is replaced by osteoid tissue, which, depending on the clinical picture, is transformed into cartilage or immediately into bone tissue.

Several types of calluses are classified:

1. periosteal or external callus, when the joint is formed from the periosteum;
2. internal - the endosteum fills the internal space of the bone;
3. the final stage - intermediate callus - after its formation, complete connection of bone fragments can be noted.

Incorrectly joining bones causes them to thicken at the site of injury - on x-rays, such calluses resemble tumors. They put pressure on the surrounding soft tissues, obstruct blood supply, cause significant discomfort, and stimulate inflammatory processes. In this case, the patient needs treatment.

Features of healing of fractures

People recover from injuries in different ways. In childhood, 2-3 weeks are enough for the fracture to heal, after 50 years it may take 1-2 months, or even more. The more complex the injury, the longer it takes to regenerate.

The following factors affect fusion.

• The nature of the injury, the strength of the physical impact that caused the fracture;
• Fracture type - open, closed, comminuted, with or without displacement;
• Anatomical and physiological characteristics of each person;
• Localization of the violation of the integrity of the bone;
• Age factor.

Calluses are not formed in flat bones. These bones include ribs, sternum, scapula, and skull bones. In tubular bones - femur, fibula, tibia, radial, ulnar, phalanges of fingers and other bones of the limbs - the thickening can significantly extend beyond the surface of the bone.

The more complex the fracture, the longer it takes to heal. Traumatic injuries of the comminuted type and after gunshot wounds can be considered "record holders".

When callus treatment is required

Periosteal callus is formed from the side of the periosteum - the blood supply in this part of the bone is increased, it regenerates quickly.

So that it does not increase, it is enough to tightly match the fragments of the bone and exclude irritation of the damaged area. With reliable and correct immobilization, treatment of periosteal callus is not required.

With persistent fixation, no treatment is required and intermedial formation. It forms right between the fragments of bone tissue and does not cause discomfort to the victim. No thickening is visible on the X-ray.

Endosteal callus is a temporary phenomenon - it forms from the inside of the fracture parallel to the external connection, and if it develops incorrectly and does not dissolve during final regeneration, then a thickening appears on the outside of the bones. Such a defect can appear with a fracture of the clavicle, in the future, the victim will experience pain when moving the arm.

Most often, paraosseous calluses have to be treated. This formation grows in the soft tissues around the fracture and is a bony protrusion that can break off even with light loads.

The neoplasm causes significant discomfort and causes pain, a tumor forms on the skin over the site of injury, which does not subside for a long time - more than a month, the affected bone responds to any load with severe pain. Most often, this pathology occurs near the tubular bones, the neoplasm on its own resolves for several years.

Bone tissue regeneration depending on the location of the fracture

Recovery after bone fracture depends - as already indicated - on many factors, but on average each bone has its own regeneration time.

1. Phalanges of fingers - accretion takes about a month. On the hand, injuries grow together faster - since the hand is easier to unload, and you have to lean on the foot. After breaking the integrity of the bones in the heel, recovery takes longer than 3 months. During treatment, you should choose comfortable shoes or do without them for some time;
2. Clavicle - recovery takes from 1, 5 to 2 months;
3. The radius bone heals in about 3 weeks, and the shoulder bone 6-7 weeks;
4. With fractures of the hips of a different nature, you will have to spend from 2 to 7 months in bed;
5. The ribs are overgrown in 1-2 months, the spine requires long-term immobilization - 5-7 months, and then physical exertion has to be avoided for a long time.

The larger the bone, the longer it takes to regenerate.

Bone Callus Treatment

For whatever reasons, the thickening appears during the fusion of bone tissue, it increases the risk of an inflammatory process at the site of the fracture. The patient himself turns to the doctor only in case of a feeling of discomfort and soreness - this happens if a callus has formed on the heel, fingers or collarbone - in other cases, the formation of calluses without disturbing organic processes is detected only on an X-ray.

It is very important to consult about neoplasms after rhinoplasty - if growths appear on the bones of the nose or ear cartilage, changes in appearance can be negative. In addition, improper regeneration during rhinoplasty adversely affects respiratory function.

• The easiest way to remove the thickening at the fusion site is a surgical method, but doctors try to avoid such a radical method. Surgical intervention is carried out only with a pronounced inflammatory process: an increase in temperature, severe pain, the appearance of edema in the injured area.
• It should be borne in mind that when removing a build-up of bone tissue, repeated regeneration is required, so the rehabilitation process is delayed.
• They try to carry out treatment with conservative methods.
• The fracture site is again fixed and physical activity is eliminated. Physiotherapy is connected - ultrasound therapy, magnetic therapy, electrophoresis. In case of severe edema, injections of medications with absorbable properties are given: Plazmol, Aloe extract and other biostimulants.
• The patient needs a calm environment and balanced nutrition. They give recommendations to take a vitamin-mineral complex, which includes a group of B vitamins, potassium, calcium, magnesium and phosphorus. Massage and reflexology also help to cope with callus.

Traditional medicine to prevent bone growth

Traditional medicine methods speed up the treatment of calluses.

1. Baking soda, apple cider vinegar, herbal infusions - chamomile, sage, calendula or St. John's wort are added to the water.
2. The proportions for the bath are 3 liters of warm water saturated with 150 ml of herbal infusion, a tablespoon of the remaining components.
3. Treatment course - 3 weeks, 15 minutes a day.

Aloe or Kalanchoe gruel should be tied to edema in the form of a compress.

• A leaf of a plant is placed in a refrigerator for 7-10 days, after wrapping it in paper - this helps to activate the bio-properties of plants.
• Then the plant is rubbed, spread the gruel on parchment and fixed at the site of inflammation. Leave it overnight.

Neoplasms on the phalanges of the toes and heels dissolve faster if you make soda baths.

1. Up to 4 tablespoons of baking soda are diluted in a liter of water.
2. The bath is done within 15 minutes. The method is not suitable for hands - soda corrodes delicate skin.

You shouldn't "put pressure" on the doctor and ask for an operation. Repeated trauma can again cause callus growth and a resumption of the inflammatory process. You need to be patient - calluses gradually dissolve on their own. Sometimes this process takes 2-3 years.