fracture, breaking of a bone. A simple fracture is one in which there is no contact of the broken bone with the outer air, i.e., the overlying tissues are intact. In a comminuted fracture the bone is splintered. In greenstick fracture (common in children) one side of the bone is fractured and the other side bent. In multiple fracture there is more than one break. A compound fracture is one in which the broken bone is in contact with the air because there is a wound through the skin; the bone may project through the wound. The bones of older people are especially liable to fracture, although no age is exempt. Fractures are caused most often by injury, although certain pathological conditions may predispose a bone to fracture. Osteoporosis, the leaching of calcium from the bone, can cause spontaneous fractures, as can malnutrition and cancer. A person with a fracture should not be moved unless the broken bone has been splinted or otherwise immobilized (see first aid). Proper setting of bones and the application of a cast should be performed by a doctor. X rays aid in the repositioning of the bone as well as in determining the state of healing. Surgery that involves implanting metal pins or screws to join broken bones may be necessary; in certain cases traction devices are used to align bone fragments. Skull and jaw fractures require special treatment.

Long, narrow, and mountainous submarine lineation that generally separates ocean-floor ridges differing in depth by as much as 1 mi (1.6 km). The largest fracture zones, in the eastern Pacific, are more than 1,000 mi (1,600 km) long and 60–125 mi (100–200 km) wide. Numerous shorter fracture zones in the Atlantic are associated with the Mid-Atlantic Ridge.

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Break in a bone, caused by stress. It causes pain, tenderness, and inability to use the part with the fracture. The site appears deformed, swollen, and discoloured, and the bone moves in abnormal ways. It must be protected from weight bearing and movement between the broken ends while it heals, producing puttylike new tissue that hardens to join the broken pieces together. Complications include failure to heal, healing in the wrong position, and loss of function despite good healing. Fractures in joints present a particularly serious problem, often requiring surgery. Seealso osteoporosis.

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