Fracture or Broken Bone Diagnosis and Treatment

A broken bone or bone fracture is a crack or a break in a bone. A fracture can be complete or partial. If the broken bone punctures the skin, it is called an open or compound fracture.

Male nurse supporting man's leg wrapped in bandages
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Fractures commonly occur from a high impact or trauma to the bone, although some diseases can weaken bones and cause them to break. Very small cracks in the bone called stress fractures can be caused by overuse. The most common causes include:


  • Out-of-place or misshapen limb or joint
  • Swelling, bruising or bleeding
  • Intense pain
  • Numbness and tingling
  • Limited mobility or inability to move a limb

Types and Descriptions

  • Simple Fracture: the bone is broken in one place
  • Closed Fracture: the skin over the broken bone has not been pierced
  • Comminuted Fracture: the broken bone has three or more bone fragments
  • Open or Compound Fracture: the skin over the fracture has been pierced, and the broken bone is exposed.
  • Oblique Fracture: The break is angled across the long axis of the bone.
  • Undisplaced Fracture or Stable Fracture: the broken bone pieces are aligned
  • Displaced Fracture: the broken bone pieces are not aligned
  • Transverse Fracture: the fracture is at a right angle to the long axis of the bone
  • Greenstick Fracture: the fracture is on one side of the bone, causing a bend on the other side of the bone

Immediate Treatment

If you suspect you have a fractured bone, you should seek immediate emergency medical care. X-rays are often used to located and assess fractures. The broken pieces may need to be put back in place and then immobilized until the bones can heal as new bone forms around the break. This is called stabilization.

You may need to wear a cast or splint, or possibly have surgery to put in plates, pins or screws to keep the bone in place.

Bone Healing

Immediately after a bone fracture, the body forms a protective blood clot and callus or fibrous tissue to protect the injured area. Bone-forming cells start forming new bone at the edges of the fracture site and grow toward each other. Over time, the fracture closes completely, and the bony callus is absorbed.


The type of treatment will depend on the kind of fracture and the specific bones involved.​

  • Casting: After the broken bones have been manipulated back into their proper positions, a plaster or fiberglass cast is applied to keep the bones from moving while they heal.
  • Traction: For some broken bones, a system is set up to apply a gentle but steady pulling action so the bones are aligned.
  • External fixation: Pins or wires are set into the bone through the skin above and below the fracture. These are connected to a ring or a bar outside the skin that holds the pins in place. After the bones have healed, the pins are removed.
  • Internal fixation: In a surgical procedure, metal rods, wires, or screws are inserted in the bone fragments to keep them together.


Fractures usually heal in about four to six weeks, but some can take several months depending on the extent of the injury and how well you follow rehab instructions.

Casts or braces are often removed before complete healing to prevent joint stiffness. Pain usually decreases before the fracture is solid enough to handle a complete return to sports, so working with a therapist on a rehab protocol is important to avoid further injury.

Once the bone is healed and strong, it's safe to begin muscle building. During the disuse, the muscles will have atrophied and be extremely weak. Tendons and ligaments may also be stiff from a lack of use. Rehabilitation involves flexibility, balance and strengthening exercises and a gradual increase in activity. Physical therapy is the preferred method of safely getting back into sports.

4 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Einhorn TA, Gerstenfeld LC. Fracture healing: mechanisms and interventions. Nat Rev Rheumatol. 2015;11(1):45-54. doi:10.1038/nrrheum.2014.164

  2. Singaram S, Naidoo M. The physical, psychological and social impact of long bone fractures on adults: A review. Afr J Prim Health Care Fam Med. 2019;11(1):e1-e9. doi:10.4102/phcfm.v11i1.1908

  3. American Academy of Orthopedic Surgeons. About Casts.

  4. American Academy of Orthopedic Surgeons. Internal Fixation for Fractures.

Additional Reading

By Elizabeth Quinn
Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics.