Which sign is most suggestive of a fracture rather than a sprain?

Which sign is most suggestive of a fracture rather than a sprain?

• A. Tenderness and deformity
• B. Swelling with no deformity
• C. Bruising only
• D. Pain relieved by movement

Answer: (A)

Deformity along with localized tenderness is the strongest indicator that a bone may be broken. When a limb looks or feels out of alignment, it suggests the bone has been displaced or cracked, which is more characteristic of a fracture than a sprain. Swelling without visible deformity, or bruising alone, tends to occur with soft-tissue injury or a sprain rather than a clearly broken bone. Pain that improves with movement is not typical of fractures; fractures usually hurt more with movement or pressure, because the bone and surrounding tissues are irritated. In any suspected fracture, immobilize the area, avoid straightening or pushing on the bones, check distal circulation and sensation, and seek medical evaluation promptly.

Deformity along with localized tenderness is the strongest indicator that a bone may be broken. When a limb looks or feels out of alignment, it suggests the bone has been displaced or cracked, which is more characteristic of a fracture than a sprain. Swelling without visible deformity, or bruising alone, tends to occur with soft-tissue injury or a sprain rather than a clearly broken bone. Pain that improves with movement is not typical of fractures; fractures usually hurt more with movement or pressure, because the bone and surrounding tissues are irritated. In any suspected fracture, immobilize the area, avoid straightening or pushing on the bones, check distal circulation and sensation, and seek medical evaluation promptly.