After an injury, a normal x-ray may not mean that the bone isn’t broken.

 

 My grandson fell and injured his arm.  His mother suspected the bone was broken, but the x-ray did not show a fracture.  The arm was immobilized and a few days later she and her son saw a doctor.  She pointed to the precise spot that worried her, and the doctor reviewed the x-ray.  He focused his attention on the worrisome locale, and he saw a pale line that he thought represented a non displaced fracture.

views of a fracture a gray line that’s hard to see. 



 

x-ray shows a fracture of the tibia with minor displacement of the bones.—they don’t quite meet.


When a bone fractures, the ends bleed and a clot forms. 

 “Within 7-14 days, granulation tissue forms between the fragments,” “Granulation tissue” contains macrophages that help remove debris, and ---Cytokines that help to activate fibroblasts, which will make collagen.”.  Blood vessels grow into the hematoma, and on radiographs there may now be linear lucency of the fracture, perhaps a result of bone resorption. 

If the diagnosis is unclear and the doctor needs to know, he or she may evaluate the area with a radio-isotope bone scan, a CAT scan, or an MRI.

 https://radiopaedia.org/articles/fracture-healing?lang=us

 https://www.woundsource.com/blog/getting-know-granulation-tissue-and-what-it-means-wound-care#:~:text=Granulation%20tissue%20is%20the%20primary,remove%20debris%20and%20release%20cytokines.

https://boneandspine.com/xray-pictures-of-fractured-tibia/

https://radiopaedia.org/cases/non-displaced-medial-malleolar-fracture?lang=us

 




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