Broken leg

A broken leg is a fracture in one or more of the bones of the leg. The most common leg fractures involve the thighbone, fibula, or shinbone. A fracture of the kneecap is seen less often.

How does a broken leg occur?

In most cases, a broken leg is a direct result of a fall, a traffic accident, or a hard blow to the leg during sports. But the leg can also break due to decreased bone quality. Bone quality can be impaired by a congenital condition, disease, or aging. As we age, osteoporosis (bone demineralization) can occur. This makes the bones more brittle and can lead to a fracture. More about osteoporosis and its important relationship with lifestyle and nutrition can be found here.

Characteristics (symptoms) of a broken leg

Almost immediately after the fracture, it becomes impossible to fully bear weight on the leg and there is sharp, localized pain. Swelling or discoloration may also occur at the site of the fracture. In severe fractures, the leg may be visibly deformed, or a bone fragment may even protrude through the skin. In addition to the bone fracture, there is often injury to the so-called soft tissues, such as the skin, tendons, muscles, and possibly even blood vessels and nerves.

How is a broken leg diagnosed?

Based on the patient's history and the physical examination, there is often a clear suspicion that the leg is broken. This must then be further investigated with imaging (tests that create pictures of the inside of the body).

With an X-ray, the specialist obtains information about the presence, location, and severity of a fracture. A CT scan or MRI scan provides more detailed information and can reveal associated soft tissue injuries.

Treatment of a broken leg

To provide the best treatment, it is important to know the type, location, and severity of the fracture. A conservative approach may be chosen, meaning the broken leg is not operated on and must heal with a splint and rest. Surgery may be necessary for severe fractures. In that case, the broken bone is fixed with fixation hardware, such as metal plates, wires, or screws.

A physical therapist is ideally suited to help restore full weight-bearing. Possible treatment methods include mobilization techniques, massage, medical taping, and exercise therapy.

Find a physical therapist here to rehabilitate after a broken leg.