page_title: Fracture blister
section_title: Additional images
hierarchical_section_title: Fracture blister / Additional images
caption_attribution_description: English: Hemorrhagic fracture blisters on medial aspect of left foot and ankle. X-ray shows a Weber Type B fracture of the ankle.
context_page_description: Fracture blisters occur on skin overlying a fractured bone, and fractures complicated by the development of overlying blisters remain a clinical dilemma in orthopedics.
  Fracture blisters are tense vesicles or bullae that arise on markedly swollen skin directly overlying a fracture. Fracture blisters pop up in trauma patients occasionally. A fracture blister typically occurs near fractures where the skin has little subcutaneous tissue between it and bone. These include elbows, knees, ankles, and wrists. They tend to complicate fracture management because they interfere with splinting, casting, and incision planning for open reduction procedures. They can appear anytime within a few hours of injury to 2–3 weeks later.
  These blisters are thought to be caused by shearing forces applied at the time of injury. There are two types described, based on their color: clear fluid and hemorrhagic. The difference lies in the level of the shear. Clear fluid blisters have separated within the epidermis, and hemorrhagic blisters separate at the dermal-epidermal junction. The clinical difference is healing time; clear blisters take about 12 days and hemorrhagic blisters heal in about 16 days.
caption: Hemorrhagic fracture blisters on medial aspect of left foot and ankle. X-ray shows a Weber type B fracture of the ankle
exif: {"Image Make": "PENTAX Corporation", "Image Model": "PENTAX Optio 30", "Image Orientation": "Horizontal (normal)", "Image XResolution": "72", "Image YResolution": "72", "Image ResolutionUnit": "Pixels/Inch", "Image Software": "GIMP 2.8.16", "Image DateTime": "2017:09:19 20:58:16", "Image YCbCrPositioning": "Co-sited", "Image ExifOffset": "318", "Image PrintIM": "[80, 114, 105, 110, 116, 73, 77, 0, 48, 50, 53, 48, 0, 0, 12, 0, 1, 0, 22, 0, ... ]", "Thumbnail Compression": "JPEG (old-style)", "Thumbnail XResolution": "72", "Thumbnail YResolution": "72", "Thumbnail ResolutionUnit": "Pixels/Inch", "Thumbnail JPEGInterchangeFormat": "10996", "Thumbnail JPEGInterchangeFormatLength": "4626", "EXIF ExposureTime": "1/60", "EXIF FNumber": "41/10", "EXIF ISOSpeedRatings": "50", "EXIF ExifVersion": "0220", "EXIF DateTimeOriginal": "2004:02:26 16:41:19", "EXIF DateTimeDigitized": "2004:02:26 16:41:19", "EXIF ComponentsConfiguration": "YCbCr", "EXIF CompressedBitsPerPixel": "5", "EXIF ExposureBiasValue": "0", "EXIF MaxApertureValue": "31/10", "EXIF MeteringMode": "Pattern", "EXIF Flash": "Flash fired, auto mode", "EXIF FocalLength": "29/5", "EXIF FlashPixVersion": "0100", "EXIF ColorSpace": "sRGB", "EXIF ExifImageWidth": "2048", "EXIF ExifImageLength": "1536", "Interoperability InteroperabilityIndex": "R98", "Interoperability InteroperabilityVersion": "[48, 49, 48, 48]", "EXIF InteroperabilityOffset": "10872", "EXIF CustomRendered": "Normal", "EXIF ExposureMode": "Auto Exposure", "EXIF WhiteBalance": "Auto", "EXIF DigitalZoomRatio": "0", "EXIF FocalLengthIn35mmFilm": "38", "EXIF SceneCaptureType": "Standard", "EXIF Contrast": "Normal", "EXIF Saturation": "Normal", "EXIF Sharpness": "Normal", "EXIF SubjectDistanceRange": "2"}