Acute: 1-30 days, Subacute: 1-6months, Chronic: >6 months

Broken bones hurt, but there are actually no pain nerves inside
your bones. So why do you feel pain? Well, the hard, white
covering of the bone, which is called the periosteum, is
damaged when you break a bone. There are nerves and blood
vessels inside the periosteum. They send the message to the
brain, and then you feel pain.
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A broken bone is called a fracture. Most fractures are simple
fractures. This is the kind of break where the bone doesn't go
through skin. A compound fracture is the kind where a broken
bone sticks through the skin. Sometimes children have
incomplete fractures where the bone cracks, but the break
doesn't extend completely through the bone. An impact fracture
occurs when the broken ends of the bone are jammed together
due to the force of the accident. A comminuted fracture is one in
which the bone shatters. Finally, a person can have a single,
double, or multiple fracture if there are one, two, or many breaks
in the same bone.
Stimulation of specialized pain-sensitive nerve fibers (nociceptors) that innervate bone tissue
leads to the sensation of bone pain. Bone pain originates from both the periosteum and the bone
marrow which relay nociceptive signals to the brain creating the sensation of pain. Bone tissue is
innervated by both myelinated (A beta and A delta fiber) and unmyelinated (C fiber) sensory
neurons. In combination, they can provide an initial burst of pain, initiated by the faster
myelinated fibers, followed by a slower and longer lasting dull pain initiated by unmyelinated
fibers.[3][5]

Nociceptors responsible for bone pain can be activated via several mechanisms including
deterioration of surrounding tissue, bone destruction,[1] and physical stress which shears the
bone, vascular, muscle, and nervous tissue.

Common types of fractures include:

 Stable fracture. The broken ends of the bone line up and are barely out of place.

Open, compound fracture. The skin may be pierced by the bone or by a blow that breaks the skin at
the time of the fracture. The bone may or may not be visible in the wound.

Transverse fracture. This type of fracture has a horizontal fracture line.

Oblique fracture. This type of fracture has an angled pattern.

Comminuted fracture. In this type of fracture, the bone shatters into three or more pieces.

Definition: these are fractures of the proximal third (usually) of the ulna with associated
dislocation of the radial head. Classified as:

Type I - fracture with anterior radial head dislocation. This is the most common (60%). [10]

Type II - fracture of the proximal ulna with posterior or posterolateral dislocation of the
radial head (15%).[10]

Type III - fracture of the ulnar metaphysis with lateral or anterolateral dislocation of the
radial head (20%).[10]

Type IV - fracture of both the radius and ulna at their proximal third with anterior
dislocation of the radial head (5%).[10]