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Doctor insights on: Trabecular Bone Injury

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Sesmoid bone injury?

Sesmoid bone injury?

Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Knee injury. MRI report  "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?

How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?

A cast might be : A better option than a brace...I would consider a window for a bone stimulator. I would encourage you to check your vitamin d levels. ...Read more

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What is a tribular trabecular medial condyle knee injury is?

What is a tribular trabecular medial condyle knee injury is?

Unclear.: Not familiar with the term tribular? Perhaps you are referring to a medial femoral condyle bone bruise? ...Read more

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Does 'open' reduction with intramedullary nailing of tibial shaft fracture causes muscle weakness and slow bone healing due to soft tissue damage?

Does 'open' reduction with intramedullary nailing of tibial shaft fracture causes muscle weakness and slow bone healing due to soft tissue damage?

IM nailing of tibia: Intramedullary nailing of a tibial fracture is usually, depending on the fracture, the best way to surgically fix the fracture, and it causes less muscle weakness and soft tissue damage than plating the fracture. ...Read more

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Medial Knee Pain: As a podiatrist, i would team up with an orthopod and physical therapist to help you. I would design wedges for your shoes to off weight the sore area, while you work on strength, flexibility, knee bracing, activity modification, and anti-inflammatory measures. Dr rich blake. ...Read more

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Is clavicle fracture create new bone ?

Is clavicle fracture create new bone
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Yes: Yes, clavicle fractures usually heal with a lot of new bone causing a "lump" in the area that will usually then go on to remodel. ...Read more

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MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss, Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss,  Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

Degenerative changes: This constellation is typical of osteoarthritic degenerative changes. The cause is non-specific and can be related to prior shoulder trauma or just a life time of heavy use. ...Read more

Dr. Paul Velt Dr. Velt
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Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray . Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read more

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Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex ?

Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex
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See an orthopedist: This too complex to explain in 400 characters. See a good orthopedic surgeon and have them start from scratch. ...Read more

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What can result from a displaced 5th metatarsal fracture and crushed cuboid bone injury?

What can result from a displaced 5th metatarsal fracture and crushed cuboid bone injury?

Many problems: The fact that 3 muscles attach to the fifth metatarsal ( the peroneals) and that the fracture is displaced can cause an imbalance in these muscles and a non-healing fracture of that metatarsal. The peroneus longus passes under the cuboid- this muscle stabilizes the inner foot in gait and this crush fracture can cause problems with walking-- you should see your podiatrist for reconstruction. ...Read more

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Is subchondral edematous contusion a bone bruise?

Is subchondral edematous contusion a bone bruise?

Yes: A bone bruise is actually a stress fracture. The inner trabeculae of the bone actually break. The healing of the stress fracture conincides with symptom resolution. ...Read more

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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?

Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?

Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps . ...Read more

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How does the hyaline cartilage repair after bone fracture?

No: Hyaline cartilage has a very limited ability to heal. There are hosts of scientists looking at how to enhance its healing potential. However, there are no good ways to do it currently. If a fracture that enters a joint also damaged the hyaline cartilage, the best that can be done is to get the joint fracture repaired as anatomically as possible. ...Read more

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What will happen to a bone in a bone injury?

What will happen to a bone in a bone injury?

Most heal completely: Most bone injuries (fractures) will heal completely. They may need to be repositioned in a cast or surgically to ensure good healing. A few fractures occur in areas with a limited blood supply, and healing may not occur as well. And if you have certain medical conditions or smoke, bone healing will not be as good. ...Read more

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How do I treat a navicular bone injury ?

How do I treat a navicular bone injury ?

Depends on diagnosis: Is it a fracture, stress fracture, avascular necrosis or something else? Before a treatment is decided upon you need a diagnosis. See an orthopaedic foot and ankle surgeon. One in your area can be found at www.Aofas.Org. ...Read more

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What are the symptoms of a sesamoid bone injury?

Pain over the area: Sesamoid bones are very small bones that are separate from a larger nearby bone. They are difficult to injure and almost too small to fracture. There is no specific treatment, just pain management. ...Read more

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Sesmoid bone injury?

Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read more

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Who should I seek help about from a bone injury?

Orthopedist: Depending on the bone involved there are sub-specialists in ortho that can address your problem. ...Read more

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What could I do to speed my dislocated bone injury?

What could I do to speed my dislocated bone injury?

Therapy: Follow your doctors program of care, use the modalities prescribed such as heat or ice, stretching and motion exercises and wearing splints, casts and immobilizers as prescribed and follow up with physical theray and other therapy as prescribed for you. Keep your follow up appointments and be sure to tell your doctor and therapist of any problems or concerns you have and any new or worsening sym. ...Read more

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What should I do for a shin bone injury?

What should I do for a shin bone injury?

See your doctor.: This is a problem that necessitates a face-to-face meeting with your doctor. This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you. ...Read more

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What are possible signs of bone injury in my hand?

What are possible signs of bone injury in my hand?

Pain swelling : Pain swelling discoloration, deformity are all signs that a fracture may be present. ...Read more

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What can I do about a tail bone injury and pain?

What can I do about a tail bone injury and pain?

See your doctor: This is a problem that necessitates a face-to-face meeting with your doctor. This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you. ...Read more

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What do I do to fix a crooked nasal bone injury?

What do I do to fix a crooked nasal bone injury?

Nasal bone injury: Generally this requires surgery. You should see an ENT or pladtic surgeon for the repair. ...Read more

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What are the major symptoms of a tail bone injury?

What are the major symptoms of a tail bone injury?

Pain: Pain particularly when sitting. Pain is improved when sitting on a donought cushion. ...Read more

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Who should I seek help from for a tail bone injury?

Doctor: If you think it is broken orthopedist. If not significantly malaligned there is really little to do but manage the pain. If not broke have found often associated with pelvic obliquity, in this case chiropractic care or manual therapy with a qualified physical therapist is helpful, . ...Read more

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What is the most common type of bone injury to the elbow?

Fracture: If you are asking about most common fracture about the elbow, then the radial head is the answer. Simple bone contusions are more common than fractures however. ...Read more

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With a pelvic bone injury, how would I get in and out of a bathtub by myself?

With a pelvic bone injury, how would  I get in and out of a bathtub by myself?

Pain Management: A prior answer covers this in detail. However, if it is a pelvic injury without fracture or pelvic instability, it is not serious, and managing fear and pain becomes most important. Also what caused the pelvic fracture? Have the musculoskeletal system checked, is their underlying osteoporosis, is there something abnormal in the pelvic bone that led to it fracturing in that spot (pathological fx). ...Read more

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What is the embolism risk from bone injury? How long is a person at risk of an embolism as the result of a traumatic bone injury?

Bone embolism: Fat embolism syndrome is a problem usually reserved for major multitrauma involving the long bones (femur and tibia). The big problems are usually in the first week or so. Blood clots from not using your legs after surgery can persist longer and the blood clots can go to your lungs - embolism. ...Read more

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How should I treat my leg and collar bone injury?

Depends: A leg fracture could mean any number of many things. It would depend on what is broken, how displaced the fracture is, what your bone quality is, as well as many other factors. Most clavicle fractures have historically been treated non-operatively, but in the last decade or so we have become somewhat more aggressive with these fractures in particular cases. Ask your orthopedic surgeon! ...Read more

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What could happen to blood vessel of a bone in a bone injury?

What could happen to blood vessel of a bone in a bone injury?

Its damaged.: When a broken bone displaces, the blood vessels are interrupted. Like bone, vessels will heal over time. Until they do the area of bone supplied by a vessel is without blood. If that is the only vessel to that part of the bone, the bone can die and collapse. This is called avascular, or aseptic, necrosis. Its most common with fractures of the scaphoid in the wrist or head of the femur in the hip. ...Read more

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A week ago i had a twisted knee and an X-ray showing no bone injury. There's still pain & injury there. What do I have to do now?

See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more

Dr. Allen Lu Dr. Lu
1 doctor agreed:
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What do I do if I have a shoulder/collar bone injury?

Dr. Allen Lu Dr. Lu
1 doctor agreed:

See an orthopedist: There are many different types and causes of shoulder and collar bone injuries. Your friendly neighborhood sports medicine orthopedic surgeon can completely evaluate your individual situation and lay out a treatment plan for you. ...Read more

Dr. Corey Clay
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more