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Doctor insights on: Volar Plate Injury Thumb

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Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more

Dr. Neigatha Graney
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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


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Tfcc injured. Will immobilization of the wrist heal cartilage?

Tfcc injured. Will immobilization of the wrist heal cartilage?

Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...Read more

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Stiff jammed finger avulsion fracture 2 months?

Stiff jammed finger avulsion fracture 2 months?

Follow up: While an avulsion fracture usually heals well on its own with time, if you are still having stiffness two months out, you need to follow up with a hand specialist or orthopedic surgeon for evaluation. Waiting too much longer may prevent anything more from being done to increase your motion. ...Read more

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Metacarpal spiral fracture -- cast or splint?

Metacarpal spiral fracture -- cast or splint?

Either one ma y be: Used. If the fracture is felt to be potentially unstable a cast may be more likley selected if it is felt that the full time presence of that cast vs. The tendency to remove a splint make a difference . The issue with spiral fractures is to check rotation by genty making a fist to make sure the finger is not rotated and needing of a reduction or surgery ( internal fixation ). ...Read more

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Can your left pinky ulnar styloid fracture cause middle finger trigger digit?

Can your left pinky ulnar styloid fracture cause middle finger trigger digit?

No the ulnar styloid: Is not directly connected there but if the hand is very swollen froma fracture and the trigger finger was waiting for a reason to become more symptomatioc then the swelling in the hadn could be the tipping point. But a direct cause...Unlikley. Causlality is a tricky issue as we often attribute one problem to another temporally, but you might as well blame a trigger finger on a thunderstorm. ...Read more

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Complete overriding fracture distal thirds of radius and ulna, bayonet apposition heals? How long?

Needs surgery: If the pt you are describing is you (26 years old) then the answer is it would most certainly be best to have this fracture fixed surgically after which it would take about 3 months for it to heal reasonably well but 2 years for it to fully remodel also check you vit d level and try to get it up to >50 ng/ml for optimal healing. ...Read more

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Thumb pain after luna bone fracture?

Thumb pain after luna bone fracture?

possibly referred: The lunate bone is not far from the base of the thumb, and so it is possible that your pain is a referred pain from the lunate fracture. Another possibility is that in addition to the lunate fracture, you have also sustained a bone or ligamentous injury to the thumb itself. Thank you. ...Read more

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Severe intrarticular comminuated fracture of radius, ulna and avulsion stylod six months ago with shifting while in cast still pain palm near thumb?

Severe intrarticular comminuated fracture of radius, ulna and avulsion stylod six months ago with shifting while in cast still pain palm near thumb?

Palm and thumb pain: Can be due to many things, post fracture joint issues, things that have nothing to do with the actual fracture such as arthritis or tendonitis and some things that overlap , a careful followup exam and good follow up xrays may help sort this out. ...Read more

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Torn cartlidch from wrist bone?

Torn cartlidch from wrist bone?

Wrist: Sounds like tfcc, or triangular fibrocartilage complex tear. Consider initial splint/rest/nsaids, etc. Conservative treatment first, before considering arthroscopic removal, debridement, or repair. ...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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Wrist & forearm stiffness little finger sits on top of ring finger after foosh. X-ray clear MRI - degenerative tear tfcc ultrasound carpal tunnel?

Wrist & forearm stiffness little finger sits on top of ring finger after foosh. X-ray clear MRI - degenerative tear tfcc ultrasound carpal tunnel?

Possible: A fall on outstretched arm may lead to a tear of the triangular fibrocartilage complex. It is also possible the tear predates the fall hence the term degenerative tear. It may not be possible at times to separate the differences between the two ...Read more

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In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes and no: If the thumb is swollen then the cast may become too tight, yes, if there is no swelling have the cast rechecked, it may need to be redone. In the meantime elevate your hand above your heart for 15-20 minutes to see if that reduces the pain/swelling and call your dr. ...Read more

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Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament in tibial walker boot, triathlete. Time to return to training??

It takes about 6-8: weeks for bone to heal. If your a triathlete then I would not recommend you returning until this time elapses to ensure complete healing. Obviously you need to work closely to the doc you are seeing who will evaluate you clinically and radiographically. ...Read more

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Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Trimalleolar fractur: A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint ...Read more

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Extreme hand pain in palm & index finger knuckle. Mri 6 mos ago read 5 mm volar subluxation of proximal phalanx. Is that anything of concern?

Subluxation of a : Proximal phalanx at the mcl joint may be associated with an inflammatory arthritis or an injury to that joint. Typically the index an middle fingers are affected first in inflamm arthritic findings in the hand vs the little and ring. Mri is sometmes is innacurate or over read as well. A rheumatologist or hand surgeon may add insight. ...Read more

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Does a distal humerus supracondylar fracture require surgery?

Displacement: If the fracture is not properly aligned, surgery is typically recommended for the best outcome. ...Read more

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31 yr-old with right wrist fracture via injury Oct. 2015. ORIF & median nerve decompressed. January xray: collapse of distal radial reduction.....?

31 yr-old with right wrist fracture via injury Oct. 2015. ORIF & median nerve decompressed. January xray: collapse of distal radial reduction.....?

Numbness and loss of: remove hardware, explore nerve, release CT and repeat ORIF if tissues support this, else spanning plate ex fix etc, poor abduction and numbness could mean median n issue, get NCS as well but proof is in viewing nerve, need to do all not just one thing, no tenolysis as loss of height and pins and plate position and median n issues are confounding factorss ...Read more

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