if i have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? i had an injury on my hand last summer, initial x-ray and mri showed nothing other than sprained scapholunate ligament with post-traumatic synovit

Question

Question about diagnosis/misdiagnosis of scaphoid fracture. Several months ago a box fell on my hand near the base of my thumb, i was concerned that something may have been broken or fractured, but i had MRI which should bones were intact. How likely tha

Answer 1

An : An xray likely would show a fracture if it occurred 6 months ago and did not heal. However an MRI would likely have also showed a fracture at the time of injury, so a negative MRI 6 months ago means you likely did not have a fracture. A sprained scapholunate ligament could lead to problems that can have pain as a later finding. Pain at the base of the thumb may be to another issue that is not related to the scaphoid or the ligmanets that surround it. A common cause for pain a the base of the thumb is midd arthritis. If you ask your doctor i'm sure they would repeat an x-ray, but finding a fracture would be very unusual at this time given the history is correct.

Answer 2

Scaphoid fracture: If you had a scaphoid fracture which was initially not diagnosed and it has not healed ( a scaphoid nonunion ), this will show up on regular x-rays 6 months after the injury. Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose.

Answer 3

Depends: X-rays show bones and their relationship to each other. An x-ray will not show crushed tissue, though it will show swelling. Swelling makes nerves send pain signals to the brain. Pain medication (anti-inflammatories) will help, as will elevation, immobilization and resting the hand. If not sure what was injured, go see your local hand surgeon for expert evaluation, make sure ligaments are ok.

Answer 4

Repeat X-ray: On occasion, hairline fractures may not be initially visible on the first set of films but may take more time to become apparent on a second set of xrays obtained a week later. Otherwise rest, ice, compression, elevation and nsaids may be your best friends if recommended and not contra-indicated.

Answer 5

No: You may have some pain in the first week or so but it shouldn't be severe. You should see your doctor or surgeon.

Answer 6

No : You should have some normal post op pain, but it should be better than it was pre op.

Answer 7

It depends.: I do not think that a heart condition is likely, given your age and results under normal conditions. It depends on when you get these episodes, and under what circumstances. If they happen during a hectic period in your day, like at work, etc., i would say anxiety is likely. However, if they occur at random points during your day, or after exertion, i would say get a stress test, etc..

Answer 8

Could be: Anxiety is a plausible explanation. There are so many other possibilities that are beyond the scope of this forum.. Best bet is to continue searching for a cause. These symptoms are also consistent with a neuromuscular bite problem. A bad bite can stimulate the hpa (hypothalamic pituitary adrenal) axis (selye) as well as alter cervical vertebral, position and compress axiallary nerves.

Answer 9

May or may not: Gross blood in the urine with flank pain until proven otherwise can be a sign of kidney stones. Uti typically starts from the bladder and if left untreated can potentially travel to to the kidneys with serious consequences. Follow where the pain the starts. Stone starts from the back vs UTI from the bladder.

Answer 10

UTI blood in urine: Uti can cause visible blood in the urine. If no x-ray were performed such as ct or ultrasound then you should have one soon. I recommend a followup w a urologist as soon as possible. A subsequent urinalysis is critical should no work up is recommended on your initial visit. If your pain worsens or you develop fevers, go to your nearest er if your primary care doctor can't see you right away.

Answer 11

Unlikely: Most likely, simple respiratory track infection- bronchitis, see your doctor for examination, may give antibiotics along with cough medicine, and possible chest x-ray., metastasis is unlikely diagnosis in stage i

Answer 12

Unusual: More likely is mild radiation pneumonitis - which can be detected on x ray. You might have a simple upper respiratory infection or bronchitis (especially if you smoke). It is unusual for an er+ tumor, stage i to metastasize that rapidly.

Answer 13

Not likely: It is more likely to have bronchitis or pneumonia in the lungs especially following treatment (radiation) for early breast cancer if you develop a cough with phlegm. Check with your doctor who might have you get a chest x-ray.

if i have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? i had an injury on my hand last summer, initial x-ray and mri showed nothing other than sprained scapholunate ligament with post-traumatic synovit

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