A 28-year-old male asked:
ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? why .
3 doctor answers • 4 doctors weighed in
Dr. Brian Badman answered
Orthopedic Surgery 25 years experience
Need films: Can't answer this without seeing films and previously answered that if nondisplaced or minimally displaced probably ok with cast but depends on joint involvement, etc.
5146 viewsAnswered >2 years ago
Dr. Michael Ginsburg answered
Interventional Radiology 12 years experience
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!
5146 viewsReviewed >2 years ago
Dr. Darrell Latva answered
Podiatry 42 years experience
MAYBE: If severely comminuted, could result in collapse of medial column. If not, maybe can get away w/ a cast.
1037 viewsAnswered >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
Last updated Nov 28, 2017
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits
$15 per month
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.