Doctor insights on:
Bimalleolar Ankle Fracture Treatment
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Yes: Anytime you have a severe injury such as tri-malleolar ankle fracture, physical therapy is a great modality to get you back to some what normal stage. Unfortunately you may not return to 100% of your old level of activities, but anything to help you get back close to that will help. ...Read moreSee 1 more doctor answer
Immobilization: ?Usually the treatment is no weight bearing, followed by a walking boot to protect the foot. As pain improves, activity can be accelerated this process can take 6-12 weeks. ...Read more
Most require surgery: Only non-displaced or very minimally displaced lisfranc injuries will heal successfully without surgery. Most others need surgery. Most often, surgery means putting several screws and/or pins across the injured areas. This is a tough injury to treat in that it often results in some residual pain/dysfunction. ...Read more
This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more
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
How would u treat Grade 2/3 High ankle sprain? w/ extensive damage. 4x Ligament/tendon tear, 2bone contusion, hairline fracture medial malleoius +more
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 moreSee 2 more doctor answers
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
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
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 moreSee 1 more doctor answer
Depends on fracture: A small avulsion fracture of the cuboid may require no treatment other than crutches and pain control. Others may require non weight bearing for a prolonged period of time and/or surgery. It would be best to discuss this with your Orthopaedic surgeon. ...Read moreSee 1 more doctor answer
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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