Doctor insights on:
Can A Fracture Be Missed On Xray
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
Sure is: Fractures in the hand can be subtle. Generally 3 views of the hand are needed to accurately assess the presence or absence of a fracture. Some fractures that are not displaced might only become apparent on xray after 7-10 days. Features of hand fractures include swelling, deformity, and point tenderness. If a question exists, see a hand surgeon. ...Read more
Dislocated finger 4 days ago pain down hand to wrist pt is 60y could fracture been missed on X-ray if so how long before follow up?
If you haven't already, I would seek the advise of a good hand surgeon (plastics or ortho) who can advise you on the care and treatment as well as what to expect while your finger heals.
Sometimes dislocations do not go back into place without surgical intervention. ...Read more
Female, 51 - a tree fell on my back 2.6 wks ago. Immediate ct scan and xray showed no fractures. Still in excruciating pain on right thoracic side. How long will it take to heal, and could something have been missed? My PA wants an MRI
Upgrade?: Your PA may be right to seek more info and it might be good to step up to a more trained pro if there are any findings. Before anyone could even give a range for healing duration, you need a full DX. Symptomatic pain relief to some degree may be possible with meds, devices, massage, acupuncture, hypnosis, etc. Get the MRI info and move ahead. ...Read more
Not necessarily: Plain xrays may certainly miss a stress fracture. Fractures can be surprisingly difficult to diagnose and depend on a lot of factors including the quality of the xray (angles, adequate number of views, adequate tissue penetration). Sometimes a more expensive test may be required (such as MRI or ct scan). ...Read more
It depends upon what bone it is
why is this picture here? >? ...Read more
Somewhat likely: A Jones Fracture of the 5th metatarsal of your foot will frequently show up on x-Ray but not always. If your provider finds that you are tender over the 5th metatarsal but nothing shows up on x-Ray, an MRI can be ordered to look at the bone in more detail to find a subtle stress fracture or stress reaction (beginnings of a stress fracture). ...Read more
Depends: Sometimes these are not clearly visible depending on the direction the x-rays travel. There are also curious lines that represent nutrient arteries that pass within and through the bone. The best films in smaller kids are taken from several directions and examined closely. A fracture that does not cause an angulation or separate some area of bone may be missed initially. ...Read more
May not see fracture:
Scaphoid fractures can be missed on regular x-rays within the first few weeks of the injury, and can also be missed on regular x-rays if dedicated views of the scaphoid are not obtained.
If worried about the possibility of a scaphoid fracture, keep the wrist splinted for several weeks and then repeat dedicated x-rays. An MRI can also be used immediately to see non displaced scaphoid fractures. ...Read more
Hiding: The scaphoid is a bone in the hand that sometimes gets broken but doesn't show up well on xrays. We get concerned about that bone because it has a poor blood supply meaning it doesn't always heal well after a fracture and so it can cause a lot of problems if it isn't treated appropriately. Usually xrays will be repeated after a couple of weeks and if there is a fracture it usually can be seen then. ...Read more
Is the same as "healed" Radiologically........
Hope this is helpful
Dr Z ...Read more
It depends: It depends how severe the fracture is and whether it is displaced or not. If the pain persists, especially when you touch the snuff box region (base of the thumb and carpal bones) repeat x ray in 7 to 10 days or MRI is recommended. Ulnar and radial stress AP x rays may also help reveal a nondisplaced scaphoid fracture. ...Read more
Yes,: It means that the fracture has not healed or has not healed completely yet. ...Read more
Not precisely: X-rays of fractures can often be interpreted in one of 3 basic ways: unhealed, partially healed and fully healed. Once a fracture is fully healed, it's often difficult to tell whether a fracture healed 3 months ago or 3 years ago. ...Read more
Can a healed stress fracture be diagnosed as more serious fracture on X-ray when a healed fracture is found?
They are same: A stress fracture is just a type fracture. Only difference is it occurs with chronic repetitive stress instead of a single episode of trauma. They both heal the same. Bony callous will form. If the stress continues, the area can refracture, and more callous will form. Therefore, a stress fracture is just as serious, especially if you have not identified cause. ...Read more
Will an X-ray be able to detect a spiral fracture on an infant after over 4 months have passed since the injury?
Yes: Old fractures have a particular appearance that is identifiable on xrays, even years after the original injury. ...Read more
Can a bilateral pars stress fracture still heal after being miss diagnosed for 6 months? I am 22 and very active.
Not impossible: But spontaneous healing of pars defects is uncommon. ...Read more
Is it possible to miss a fracture in an elbow and if it was fractured what symptoms wolould I have? Very concerned!
What does this mean. From a shoulder/lefft upper amr xray. There is evidence of acute fracture or focal destructive process.
Fracture or Tumor: Did you suffer trauma that would have caused a fracture? If not, there's obviously something else going on "focal destructive process." How old are you? If over 50, there may be some osteoporosis--but that is generalized--not a "focal destructive process." Who ordered the X-Ray? Have you followed up with him/her? ...Read more
Can a pars fracture still have healing potential after being miss diagnosed for 7 months? Or is it to late to try and heal it?
Find a MD: My advice to you as an ors is find an ors (or neurosurgeon) and let him examine you and your x-rays / MRI. He/ she can answer all of your questions (write them down) and discuss your prognosis and treatment (observation/ hamstring stretching- repeat x-rays/ MRI in 6 months etc.)your physician can give you do' sand don'ts as far as weight lifting and other activities u will have questions about. ...Read more
Just had 2 tooth x-rays and earlier this year a couple of foot x-rays for a fractured metatarsal. Am I at too much X-ray exposure?
I wouldn't worry: First, taking 2 dental x-rays is almost insignificant in the total scheme of things. The x-rays to determine whether or not you had a fracture were necessary and one of the smaller radiation dosage producing types of images. Honestly, it's best if we never had to take x-rays but they are a necessary part of our lives. Do they have risks? Yes. We have risks all around us in the air, water, food etc. ...Read more
3 weeks ago I have fractured my 3rd metacarple. Today the xray showed that the bone had reattached around 60%. When can I play sport? Thanks
Depends: That is quite individual. It depends on the sport, your position, and the athletic level that you participate at. We can often work with you to find the optimum level of risk that you want to take and balance it with participation in sports. There is never a clear answer, so an individual conversation with your surgeon is in line. ...Read more
Could you tell me what occulsal X-ray is? And can occulsal X-ray take good picuture of upper palate to detect any fracture at #1? At midline?
Limited utility: For dental issues a come beam or cbct will give a lot more information regarding both your issues. ...Read more
After fainting, ended up with soft tissue injury to mid-back. X-ray showed no fractures. Pain management advice (aside from ice and meds am doing)?
Time: When did this happen? Most bruises will heal within 2-3 weeks. ...Read more
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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