Doctor insights on:
Closed Rib Fracture
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
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
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
Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture,
spring ligament & cfl grade 2 sprain.
hw long to heal?Overweight
Hamate fracture in left wrist & scaphoid fracture in right wrist.Left wrist has been casted &right wrist has a wrist binder.Both undisplaced.Recovery?
Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .
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! ...Read moreSee 2 more doctor answers
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
"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally
do u think cast will heel up?
Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...Read moreSee 2 more doctor answers
Dx 2 days ago with comminuted mildly displaced fracture right superior pubic ramus & non displaced fracture right inferior pubic ramus how to heal?
Generally treated --: With bedrest, pain meds, protected weight bearing with a walker, as tolerated. Surgery might be considered if the fx is displaced or unstable due to associated injuries to other bones or ligaments or involvement of nerves/blood vessels or an abdominal injury. You probably just need the rest, nsaids, and a walker, since the injury was 2 days previously. ...Read moreSee 1 more doctor answer
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
Ok, xray results say acute transverse non-displaced horizontal lower pole patella fracture. What now?
See orthopedist: Treatment varies but if u are able to lift your leg up straight(slr), then more than likely u can be treated in a knee immobilizer, crutches.If the fracture is more towards the 'center' of the patella and shows signs that it may 'come apart' or displace than surgical fixation(orif)is indicated generally w/k wires or screws and 'tension-band' fixation.Se your ors.Good luck! ...Read moreSee 1 more doctor answer
Will a nondisplaced tibia fracture(not growth plate fracture) change the height of the bone once fully healed?
Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?
Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps . ...Read more
Many problems: The fact that 3 muscles attach to the fifth metatarsal ( the peroneals) and that the fracture is displaced can cause an imbalance in these muscles and a non-healing fracture of that metatarsal. The peroneus longus passes under the cuboid- this muscle stabilizes the inner foot in gait and this crush fracture can cause problems with walking-- you should see your podiatrist for reconstruction. ...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?
Yep, I bet it does: Most heal without surgery without resulting in significant residual pain and/or dysfunction. If the doctor is concerned that it won't heal without surgery or that it would heal and result in pain and/or dysfunction, the doctor will discuss surgery. Those that require surgery usually do great after surgery. ...Read moreSee 1 more doctor answer
Bayonet apposition of complete fractured radius and ulna under arm cast as seen in xray both bones are in parallel position, would it heal?
Yes : As i told you before it would be best if this were treated operatively but yes it will most probably heal but with some loss of function/ length / motion ect also check vit d level as if it is low then healing will be negatively impacted. ...Read more
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
It can hurt: Most rob fractures require relative rest , ice and nsaids. Significantly painful rob fractures may require stronger pain medications. Rib fractures may tale 4 to 8 weeks to heal. Your discomfort may be improved by also wearing a rib belt. Significantly displaced rib fractures will need close monitoring. ...Read more
Pain management: Majority of rib fx will heal with time and pain management. Extremely rare to need any surgical intervention. Those cases are usually markedly displaced or multiple adjacent fxs, as you would see in major trauma like car accidents or fall from height. ...Read moreSee 1 more doctor answer
Pain with breathing: 1) pain when sneezing coughing, laughing, going to the bathroom, twisting, getting dressed, pain with breathing. 2) note - many other things can mimic a rib fracgure including a heart attack (!) , herpes zoster (shingles) and GI issues so get checked out . . The good news is that most rib fractures do not require surgery but do indeed hurt and take weeks or months to improve. ...Read moreSee 1 more doctor answer
Rib fractures :
Yes: Any trauma can cause it accidental or otherwise. ...Read more
May not have healed : Usually broken ribs heal in 2-3 months but occasionally it may take little longer as long as it continues to improve and it is not getting worse in terms of pain just give it some more time to heal completely hopefully it will resolve soon good luck if the pain is getting worse however then talk to your doctor so he may check it out. ...Read more
Old Rib Fx Pain: Over this 2 year period of time, did you ever try intercostal nerve blocks? These nerves run underneath the ribs and can get irritated following rib fractures. We call it intercostal neuralgia or neuritis. These nerves can successfully be blocked & markedly reduce your symptoms. What meds have you tried? Topical mix +/- oral neuropathic meds could still help reduce your chronic pain. ...Read more
Low impact: Unfortunately, rib fractures are painful and simply deep breathing from cardio activities can hurt. Fortunately, these injuries almost always heal without problems assuming no lung injury. I usually recommend nsaids as tolerated and low impact activities such as walking, cycling or swimming. ...Read more
Common sense: Most rib fractures will heal over about 6-8 weeks and pain will limit your activity. The injury is not immobilized and usually is only treated with pain medicines obviously i wouldn't play sports for about 6 weeks. ...Read more
Depends: For my patients, I use low profile plate and screw systems to realign the rib fractures. I have developed a muscle sparing technique and this allows immediate exercises with the torso and shoulders after surgery. Youtube drbentaylor and rib fracture flail chest to see an example video. ...Read moreSee 1 more doctor answer
Can you get a rib fracture or a problem with your ribs if someone squeezes you in a bear hug too hard?
Unlikely: Though the kidneys reside above the bottom of the rib cage they are surrounded by fat and tissue. Though possible i would think it would be very unlikely. ...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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