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Doctor insights on: Complete Comminuted Intertrochanteric Fracture

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What is a complete, comminuted, intertrochanteric fracture?

What is a complete, comminuted, intertrochanteric fracture?

Fracture: Complete means the fracture is completely through the bone. No portion still attached; comminuted means it is in many pieces; intertrochanteric means it involves the greater and lesser trochanter of the femur. ...Read more

Dr. Ronald Krauser
792 doctors shared insights

Fracture (Definition)

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


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Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray. Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read more

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Please define Comminuted fracture involving the T12 vertebral body predominantly involving the superior endplate.

Please define Comminuted fracture involving the T12 vertebral body predominantly involving the superior endplate.

Compression fx.: Sounds like you have an osteopenic compression fracture.Very common. See your ORS for treatment options( bracing vs.surgery). A bone density test is recommended as well. Best of Luck! ...Read more

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Dx 2 days ago with comminuted mildly displaced fracture right superior pubic ramus & non displaced fracture right inferior pubic ramus how to heal?

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 more

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Is it unusual for the pain to be at a 6-7 one week after a comminuted fracture of femur in an adult male. A rod, screws and wires were used for.

Is it unusual for the pain to be at a 6-7 one week after a comminuted fracture of femur in an adult male.  A rod, screws and wires were used for.

Not unusual.: The femur is the longest and strongest bone we have. A comminuted fracture means this bone was broken into three or more pieces and needed to be repaired with rod, screws etc. To hold the pieces together. This is considered a major break, and a lot of force is required to break the bone this way. It takes months to recover; pain 6-7 weeks out would be typical. ...Read more

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How severe is a "comminuted hip fracture"?

How severe is a "comminuted hip fracture"?

Hip Fracture: "Comminuted" is a term that means multiple pieces. In general a hip fracture itself is a rather severe injury. Usually a "comminuted" fracture means there is more damage present. ...Read more

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I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also, a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also, a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

Hard to say: Certainly these are serious injuries, but they likely do not need surgical fixation — depends on the displacement. Unfortunately, a patient with these fractures will need to be immobilized for a few weeks in order to facilitate proper healing. ...Read more

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How do they do a midfoot fusion when they feel screws will fall out due to multiple comminuted fractures?

How do they do a midfoot fusion when they feel screws will fall out due to multiple comminuted fractures?

Midfoot fusions: Midfoot fusions are a common surgical treatment for comminuted fractures of the midfoot. If there is a large bony defect that worries the surgeon, bone grafts can be placed at the sites of the defects. This can promote healing and prevent hardware failure. ...Read more

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I have a comminuted fracture to the radial head in my right elbow. It's been 9 months and I'm still in pain. How long does this take to heal?

I have a comminuted fracture to the radial head in my right elbow. It's been 9 months and I'm still in pain. How long does this take to heal?

Radial head fracture: Heals in the same time frame as most bones in most healthy persons 7-8 weeks. Pain can be from the severity of the fracture and joint and tendon mal alignment, elbow ligament problems, joint stiffness, and a host of other issues. Speak to the treating physician. ...Read more

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Transverse, comminuted distal tibial fracture 4m ago. Surgery was carried out wid plates. Can walk wid brace, uneven gait. Will i b abl 2 walk properly?

Transverse, comminuted distal tibial fracture 4m ago. Surgery was carried out wid plates. Can walk wid brace, uneven gait. Will i b abl 2 walk properly?

Maybe: It depends on the nature of the distal tibia fracture and if it involved the articular surface or not. Fractures that involve the joint surface can be life-changing injuries. If the articular surface was uninjured, you should regain normal walking cadence, but it could take several months as distal tibia fractures are slow to heal. It's hard to say without seeing the x-rays. ...Read more

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I had a distal tibial fracture 4m ago. Transverse n comminuted. Surgery was carried out wid plates. Bones r weak. How long it'll take to heal?

Should be healed by: Now. Weakness is from being immobilized to allow the bone to heal by non wt bearing. Once your orthopod deems the fx healed, he'll start a supervised p therapy, to increase: strength of muscles & range of motion in your ankle/foot. This can take about 3-4 months, depending on the severity of the injury, result of the surgery, pain control, etc, and how motivated a pt. Is in improving himself. ...Read more

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Radius fracture for 10 days pass then do reduction, can the pulling cause the fracture from intra-articular become Comminuted?after pull seems worst?

Reducing fracture: Does not add to comminution. It may make the comminution seem more apparent as the fracture is lined up. At times initial X-rays may not reflect all the comminution either as the rotation in the initial trauma views may not be as ideal for visualizing the joint or the fragmentation. Often with treatment more specific cray are taken. THE traumatic event far exceeds the force of a reduction maneuver ...Read more

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Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?

In short YES. : I typically do not perform surgery on nondisplaced fractures of the proximal humerus. I tell people it is like having ice cream on a cone. If the ice cream (humeral head or ball) falls off the cone(shaft) then it needs surgery if the ice cream is tilted or slightly smashed no surgery. If it is blown to prices then surgery. ...Read more

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Comminuted intraarticular distal radius wrist fracture when will i be out of the woods as far as having it fused if hardware doesn't hold? 2 lb limit

PostTraumatic Dz: Assuming it was fixed well you may never need anything else done. The good news is a study not too long ago showed that xray appearance of posttraumatic arthritis doesn't correlate with pain. I tell my patients once the bone is healed have at it in terms of use and should symptoms ensue then cross that bridge if needed. I would tell you these have pain in them 6-9 months before max improved. ...Read more

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Comminuted lateral process talar fracture, many avulsions in foot, synovial thickening, increased fluid 3 years later, still lots of pain. Arthritis?

Comminuted lateral process talar fracture, many avulsions in foot, synovial thickening, increased fluid 3 years later, still lots of pain. Arthritis?

possibly: Certainly a post-traumatic arthritis is possible but so are other issues such as a complex regional pain syndrome. Have the ankle reevaluated including a new mri. ...Read more

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"Comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally do u think cast will heel up?

"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 more

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Hi i have a comminuted fracture of my right medial malleolus. It was misdiagnosed initially as a sprain, after walkin on it for 4 months with no pain inprovement I decided to get a second opinion and x-ray confirming it was indeed fractured. My doctor say

Hi i have a comminuted fracture of my right medial malleolus. It was misdiagnosed initially as a sprain, after walkin on it for 4 months with no pain inprovement I decided to get a second opinion and x-ray confirming it was indeed fractured. My doctor say

Delayed union: This is called a delayed union as it is now 4 months and you still have a radiographic fracture. You will need an orthopedic surgeon because if it doesn't heal with rest and immobilization, you may need surgery or nonsurgical methods to correct a nonunion. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why.

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 more

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Can you explain an intertrochanteric hip fracture?

Can you explain an intertrochanteric hip fracture?

Location: There are different locations in the hip. The location of the fracture depends on where in the hip this occurs. The intertrochaneric fracture occurs between the greater and lesser trochanters. There are also femerol neck fractures and subtrochanteric fractures and femoral shaft fractures. Location location. ...Read more

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How quick is the recovery after a surgery for intertrochanteric hip fracture?

How quick is the recovery after a surgery for intertrochanteric hip fracture?

This depeds on the: Age and underlying medical health as well as physical condition of the patient as well as how well the surgery went in terms of any complications and adequacy of reduction of the fracture with good fixation in bone that is not soft or osteoporotic but one can expect 3 months on average. ...Read more

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By how many degrees does a broken bone have to be offset to have to get re-broken?

Not always: Based on degrees of offset. Fractures need to be "set" if there is more than a 2 mm. Gap or obviously malaligned. The idea is to get the fragments as close together as possible, along with as normal alignment as can be obtained. If healed already, then revisiting the fracture is done only if it is causing some other problem. ...Read more

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Can I re-fracture my 4th metatarsal in the same spot?

Sure: An injury or misalignment from a previous fracture can result in fracture in the same spot. It's unfortunate but it can happen. ...Read more

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What're the symptoms and treatment of a greenstick fracture?

Pain, swelling: Typically, the symptoms will be pain, swelling and limited use due to pain.
Usually the injury is secondary to a fall and will require a cast for 4-6 weeks to heal. ...Read more

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Do metal plate and screws in ankle cause the bone to get crushed (or cause bigger injuries) if the same ankle gets re-fractured in the future?

Not really: Most often if an injury occurs to an area that has been fixed it usually isn't an issue unless the previous hardware was damaged. Get x-ray to find out. ...Read more

Dr. Jeffrey Wint
2,317 doctors shared insights

Broken Bone (Definition)

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