Doctor insights on:
Congenital Vertical Talus
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 moreSee 3 more doctor answers
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment
There : There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx. The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone. Transverse means sideways, and fracture means break. So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment). So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture). Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture. So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like i do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home. How'd i do? ...Read more
MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?
Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read moreSee 1 more doctor answer
Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more
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
Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal, exception of positional leaning to the left. explain?
Ok: So, you initially had fractures in an area of the spine knows as the pars interarticularis, consolidation suggests they have now healed. The alingnment if the spine when viewed from the back is normal. I would not hesitate to go through your study with the person that ordered it as well. ...Read more
48yr kneemri osteonecrosis 5.1mm osteochondral defect & chondromalacic ulcer apex patella 7.8mm tranvers diam. Grade4 chandro erosion. Replace or fix?
Can't answer: In general with osteoporosis bone loss you lose bone density in both the horizontal struts and the vertical trabeculae. The cause of the bone loss, the resorption canals are in all of the trabecular bones horizontal and vertical. Normal bone turnover does this also but in osteoporosis these resorption canals are increased in number and this leads to increased the bone loss. ...Read moreSee 2 more doctor answers
Hip -focal 3 mm full-thick hyaline cartilage defect involving the superiolateral acetabulum that partially undermines the superiolateral labrum??
C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?
Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more
My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?
See orthopedist : Those findings especially at the dome of the talus was once osteochondritis dessicans. To try and avoid further aritic findings talk to your doctor. That talar finding is an "old" injury. So too is enthesophyte ( spur) ...Read more
Externally rotated tibia. Recurring compartment syndromes in leg/foot, gastroc contracture. Could proposed osteotomy help and why?
No easy answer: This issue is to be addressed after a careful review of your history, physical exam and studies. There is no easy answer to this question. ...Read more
What is the tx for a supra patellar joint effusion with a transverse, non-displaced, horizontal lower pole patella fracture?
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
Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...Read more
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