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Doctor insights on:
Displaced Fracture Foot
1
Metacarpal spiral fracture -- cast or splint?
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 more
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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
2
Foot fracture or sprain if ankle tight?
Need X-ray: You need to get your foot/ankle checked and x-rays taken in order to determine if a fracture is present. If this is a recent injury, the tightness can be from swelling from both conditions. However, it is important to diagnose the correct condition so proper treatment can be rendered. ...Read more
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3
Howis a left foot navicular avulsion fracture treated?
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
4
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
5
Hairline fracture foot child no cast?
Yes and no.: It will depend where the broken bone is and the stability of the hairline fracture. If it is in an unstable region, a cast (and possibly nonweight-bearing) may be a good choice. ...Read more
6
Ankle bone spurrs?
More info needed: Not sure what you are asking, need more info. ...Read more
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7
Foot and toe pain after ankle fracture?
Lots of possiblities: Is the ankle fully healed. If it is, did it heal in good alignment. Could be compensating as a result of injury and putting abnormal stress on other structures of foot. See a podiatrist. ...Read more
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8
Metacarpal fracture symptoms?
Pain swelling &: Pain swelling and deformity at the level of the injured metacarpal. ...Read more
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9
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
10
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
Hard to say: This may need surgery but it depends on your orthopedic surgeon as to what's the best course for you. Either way you'll need a cast. ...Read more
11
What is an ankle fracture displacement?
Let me help you: When fracture the bone the pieces either sty in place or move out place. When the pieces move out we called displace fracture. ...Read more
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12
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 more
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13
Stiff jammed finger avulsion fracture 2 months?
Follow up: While an avulsion fracture usually heals well on its own with time, if you are still having stiffness two months out, you need to follow up with a hand specialist or orthopedic surgeon for evaluation. Waiting too much longer may prevent anything more from being done to increase your motion. ...Read more
14
Bone spur ankle surgeon or podiatrist?
Either: A podiatrist can be an ankle surgeon, you likely meant podiatrist or orthopedist, either can help you. ...Read more
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15
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more
16
Distal fibula fracture treated with orif?
What's the ?: You failed to ask a question. What would you like to know? ...Read more
17
What is a undisplaced avulsion fracture?
Chip fracture: A small fragment of bone that has "chipped" off the main bone. Usually needs minimal treatment. ...Read more
18
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
19
What can result from a displaced 5th metatarsal fracture and crushed cuboid bone injury?
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 more
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20
"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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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
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