Doctor insights on:
Fibular Head Fracture Treatment
Hi there - I have a non-displaced comminuted fibular head fracture. I'm curious to know the treatment. Thx!
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
Exam: You would definitely want to be fully examined to rule out any associated ligamentous injury to the ankle or knee, which is fairly common with that fracture. If it is truly an "isolated" fracture, patients can gradually increase their weight bearing as tile rated and are usually doing well by about 6-8 weeks. Discuss your specific case with your doctor. ...Read more
I've been diagnosed with an acute avulsion fracture of the fibula head. What is the typical treatment & recovery time for this injury?
Fibulae head avulsn: One needs to be concerned regarding the injury to the surrounding tissue like the PCL or posterior lateral corner. I.e. The fibulae head avulsion is the tip of the iceberg, as in jury to the other structures can lead to significant knee problems. It would be prudent to undergo an MRI to assess the total injury as treatment then is based on the accuracy of the diagnosis. Consider a virtual consu ...Read more
My chin jaw bone was fractured five years ago and I received no treatment. Could this affect my mental health?
Should not.: Fractured bone should not typically cause any mental problems. But if you have had chronic pain in the region of the jaw, it could very well cause behavioral/mental symptoms. ...Read more
Get an evaluation: Broken noses should be evaluated by an ENT doctor or plastic surgeon soon after the injury. Favorable types of fractures can be treated early (in the first week or two after injury) by manipulating the broken bones back into position under anesthesia. Others types of fracture may have to heal completely before they can be repaired with surgery. Your doctor can also check for associated injuries. ...Read more
Depends on direction: This depends on the direction of fracture. If the fracture is horizontal, the knee has to be immobilized to prevent possible displacement of the fracture and disruption of the knee extensor mechanism. If the fracture is vertical, you don't have to do much. Just don't do anything that causes pain in the knee and try to prevent any further trauma for about 2-3 months. ...Read more
Hello my daughter of 7 had a fracture of the femur displacement with, what would be the best treatment. According to your mind. Than you?
Consult a Peds Ortho: This depends on where the break is, and if it is involving the bone near the growth plate of the femur. Casting, traction, plates and screws have all been used. An experienced pediatric orthopedic doctor or an orthopedic doctor experienced in treating children will give you the best treatment optionsf. ...Read more
Treatment options 90y/o F w/displaced ankle fracture? Walking poor w/walker prior to fall. History high BP/skin infection/irrreg heartbeat/high kidney
To fix or not to fix: In general, a displaced fracture in an ankle would benefit from having it repaired operatively--unless there are mitigating circumstances that would make that a poor choice. The treating physician is the best person able to assess the entire patient, the fracture, and any other factors to arrive at the best treatment plan. ...Read more
No: Most likely not. Numbness is most likely due to involvement of the infraorbital nerve, which provides sensation to the front part of your cheek. Depending on when your injury took place, will most likely resolve with tincture of time, though some folks will always have some area of numbness. ...Read more
Yes: The treatment is different based on how bad the fracture is. It can vary from non-operative to repair to removal of the kneecap. Your orthopedic surgeon will be able to give you more specific info, but yes, you can recover from it. ...Read more
It will heal:
A fractured knee is not specific enough to give an serious answer. Which part of the knee? How bad is the fracture?
That being said. Fractures around the knee rarely have healing problems. The problems arise with how they heal. Most fractures around the knee involve the joint surface. Without treatment the surface may heal with a step or a gap in the articular cartilage and may lead to arthritis. ...Read more
Depends: Most vertebral fractures can be treated conservatively, using a brace for 6 - 12 weeks to stabilize the spine. Compression type fractures can be treated surgically with cement stabilization (i.e. kyphoplasty or vertebroplasty) if the pain is intractable. Burst type fractures may need surgical decompression/stabilization if there is neurologic compromise or gross instability. ...Read more
See doc; get X-ray: It is important that the fracture be diagnosed and evaluated by x-ray. Depending on the location of the fracture as well as the extent of displacement, it will dictate the treatment protocol. Being that it is the 2nd metatarsal and crucial with weight bearing, I suggest you do not delay going to see the doctor. See a podiatrist or orthopedist. ...Read more
Depends where it is: Any injury to the eye socket bones can be serious. Not all require surgical repair but it is essential that you have a complete eye exam to be sure there is no injury inside the eye. The decision on whether the fracture needs surgery depends on where it is, how large it is and whether it affects the nerves or muscle around the eye. ...Read more
Radius fracture: Depends on the location of the fracture on the radius. Distal radius, radial shaft and radial head fractures are all treated differently. It also depends on how displaced the fracture is. Best thing to do is to be evaluated by your local Orthopaedic surgeon to receive proper treatment. ...Read more
This depends on. ..: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more
Usually a cast: A boxer's fracture is a fracture of the fifth metacarpal neck. When these fractures are significantly displaced >40-50•, they need treatment. A closed reduction in the office followed by casting for3-6 weeks is adequate treatment. When the alignment can't be improved or the bone is unstable, we will pin the fracture. See a board certified orthopaedic hand specialist. ...Read more
If you have this: Condition you should see a specialist ASAP ...Read more
Femur fracture: In an otherwise healthy patient, surgery is recommended so that they can be out of bed as son as reasonable. Prolonged bed rest and immobilization has significant complications associated with it, including bed sores, pneumonia, blood clots in legs (DVT) and lungs (pe), which can be fatal. Depending on location of fracture, fixed with im rod or plate + screws. ...Read more
Screw Fixation: A true Jones fracture is prone to non-union. In an athletic population, fixation with an intramedullary screw could be appropriate. Depends on the patient and circumstances. ...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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