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Doctor insights on: Fracture Spine

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Ankle bone spurrs?

Ankle bone spurrs?

More info needed: Not sure what you are asking, need more info. ...Read more

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Dr. Sheila Smith
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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Sacrum fracture healing process?

Sacrum fracture healing process?

Weight bear as tol.: Since you can not put the sacrum in a cast (it's above the tailbone) only time can heal a sacral fracture. Weight bearing as tolerated is the best treatment. Of concern is there a diagnosis of osteoporosis due to menopause, low testosterone or high blood calcium (parathyroid adenoma) ? A work-up may be needed. ...Read more

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Hip fractur symptoms?

Hip fractur symptoms?

Hip Fracture: Signs and symptoms of a hip fracture may include: inability to move immediately after a fall severe pain in your hip or groin inability to put weight on your leg on the side of your injured hip stiffness, bruising and swelling in and around your hip area shorter leg on the side of your injured hip turning outward of your leg on the side of your injured hip. ...Read more

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Metacarpal fracture symptoms?

Metacarpal fracture symptoms?

Pain swelling &: Pain swelling and deformity at the level of the injured metacarpal. ...Read more

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Describe spiral fracture?

Describe spiral fracture?

Biscuit pack opening: Similar to image of a container of pre-made biscuits being opened, a spiral fracture basically unravels as it breaks commonly due to the rotatory force applied to the bone at the time of injury. The increased bony surface area between the two fracture parts may help provide a more robust healing environment. ...Read more

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Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

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

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All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

If you statement is-: -true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images. ...Read more

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Thumb pain after luna bone fracture?

Thumb pain after luna bone fracture?

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

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Is a vertebral compression fracture serious?

Is a vertebral compression fracture serious?

Sure can be: Any vertebral fracture has the potential to be bad. Compression fractures, depending on the cause, can create lots of problems. Among them are pinched nerves with associated pain syndromes, loss of mobility and others. Depending on the situation, compression fractures can be heralds for more ominous things. You should be seeing a doctor for this, if you haven't already. ...Read more

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Metacarpal spiral fracture -- cast or splint?

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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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

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

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Where is subcapital humeral neck fracture?

Where is subcapital humeral neck fracture?

Below the ball porti: The upper arm is the humerus bone and at the top is shaped like a ball sitting on a tube, where the tube flares and the ball starts is the sub capital humeral neck-a common area for fracture. ...Read more

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Sclerosis on sacroiliac xray?

Sclerosis on sacroiliac xray?

Depends: If it is on both sides of the joint and there is joint space narrowing it may represent an inflammatory condition called sacroiliitis. Sclerosis itself is nonspecific and could represent degenerative change, a bone island or metastatic disease. ...Read more

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Can a unilateral pars fracture and facet arthrosis w/hypertrophy cause spondylisthesis?

Can a unilateral pars fracture and facet arthrosis w/hypertrophy cause spondylisthesis?

Potentially : A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur. ...Read more

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Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Unfortunately....no: As an osteopathic physician, whose practice includes "manipulative therapy, " it is my opinion that spinal stenosis is not correctable with any form of manipulation or physical medicine. This is unfortunately a surgical condition, and i would professionally recommend a consultation with a neurosurgeon, vs. An orthopedist. Your condition requires more expertise, and your end result will be better. ...Read more

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Dr. Jeffrey Wint
2,316 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