Doctor insights on:
Gamma Nail Hip Fracture
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
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
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
How would u treat Grade 2/3 High ankle sprain? w/ extensive damage. 4x Ligament/tendon tear, 2bone contusion, hairline fracture medial malleoius +more
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
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
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
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
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
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 moreSee 1 more doctor answer
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
Hamate fracture in left wrist & scaphoid fracture in right wrist.Left wrist has been casted &right wrist has a wrist binder.Both undisplaced.Recovery?
Bandaid and topical: The best treatment would be to get the wound assessed by a doctor. With that said if the there are no lacerations in the nail bed and the rest of the nail is attached firmly, no treatment would be necessary except for maybe a bandaid with topical antibiotic cream for a few days. If the nail is loose it may need to be taken off by a doctor or it may fall off on its own soon. ...Read moreSee 2 more doctor answers
Injured for >2 months. MRI reveals extensive bone marrow edema in midfoot and navic and subchondral fx navicular. X-ray shows the fx. Will this heal?
Probably: Should be under care of orthopedic doctor. With proper immobilization with cast or brace and then probably some physical therapy the injury will probably heal.Sometimes there may be ligamentous injury but your mri would detect this aberration. Healing process may take longer since injury already two months old. ...Read more
Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture,
spring ligament & cfl grade 2 sprain.
hw long to heal?Overweight
Fell 35 feet. Fractured hip radial head fracture with internal fixation. Diagnosed ulnar nerve entrapment. Three months later sudden diplopia.
"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 moreSee 2 more doctor answers
How effective is PTB brace in case of talus avn ?Undisplaced verticle talus body fx not unite 5 month post injury. Ct scan showing pstchy sclerosis.
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