Doctor insights on:
Hairline Fracture Knee Treatment
Need to know locaton: Its important to know exactly where the fracture is located. If it is truly nondisplaced in your patella or proximal tibia you may need a knee immobiizer or just limited activity for about six weeks its hard to be more specific without seeing an xray. ...Read moreSee 1 more doctor answer
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
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
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
Yes: The vast majority do.Get a more detailed answer ›
How would u treat Grade 2/3 High ankle sprain? w/ extensive damage. 4x Ligament/tendon tear, 2bone contusion, hairline fracture medial malleoius +more
Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more
Yes: Anytime you have a severe injury such as tri-malleolar ankle fracture, physical therapy is a great modality to get you back to some what normal stage. Unfortunately you may not return to 100% of your old level of activities, but anything to help you get back close to that will help. ...Read moreSee 1 more doctor answer
REST: Apply ice try and rest, it will take a little time for the bruised bone to improve. Hematoma may have to be drained. ...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
U can't make it heal: the body is programed 2 due this all by itself. If healthy, proper diet NO SMOKING! !! & adequate calcium intake U will heal. Fractures of the junction of the middle & distal tibia have lower blood supply, so follow the advice of Ur ortho 2 a T. Don't push it. Fractures with a larger surface area involved heal better than a hairline Fx, ,which has a very small surface area & heal slowly. ...Read more
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
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
Fracture: Hairline fracture implies a mild break in the bone without displacement or angulation. While this still hurts the pain is generally not as bad as if there is a more serious injury such as a displaced or crooked fracture. Regardless the pain is generally localized with regional focal tenderness. There's often some degree of pain with range of motion of the wrist as well. ...Read more
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
Most require surgery: Only non-displaced or very minimally displaced lisfranc injuries will heal successfully without surgery. Most others need surgery. Most often, surgery means putting several screws and/or pins across the injured areas. This is a tough injury to treat in that it often results in some residual pain/dysfunction. ...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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