Doctor insights on:
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
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
How would u treat Grade 2/3 High ankle sprain? w/ extensive damage. 4x Ligament/tendon tear, 2bone contusion, hairline fracture medial malleoius +more
Ortho wants to do bone fusion surgery for nonunion fracture in navicular joint. Should I wear moon boot until surgery?
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
I cant doriflex or plantarflex my ankle due to a avulsion distsl fibula fracture and syndesmotic rupture...is surgery likely?
Ligament/tendon sprain ankle 7 weeks ago. Xray- no fracture. Never immobilized. Swelling/pain remains around medial malleo. esp after activity. Ideas?
PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?
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
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
CT ; r-rays: It is named after dr lisfrank during the napolionic wars, caused by soldiers who fell from their horses ; had a foot caught in the stirrup. Nfl has quite a few of them. Usually missed or often missed due 2 the fact that they reduce themselves, ; if no fractures ; only dislocation, an MRI is needed in those cases of high suspicion. ...Read moreSee 2 more doctor answers
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
No: Avulsion fractures are when a section of bone is torn away from the main body of bone and still connected to the tendon. ...Read more