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Doctor insights on: Left Distal Fibula

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I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

Hard to say: Certainly these are serious injuries, but they likely do not need surgical fixation - depends on the displacement. Unfortunately, a patient with these fractures will need to be immobilized for a few weeks in order to facilitate proper healing. ...Read more

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Complete overriding fracture distal thirds of radius and ulna, bayonet apposition heals? How long?

Complete overriding fracture distal thirds of radius and ulna, bayonet apposition heals? How long?

Needs surgery: If the pt you are describing is you (26 years old) then the answer is it would most certainly be best to have this fracture fixed surgically after which it would take about 3 months for it to heal reasonably well but 2 years for it to fully remodel also check you vit d level and try to get it up to >50 ng/ml for optimal healing. ...Read more

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Severe intrarticular comminuated fracture of radius, ulna and avulsion stylod six months ago with shifting while in cast still pain palm near thumb?

Severe intrarticular comminuated fracture of radius, ulna and avulsion stylod six months ago with shifting while in cast still pain palm near thumb?

Palm and thumb pain: Can be due to many things, post fracture joint issues, things that have nothing to do with the actual fracture such as arthritis or tendonitis and some things that overlap , a careful followup exam and good follow up xrays may help sort this out. ...Read more

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Why can't I bend my thumb following distal radius fracture?

Why can't I bend my thumb following distal radius fracture?

Possible injury: Inability to bend or extend your thumb after a distal radius fracture may be the result of tendon injury. It would be best to be seen by your Orthopaedic surgeon for an examination. ...Read more

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Dx 2 days ago with comminuted mildly displaced fracture right superior pubic ramus & non displaced fracture right inferior pubic ramus how to heal?

Dx 2 days ago with comminuted mildly displaced fracture right superior pubic ramus & non displaced fracture right inferior pubic ramus how to heal?

Generally treated --: With bedrest, pain meds, protected weight bearing with a walker, as tolerated. Surgery might be considered if the fx is displaced or unstable due to associated injuries to other bones or ligaments or involvement of nerves/blood vessels or an abdominal injury. You probably just need the rest, nsaids, and a walker, since the injury was 2 days previously. ...Read more

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ORIF or not? X-ray: oblique fracture in distal fibula to outer corner of mortise joint w less than 3 mm displacement no effusion mortise seems intact

Depends: If it is really an isolated fibula fracture, they usually do not need surgery. Sometimes, however, the fibula fracture will be associated wth a complete tear of the deltoid ligament on the inside of the ankle. In that case, the talus will sometimes start to drift laterally and surgery is required to prevent post traumatic arthritis and instability in the ankle. Follow up with orthopedic surgeon ...Read more

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What causes an avulsion fracture of the left anterior superior iliac sartorius?

What causes an avulsion fracture of the left anterior superior iliac sartorius?

Sudden muscul force: The mechanism of injury in apophyseal avulsions is sudden forceful concentric or eccentric muscle contraction during running, jumping or kicking a ball, which results in traction on the unfused apophysis. Extreme passive stretching and chronic repetitive microtrauma have also been implicated in the development of apophyseal avulsion. ...Read more

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Subchondral fracture in ankle proximal aspect of navicular. What's the treatment?

Subchondral fracture in ankle proximal aspect of navicular. What's the treatment?

Subchondral : ankle navicular fracture is confusing. Ankle and navicular are two seperate areas. Either way if you have such a fracture treatment will require non weight bearing cast for 4-6weeks and X-ray exams during that period for evaluation of bone healing. ...Read more

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Left knee medial compartment joint replacement hardware with abnormal uptake of tracer in the medial left femoral condyle proximal to the prosthesis.

Left knee medial compartment joint replacement hardware with abnormal 
uptake of tracer in the medial left femoral condyle proximal to the prosthesis.

Varies : It varies in part on the type of scan you underwent and the timing of when your knee replace my was done as well. A standard bone scan will light up with increased bone activity and would be concerning for loosening, infection, or fracture. A white blood labeled scan that lights up whilst be concerning for infection. I would discuss with your surgeon. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more

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Post medial dislocation of left elbow small puncture wound(+) near the left cubital fossa i can't benddown, is it normal ?

Post medial dislocation of left elbow small puncture wound(+) near the left cubital fossa i can't benddown, is it normal ?

Bad injury: Limited motion is normal after such a severe injury. You are going to need therapy when ur doctor clears u ...Read more

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"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally do u think cast will heel up?

"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 more

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How do I heal a non-displaced transverse distal fibular fracture?

Immobilization.: Usually, these fractures are immobilized in a removable boot or cast, depending on the exact appearance of the fracture and your doctor's choice. Hopefully, you will heal this in 6 - 8 weeks. ...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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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

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Lump near my lateral malleolus of my left ankle Dull pain to touch ?

Lump near my lateral malleolus of my left ankle 
Dull pain to touch
?

Ankle pain: Did you recently have trauma to your ankle? Do you have any history of inflammatory disease, fevers, or cancer? Consult with us to help determine cause. This is not normal. ...Read more

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I got non displaced Fracture of medial malleouls of right tibia extending upto the articural surface with overlaying soft tissue swelling .

Should do well: If it is truly an isolated medial malleolus fracture that is not displaced it should do well with nonoperative treatment. Such a fracture is normally treated in a cast and restriction from weight bearing for 6-8 Weeks ...Read more