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Doctor insights on: Major Osteoporotic Fracture

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Are avulsion fractures similar to stress fractures?

Are avulsion fractures similar to stress fractures?

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

Dr. Arnold Malerman
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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Does a distal humerus supracondylar fracture require surgery?

Does a distal humerus supracondylar fracture require surgery?

Displacement: If the fracture is not properly aligned, surgery is typically recommended for the best outcome. ...Read more

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Is immobilization necessary for cuboid stress fracture?

Is immobilization necessary for cuboid stress fracture?

Foot fracture=rest: Definitely no motion! rest it completely until it heals. Never take a fracture in the foot for granted! ...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?

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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How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?

How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?

A cast might be : A better option than a brace...I would consider a window for a bone stimulator. I would encourage you to check your vitamin d levels. ...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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Does a nondisplaced anterior nasal bone fracture need surgery?

Does a nondisplaced anterior nasal bone fracture need surgery?

Not usually: Need to allow the swelling to go down and if that is the only issue , then surgery is not needed , but there could be cartilage damage in the nose area and that requires a physician exam to make a decision. ...Read more

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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

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

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Is craniotomy and elevation of fracture of skull bone done in depressed fractures.

Good question: 1. Depends on the extent of depression and compression on brain 2. Also depends on location: cosmesis, in front of hair line etc. 3. Also if there is associated soft tissue injury that is concerning, like a open laceration above the fracture. ...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

Dr. Paul Velt Dr. Velt
2 doctors agreed:
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Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
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 more

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How severe is a "comminuted hip fracture" ?

How severe is a "comminuted hip fracture" ?

Hip Fracture: "comminuted" is a term that means multiple pieces. In general a hip fracture itself is a rather severe injury. Usually a "comminuted" fracture means there is more damage present. ...Read more

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Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

Minimal t-7 vertebral body anterior wedging? Same as compression fracture?

This is not : The same as a compression fracture. A compression fracture can result in anterior wedging, but not all anterior wedging is compression fracture. If there are up to 3 consecutive vertebral bodies with anterior wedging, then it may represent scheuermann's kyphosis which is a congenital osteodystrophy, that lead to vertebrae appearing wedged. Fracture is less likely given your age. See a specialist. ...Read more

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Is clavicle fracture create new bone ?

Is clavicle fracture create new bone
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Yes: Yes, clavicle fractures usually heal with a lot of new bone causing a "lump" in the area that will usually then go on to remodel. ...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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Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture, spring ligament & cfl grade 2 sprain. hw long to heal?Overweight

A primary healing: usually takes 6 weeks, and then it continues to mold and get more strength. It also depends upon your overall health and immunity state. And your calcium and bone mineral state. Add calcium to your diet and increase water. Wish you good luck. ...Read more

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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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What are the major symptoms of compound fracture ?

What are the major symptoms of compound fracture ?

Open wound, fracture: Compound fractures are relatively easy to identify as they are open wounds with a broken bone at the opening. In addition to obvious trauma, pain, and bleeding, a compound fracture also causes the injured area to appear deformed. ...Read more

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Is blowout surgery for a lower orbital fracture is day surgery or major surgery?

Depends: If the fracture is small then it is a one day surgery where you can go home later that same day. If it is a large fracture or other structures are affected then you may be in the hospital for a few days or longer. It really depends on the extent of the fracture. ...Read more

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What could i be suffering from? I have been experiencing wierd symptoms for about 2 1/2 years now. I've been to my doctor, emergency room, etc. I started having these symptoms about 4-6 months after a major car crash in which i fractured 3 vertabrae, clav

It : It sounds like you had a very major trauma. Vertebrobasilar syndrome is a possibility, from your occluded left vertebral artery, which is a very significant injury. There are other possibilities as well. I would urge you to see a neurologist and if still no answers, then a cardiologist to establish the diagnosis and to see if there is a treatment. Please keep seeking care until you find answers and don't get frustrated. ...Read more

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What are the major symptoms of a pubic bone fracture?

Groin or Butt Pain: For an acute fracture there will be groin pain worsened by moment of the hip. Stress fractures have also been described. Those with stress fractures may complain of buttock pain or posterior thigh pain aggravated by exercise such as running. ...Read more

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Hurt my wrist a month ago, X-ray shows no fracture, but I still can't turn my wrist without major shot of pain. What else could it be?

Hurt my wrist a month ago, X-ray shows no fracture, but I still can't turn my wrist without major shot of pain. What else could it be?

Tendinitis, ligament: You cd have a muscle / ligament sprain (or partial tear), or a tendon strain or tear. Inflammation of the tendon wd cause tendinitis, which acts up only when the tendon is being used - i.e., turning ur wrist. The exact tendon or ligament involved will depend on what how u injured ur wrist 1 month ago & what movement causes the pain now. ...Read more

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Why do muscles swell after a minor or a major hand fracture?

Why do muscles swell after a minor or a major hand fracture?

Bleeding: Bone actually bleed when injured! so bleeding will cause swelling. Also, injured parts leak water. That's called "edema". ...Read more

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I either have a teres major/latissimus dori or fractured rib? shlud I see a doctor? area below my armpit. hurts when I cought sometimes,lying on back.

See a Doctor: A teres major and latissimus dorsi are muscles in your upper extremity not a pathologic entity. A fracture rib can cause pain with breathing or coughing, but usually has a distinctive injury to start the pain. I would recommend you get a consult with a physician to locate the cause of your pain. ...Read more

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Could you possibly re-injure a fractured bone?

Could you possibly re-injure a fractured bone?

Fracture: Yes it is certainly possible to re-fracture a bone especially is there is another trauma or incident that causes injury. If this is the case an x-ray is warranted. Best of luck! ...Read more

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Do open fractures in finger usually get an infection, even when they're bandaged?

Do open fractures in finger usually get an infection, even when they're bandaged?

Finger Fracture: Open finger fractures have a higher rate of infection then closed finger fractures but a lower rate of infection than open fractures in other areas of the body. They are usually treated with irrigation, debridement, fixation as needed and oral or IV antibiotics. ...Read more

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Should i return to the ER to have my fractured pinky re-splinted? I fractured my pinky yesterday and went to the ER to have it splinted. However, i believe the splint was put on incorrectly(it's weirdly bent and was cutting off circulation).

Should i return to the ER to have my fractured pinky re-splinted? I fractured my pinky yesterday and went to the ER to have it splinted.  However, i believe the splint was put on incorrectly(it's weirdly bent and was cutting off circulation).

If : If you are concerned about circulation you should return to the er right away. If you cannot, you can try to gently loosen the splint, however if your fracture was reduced ( put back in place) the splint may be there to hold the fracture in that new position and you should nt just take it off. Typically one splints the distal and proximal interphalangeal joints (near the nail and the joint above it) in extension or straight and the metacarpal phalangeal joints ( what we commonly refer to as our knuckles) in flexion. However swelling after a fracture can make a bandage get tighter and even if the bandage is not tight a flexed joint can compromise circulation if the finger swells too. Best to go back to the er or follow up with a hand surgeon in your area quickly. But if your circulation is compromised do not wait. ...Read more

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What does it mean if I have osteoporotic vertebral compression fractures?

Patient specific: Some patients have no pain while others suffer debilitating pain from a vcf. Regardless, it is critical to treat your osteoporosis. ...Read more

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By how many degrees does a broken bone have to be offset to have to get re-broken?

Not always: Based on degrees of offset. Fractures need to be "set" if there is more than a 2 mm. Gap or obviously malaligned. The idea is to get the fragments as close together as possible, along with as normal alignment as can be obtained. If healed already, then revisiting the fracture is done only if it is causing some other problem. ...Read more

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I had a severe injury in may of this year. Fractured ulna and dislocation of elbow. Any comments re: surgery?

I had a severe injury in may of this year. Fractured ulna and dislocation of elbow. Any comments re: surgery?

Monteggia?: A fracture of the ulna w/ associated radial head subluxation / dislocation (@ elbow) is known as a monteggia fx./ dislocation. If recognized treatment is orif of the ulna( plating) and reduction of the radial head dislocation.( it usually reduces spontaneously after fixing ulna)... ...Read more

Dr. Jeffrey Wint
2,330 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