Doctor insights on:
Non Displaced Wrist Fracture
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
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
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
Hamate fracture in left wrist & scaphoid fracture in right wrist.Left wrist has been casted &right wrist has a wrist binder.Both undisplaced.Recovery?
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
Surgery, not always: Operative stabilization of femoral shaft fractures has been shown to improve overall outcome in most cases. This is dependent upon the patient being stable enough to withstand surgery and the ability of the surgical team to be able to gain stabilization of the fracture (may be affected by previous hardware, bone quality, deformity, patient reliability, limb control and other factors. ...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
It tells a lot: It means the outside of the ankle bone (fibula) is broken at the level of the ankle joint, and can extend outward and sometimes upward. The other side of the ankle can sometimes be sprained or have a fracture.The Danis Weber classifications help guide treatment. Type A fractures might do well with a cast or walking boot. Type B fractures might nonweightbearing or surgery. Type C needs surgery. ...Read more
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 moreSee 2 more doctor answers
Fx lateral malleolus non displaced partial torn aftl delt lig hasn't healed 4 mnths fx shows on xray hasn't moved non smoker no diabetes healthy why?
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
In a case of non union lat malleolus non displaced is bone graft without plates and screws enough ?
Fractured tibia medial malleolus non displaced no surgery, 13wks and no healing on xray. Will bearing weight or massage help healing?
Bone stimulator: As long as there is no displacement, it may just need a little jump start. The best way to do achieve this is via a bone stimulator. A device about the size of an ipod is strapped to your leg and transmits a current across the fracture site. Such a charge is actually a physiologic response to bone healing. ...Read moreSee 2 more doctor answers
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
Minimally displaced fractured trapezium with multiple carpal avulsion fractures. Considerable pain with use after 28 months. Chances of arthritis?
Very high : Osteoarthritis frequently occurs at the site of old injuries, your wrist has not only a fracture but also disruption of the ligaments that provide stability so the small bones (carpals) of the wrist can function normally. Without the ligaments keeping them in position there will be shift of the carpals resulting in pressure on areas that do not have enough cartilage causing arthritis. ...Read more
Non displaced spiral fracture of fibula and dislocated ankle. 9 screws and a plate. can walk on it relatively pain free 3 weeks post op. Bad idea??
Sounds like: a big operation for serious injury. Pain free ambulation at 3 weeks is pretty good progress. Because of extent of injury and surgical procedure, it is impossible to give advice here. Ask your ortho surgeon for specific advice. ...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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