Doctor insights on:
Nondisplaced Fracture Involving The Fibular Head
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
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
Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment
There : There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx. The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone. Transverse means sideways, and fracture means break. So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment). So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture). Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture. So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like i do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home. How'd i do? ...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?
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
Pain: Most commonly falls on the wrist, forearm or elbow can result in a radial head fracture.Symptoms are ususally pain in the elbow and mild swelling(if isolated).Painful supination(palming up)is usually present .Occassionallly these can not be seen well on initial radiographs.See your ors if pain in your elbow persists after a fall.Very common! ...Read moreSee 1 more doctor answer
Exam: You would definitely want to be fully examined to rule out any associated ligamentous injury to the ankle or knee, which is fairly common with that fracture. If it is truly an "isolated" fracture, patients can gradually increase their weight bearing as tile rated and are usually doing well by about 6-8 weeks. Discuss your specific case with your doctor. ...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
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
The MRI read: greater tuberosity avulsion fracture involving the supraspinatus and infraspinatus distraction of fragments 1.4cm from normal insertion?
Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?
In short YES. : I typically do not perform surgery on nondisplaced fractures of the proximal humerus. I tell people it is like having ice cream on a cone. If the ice cream (humeral head or ball) falls off the cone(shaft) then it needs surgery if the ice cream is tilted or slightly smashed no surgery. If it is blown to prices then surgery. ...Read more
Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?
See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more
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?
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
Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head require a surgery?
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
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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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