Doctor insights on:
Nondisplaced Radial Head Fracture Treatment
Radial head is the proximal aspect of the radius a bone in your forearm that ends in articulation with the elbow at the capitellum on the lateral side of the distal humerus the radius spins at the radiocapitellar joint as you rotate your forearm. Minor fractures there can result from a simple fall to the hand or severe complex fractures associated with ...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
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
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
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
Yes: The vast majority do.Get a more detailed answer ›
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
31 yr-old with right wrist fracture via injury Oct. 2015. ORIF & median nerve decompressed. January xray: collapse of distal radial reduction.....?
Unfortunate: If the reduction has been lost, unfortunately you are probably going to need further surgery to get the fracture back in anatomical alignment. The danger in not doing this will be to develop post traumatic arthritis and a poor outcome. You might want to consider a second opinion from a hand specialist before proceeding with a second surgery if it can be obtained quickly. ...Read moreSee 8 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
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
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
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
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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