Doctor insights on:
Scaphoid Fracture Healing
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
Weight bear as tol.: Since you can not put the sacrum in a cast (it's above the tailbone) only time can heal a sacral fracture. Weight bearing as tolerated is the best treatment. Of concern is there a diagnosis of osteoporosis due to menopause, low testosterone or high blood calcium (parathyroid adenoma) ? A work-up may be needed. ...Read more
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
I googled it: And found a supplement. Supplements are great for those who have deficiency in that area, but they dont add anything for most healthy individuals. Excess calcium ends up your .. Toilet. Not to say that there arent those who need calcium and vitamin supplements but the mechainsm of bone healing isnt influenced by unless there is a knowm metabolic issue or dietary deficiency. ...Read more
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
Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...Read more
Biscuit pack opening: Similar to image of a container of pre-made biscuits being opened, a spiral fracture basically unravels as it breaks commonly due to the rotatory force applied to the bone at the time of injury. The increased bony surface area between the two fracture parts may help provide a more robust healing environment. ...Read more
Ultrasound: Tibial shaft fracture are slow healers. The average time to healing in a simple tibia fracture is about 4.5 months. There is one study that suggests applying a medical device that emits pulses of ultrasound waves to the bone for twenty minutes a day can decrease the healing time approximately by three weeks. You can argue if this is a benefit or not in a slow healing fracture. ...Read moreSee 1 more doctor answer
Time: If you have undergone surgery to repair a fractured metacarpal it may take some time before healing occurs, if at all. Depending upon which one was broken and the manner of attempted repair this can be unpredictable. Discuss this with the surgeon. ...Read more
Will a nondisplaced tibia fracture(not growth plate fracture) change the height of the bone once fully healed?
Scaphoid surgery: depending on the time from original injury and the deformity related to the non union there are several options. If no deformity electromagnetic field or pulsed ultrasound offer a non surgical approach along with continued casting to treat the non unionl In cases with deformity at the fracture site or long standing non union surgery with screw stabilization and a bone graft likely best approach ...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?
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
Follow up: While an avulsion fracture usually heals well on its own with time, if you are still having stiffness two months out, you need to follow up with a hand specialist or orthopedic surgeon for evaluation. Waiting too much longer may prevent anything more from being done to increase your motion. ...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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