Doctor insights on:
Spiral Fracture Finger
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
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
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
Hamate fracture in left wrist & scaphoid fracture in right wrist.Left wrist has been casted &right wrist has a wrist binder.Both undisplaced.Recovery?
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
Immobilization: ?Usually the treatment is no weight bearing, followed by a walking boot to protect the foot. As pain improves, activity can be accelerated this process can take 6-12 weeks. ...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
Many problems: The fact that 3 muscles attach to the fifth metatarsal ( the peroneals) and that the fracture is displaced can cause an imbalance in these muscles and a non-healing fracture of that metatarsal. The peroneus longus passes under the cuboid- this muscle stabilizes the inner foot in gait and this crush fracture can cause problems with walking-- you should see your podiatrist for reconstruction. ...Read moreSee 2 more doctor answers
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
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
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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