Doctor insights on:
What is a non-displaced subacute fracture through remnant of L4 spinous process. Callus is developing?
Not worrisome: Probably not a worry unless its below lamina and may start to compress the collection of nerve rootlets below it over time - sounds like you had a trauma in the past, there was a small fracture of the spinous process (which in and of itself might be painful for a few weeks but likely will heal and come to nothing) and now the healing is leading to some bone formation in the vicinity ...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
Chronic unilateral left pars defect, osseous edema right anterior L5 body centrum acute/subacute fracture tried everything should I consider surgery?
Let me explain:
The traditional treatment for what mention usually nonsurgical.
If the pain is disabling you and can not by nonsurgical means, I believe you consult a spine surgeon or neurosurgeon. ...Read more
Work fall. Knee MRI showed an subacute fracture of the subcortical 1mo later. Ortho said never saw that before w/o cap fracture. Continue pt or what?
Range of motion: Pt for an injured knee with what would appear to have been a non displaced frac (seen only on mri) requires a patient to continue pt to prevent stiffness of the joint and help maintain muscle tone. Whether of not you can put all or part of your weight on the injured leg depends on your symptoms and the advice of your treating physician. ...Read more
Just occurred: Sub acute refers to a fracture that just occurred, as opposed to an old fracture which is known as chronic. ...Read more
Recent: An old fracture is referred to as a chronic fracture. The definition varies somewhat, but an acute fracture usually has occurred with 8-12 weeks and subacute means less than that. As a practical matter, when you see the term subacute fracture on an xray report in someone who had an injury it suggests the fracture just happened. ...Read more
My husband went to ER for severe pain in his back; developed overnight. Diagnosis from Chest X-Ray is "Fracture of 6th posterior right rib laterally with callus formation which may represent subacute rib fracture. Mild blunting of the right costophrenic
More info. Needed.: .. . Hard to help without additional info. Callous formation implies healing. The real question is the cause, correct? Rib fractures rarely occur spontaneously (i.e. without a reason). If you are certain that there was no trauma involved, it is very important that your husband contact his doctor to be evaluated for the cause. I hope this helps. Best of luck. ...Read more
What is the treatment for subacute superior endplate compression fracture of L1; already have a spinal fusion from T10-L2 with Wilson Plates in 1980?
Not always: Based on degrees of offset. Fractures need to be "set" if there is more than a 2 mm. Gap or obviously malaligned. The idea is to get the fragments as close together as possible, along with as normal alignment as can be obtained. If healed already, then revisiting the fracture is done only if it is causing some other problem. ...Read more
Possible: You re-fracture recently healed fracture or old healed fracture if you apply enough force on it to break the bone. Thank you. ...Read more
My ankle always seem to give out and I fall I fractured it 10 years ago and ever since it always feel like its constantly sprained am I re injuring it?
Chronic ankle injury: Given the history of fracture, your ankle probably has some degree of arthritis. Ibuprofen or alleve should help with this. More importantly you probably have a chronic ankle sprain as well. The best treatment for this is physical therapy with balance exercises. After an injury your ankle often loses the sense of its own position (proprioception) and balance retraining will help a lot. ...Read more
Should I return to the ER to have my fractured pinky re-splinted? I fractured my pinky yesterday and went to the ER to have it splinted. However, I believe the splint was put on incorrectly (it's weirdly bent and was cutting off circulation).
If you are concerned about circulation you should return to the er right away. If you cannot, you can try to gently loosen the splint, however if your fracture was reduced (put back in place) the splint may be there to hold the fracture in that new position and you should NT just take it off.
Typically one splints the distal and proximal interphalangeal joints (near the nail and the joint above it) in extension or straight and the metacarpal phalangeal joints (what we commonly refer to as our knuckles) in flexion.
However swelling after a fracture can make a bandage get tighter and even if the bandage is not tight a flexed joint can compromise circulation if the finger swells too.
Best to go back to the er or follow up with a hand surgeon in your area quickly. But if your circulation is compromised do not wait. ...Read more
Yes and no:
It is used in orthopedic to dsecripe the status of the bone.
A bone fracture is a medical condition in which there is a break in the continuity of the bone.
It could be used also in other to discripe the same. ...Read more
Not likely: But get an x-ray to make certain. If you do, you are low on vitamin D3 ...Read more
Easy to break a rib!: If you've had an injury that puts unusual force against a rib, you may be able to feel a very tender spot at the point of fracture. An xray can confirm a fracture. Often, however, you don't see the fracture initially - but a little while later, after new bone has formed around the fracture site. You often don't do much - other than comfort measures - as the broken rib heals...About six weeks! ...Read more
It depends.: You can have fractures from major ot minor trauma. If you have a fracture for example from osteoporosis, than maybe you should see your internist and get started on a regimen for that. If the pain is severe and you can no longer tolerate the pain, then there may be other options and you should see a spinal specialist. ...Read more
Pain control: Pain control is the mainstay for fractured ribs. Only on rare occasions, when patients are polytraumatized, we will operate on them using plates and screws to improve their lung function and decrease their stay in the icu. Otherwise, we let them heal on their own. ...Read more
5th metatarsal: It is important that you see a physician and have a x-ray to determine if you have a fracture. If there is a fracture then treatment options usually consist of crutches, boot/ cast, or surgery. There is a chance that a fifth metatarsal fracture may be a “jones fracture” and have a high risk for nonunion, or failure to heal properly. ...Read more
Many ways: A fall, an accident, just about anyway you can break any bone. What breaks? Any part of the spine can break there are multiple vertebrae, these are the bones that comprise the spine, they are named after the region of the body they are in; cervical, thoracic, lumbar. Any one can crack or fracture. ...Read more
Often missed in ER:
Swelling, development of clearly asymmetrical deformity in one foot vs the other, pain in the midfoot
definitely need to see your foot surgeon for proper assessment. ...Read more
There are three major phases of fracture healing, two of which can be further sub-divided to make a total of five phases;
1. Reactive phase i. Fracture and inflammatory phase
ii. Granulation tissue formation
2. Reparative phase iii. Cartilage callus formation
iv. Lamellar bone deposition
3. Remodeling phase v. Remodeling to original bone contour. ...Read more
Pain, swelling: And deformity. When you have injury and following the injury we have pain, swelling and deformity you could say for sure I have fracture. If there is no deformity and have pain and swelling still you could have fracture check it with x-ray. ...Read more
What make some fractures in the spine worse, if we do not know how to handle them in the accident seen or in the early stage of healing?
Other issues could make them worse if the patient do not follow directions very well. ...Read more
Fractures: Typically are associated with significant pain, swelling, bruising, loss of function, deformity and possibly instability of the involved limb or joint. IF you think you have a fracture seek help as immediately as possible and evaluation by Xray and an orthopedic specialist. ...Read more
Get to a doctor: Or ER. Stabilization is key for fractures as it will help with pain and prevent any further damage. The arm can be stabilized by a splint or Cast initially. An X-ray can confirm if there is a fracture and permanent treatment can be either casting, splinting or surgery depending on the fracture. ...Read more
Depends on: Severity. The major issues are stability and cord impingement. If a spine is unstable, it will need surgical correction. If it is a stable fracture, it will depend on where the fracture is and your overall health as to what the treatment options are. If the spinal cord is threatened or damage, this also can require surgery. I hope this helps and best of luck! ...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