Doctor insights on:
Talus Bone Contusion
Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read moreSee 1 more doctor answer
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
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
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
One in the same: They are the same entity. Be sure to rest and ice the area to decrease your symptoms. ...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
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
Yep, I bet it does: Most heal without surgery without resulting in significant residual pain and/or dysfunction. If the doctor is concerned that it won't heal without surgery or that it would heal and result in pain and/or dysfunction, the doctor will discuss surgery. Those that require surgery usually do great after surgery. ...Read moreSee 1 more doctor answer
Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture,
spring ligament & cfl grade 2 sprain.
hw long to heal?Overweight
Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more
Sesamoid bones are: Normally a pair of small bones that lie underneath the head of the 1st metatarsal bone in the ball of your foot. Like any bone, they are subject to injury and can be broken. This can be quite painful and due to the size of the bone and location under the ball of the foot, healing is often a challenge. ...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
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
Injured for >2 months. MRI reveals extensive bone marrow edema in midfoot and navic and subchondral fx navicular. X-ray shows the fx. Will this heal?
Probably: Should be under care of orthopedic doctor. With proper immobilization with cast or brace and then probably some physical therapy the injury will probably heal.Sometimes there may be ligamentous injury but your mri would detect this aberration. Healing process may take longer since injury already two months old. ...Read more
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
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
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