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It tells a lot: It means the outside of the ankle bone (fibula) is broken at the level of the ankle joint, and can extend outward and sometimes upward. The other side of the ankle can sometimes be sprained or have a fracture.The Danis Weber classifications help guide treatment. Type A fractures might do well with a cast or walking boot. Type B fractures might nonweightbearing or surgery. Type C needs surgery. ...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
Yes: The distal (lower end) fibula is also know as the lateral malleolus. The weber classification of ankle fractures classifies based on the location of the fracture (break) with respect to the syndesmosis (connection between tibia and fibula just above the ankle joint. A = below syndesmosis, b = at level, c = above. As you go from a to b to c, the risk of syndesmosis injury increases. ...Read moreSee 3 more doctor answers
Ok, xray results say acute transverse non-displaced horizontal lower pole patella fracture. What now?
See orthopedist: Treatment varies but if u are able to lift your leg up straight(slr), then more than likely u can be treated in a knee immobilizer, crutches.If the fracture is more towards the 'center' of the patella and shows signs that it may 'come apart' or displace than surgical fixation(orif)is indicated generally w/k wires or screws and 'tension-band' fixation.Se your ors.Good luck! ...Read moreSee 1 more doctor answer
3 fx of med and post malleolus w oblique fx of fib, disruption of syndesmosis, several ligaments torn via eversion injury. Classification?(weber, etc)
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
Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture,
spring ligament & cfl grade 2 sprain.
hw long to heal?Overweight
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
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
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
Fx lateral malleolus non displaced partial torn aftl delt lig hasn't healed 4 mnths fx shows on xray hasn't moved non smoker no diabetes healthy why?
Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment
There : There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx. The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone. Transverse means sideways, and fracture means break. So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment). So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture). Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture. So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like i do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home. How'd i do? ...Read more
PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?
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
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?
Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read moreSee 1 more doctor answer