Doctor insights on:
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
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
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
Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament
in tibial walker boot, triathlete. Time to return to training??
It takes about 6-8: weeks for bone to heal. If your a triathlete then I would not recommend you returning until this time elapses to ensure complete healing. Obviously you need to work closely to the doc you are seeing who will evaluate you clinically and radiographically. ...Read moreSee 2 more doctor answers
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
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
Peroneal tendon subluxation- w/ heel to toe walk, pivot, down stairs, up ramps. Tried stirrup brace but increased sublux. Other conservative options?
Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?
Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray . Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read moreSee 3 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
Undisplaced fracture/bone bruise on posterior medial talus 3 week ago.Given ROM exercises and walking boot today,told to wear only when walking?Right?
Weight bearing: The boot is needed if you are weight bearing - walking or standing. Not needed if at rest or while your foot is elevated. ...Read more
Need X-ray: You need to get your foot/ankle checked and x-rays taken in order to determine if a fracture is present. If this is a recent injury, the tightness can be from swelling from both conditions. However, it is important to diagnose the correct condition so proper treatment can be rendered. ...Read moreSee 2 more doctor answers
Will a nondisplaced tibia fracture(not growth plate fracture) change the height of the bone once fully healed?
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
Surgery, not always: Operative stabilization of femoral shaft fractures has been shown to improve overall outcome in most cases. This is dependent upon the patient being stable enough to withstand surgery and the ability of the surgical team to be able to gain stabilization of the fracture (may be affected by previous hardware, bone quality, deformity, patient reliability, limb control and other factors. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 : 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 moreSee 1 more doctor answer
Anyone. The spine.: Anyone can get a fractured back. Your spine has 24 vertebrae ( 7 cervical, 12 thoracic and 5 lumbar) plus the sacrum. A fracture in any of these bones is considered a fracture in the spine/back. In young healthy people it takes a very high energy trauma, like a car accident, to break the spine. In people with osteoporosis or tumors in the bone, the spine can break with minimal or no trauma. ...Read more
See a podiatrist: A podiatrist will examine your foot, take some x rays and begin treatment. If it is a fracture with little or no displacement (still lined up), you may just go into a flat soled post-op shoe for a few weeks with some pain medicine. If it is the 5th metatarsal near the base, you might need a fracture boot or a cast. If it is displaced, surgery may be recommended to line it back up and fixate it. ...Read moreSee 1 more doctor answer
Several things: With symptoms this complex, you owe it to yourself to call your doctor to help you make sense out of them. ...Read more
You will know!: A fractured leg – tibia is significant! even a non displaced fracture is associated with significant pain and difficulty weight-bearing. In the face of leg trauma, it's usually fairly obvious. However, stress fractures can occur with repetitive activities like running. This is heralded only by escalating pain associated with the activity. X-rays or scanning – MRI or bone scan are diagnostic. ...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