Common "Fractures" queries answered by top doctors | iCliniq

Fractures

Bone is connective tissue. Any break in the connectivity of the bone is known as a fracture. It may be due to bone pathologies like cancer, osteogenesis imperfecta, osteoporosis, etc. In such cases, it is referred to as pathological fractures. It can also be due to trauma and road accidents. Fractures cause pain, swelling, bruise, inability to move the affected region, discoloration over the skin of the fractured site, and bleeding in case of open fractures. Immobilization is the primary treatment principle. Based on the site and intensity, plaster casts, screws, rods, plates, and external fixators approximate the fractured ends in their original shape and immobilized.

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Can tibial fracture result in peroneal palsy?

Query: Hi doctor,I had a tibial shaft fracture and the doctors placed an intramedullary rod for the recovery. It has been two weeks. SLR and knee flexion are good. But, I am unable to actively dorsiflex. My doctor said it could be a common peroneal palsy and suggested a nerve conduction test after four wee...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Tibial shaft fractures are usually not known to cause peroneal nerve palsy. Did you have a problem with the dorsiflexion of the foot before the rod was placed? This may have been difficult for you to remember, but your doctor should have checked and documented this i...  Read Full »

I got splint for ankle fracture. Is this the best treatment for my injury?

Query: Hi doctor,I am a 48-year-old male. I had an X-ray of my right ankle. The technique used was three view exam. The findings are as follows: Spiral fracture of the distal fibula. This is anatomic in alignment. Cortical avulsion of the medial malleolar process. The cortex of the malleolus at the deltoid...  Read Full »


Dr. Sharoff Lokesh Mohan

Answer: Hi, Welcome to icliniq.com. I believe that surgery for plating of the fibula would have been an option I would seriously consider (attachment removed to protect patient identity). You can still consider this option if another check x-ray shows that the talus is displaced when in a dorsiflexed posi...  Read Full »

When will my fracture heal?

Query: Hi doctor,Three months ago, I fractured my left clavicle. The bones were displaced and the doctors advised to heal it conservatively. They used a sling and the figure of 8 braces for six weeks for the same. No retraction for alignment or surgery was performed. It has been three months and still, I h...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Conservative management of clavicle fracture followed by rehabilitation for complete shoulder movements may take up to three months of time under normal circumstances. Bump during fracture healing is a normal phenomenon and it is due to callus formation. It resol...  Read Full »

What is the treatment for my arm fracture and rib injury?

Query: Hi doctor, My friend is a 40-year-old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and X-ray reports with this. Please advise what...  Read Full »


Dr. Nadiminty Raghuvamsi

Answer: Hi, Welcome to icliniq.com. As per the reports (attachment removed to protect patient's identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without see...  Read Full »

Can you please give a second opinion on my daughter's clavicle fracture?

Query: Hi doctor, My 1 year old kid fell down and had clavicle - collarbone fracture. I have attached the images. On the image it looks like the bone is apart. Doctors told to leave it as such and it will be fine in a three week's time. But, I am looking for a second opinion as the bone is apart and I am...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. After reviewing the attached images (attachment removed to protect patient identity), my recommendation in this case would be to perform surgery to fix the bone, given the considerable gap present. If left untreated, there is a risk of misalignment, which could lead to s...  Read Full »

I have a small fracture in my thumb. Is surgery necessary?

Query: Hello doctor, A week back, I slipped and injured my right thumb. There was a cut just below the top side nail with lots of bleeding. The doctor had bandaged it, and the wound seems to have healed. The X-ray report says 'evidence of mildly displaced comminuted fracture is seen in the base of the dist...  Read Full »


Dr. Sharoff Lokesh Mohan

Answer: Hi, Welcome to icliniq.com. The need for surgery depends on the displacement and the width of the bone fragment. Kindly upload your X-rays so that I can give you an accurate advice. Regards.   Read Full »

I slipped while walking. Please review my X-ray reports.

Query: Hello doctor,One week ago I have slipped when walking, fell after hitting the curb, and landed on my right foot in an awkward position from small altitude. I was able to walk with minor to moderate pain, and visited the nearest trauma center in an hour, got an X-ray and cast immobilization, and was ...  Read Full »


Dr. Chitrangada Jitendra

Answer: Hi, Welcome to icliniq.com. Your radiographs (attachment removed to protect patient identity) do not show any meta-tarsal fracture. However, a medical cuneiform fracture is seen. Probably it could be a Lisfranc injury. An orthopedic consultation is advisable as you would require casting to stabili...  Read Full »

What is the treatment for malaligned fractured humerus bone?

Query: Hello doctor, Three and a half months ago, I fractured my humerus in a car accident. When I went to the hospital I had my arm put into a sling. Since then I have been going back to the hospital every three to four weeks for x-rays, what concerns me is that my doctors seem extremely unsure what to ...  Read Full »


Dr. Berry Chirag Ashok

Answer: Hello, Welcome to icliniq.com. Sorry to hear about your accident. From what I see on the Xrays attached, you sustained a humeral shaft fracture. (attachment removed to protect patient identity). These fractures tend to be very forgiving, that is, they do well in spite of a great deal of malalignme...  Read Full »

I have fractured both of my heel bones. Please review.

Query: Hello doctor, I have fractured both my heel bones during a jump from a six feet gate during vacations. Now I am back to my workplace. As per the doctor, there is no need for the surgery and the conservative treatment will work. Both the heels are in the cast now for past one month and there is only ...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Looking at the X-ray (attachment removed to protect patient identity) lateral view of both heels taken nearly six weeks from the injury there is still a gap visible at the fracture site and this will mean that the fracture is not fully united. More importantly, there...  Read Full »

Can a calcaneus fracture be treated with casting alone?

Query: Hi doctor,My 72-year-old dad slipped while getting down from the top berth of a train, and he hurt his foot. We took him to a hospital and got an X-ray done. He was diagnosed with calcaneus fracture. The doctor has put him in a temporary cast, and he has advised review after five days. Will this fra...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. The X-rays (attachment removed to protect patient identity) shows a non-displaced fracture of the calcaneum, and it can be treated in a plaster slab till the swelling goes down. Then a cast for four weeks. He can bear weight on that foot as pain allows, after three wee...  Read Full »

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