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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Please suggest treatment for 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 »
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 seeing... Read Full »
How long do swelling and numbness last after mandible surgery?
Query: Hi doctor, I was having a bilateral fracture of mandible at angles on both sides and have done the surgery. After six weeks, there is slight swelling on one side and also numbness in the lower lip and a small portion of skin below the lower lip. How much time will it take to subside the swelling an... Read Full »
Answer: Hi, Welcome to icliniq.com. The post-operative swelling and numbness after mandible fracture surgery are common.The swelling is mild as you have mentioned. Then, it should resolve in another one to two weeks as the tissues heal.The numbness is because the mental nerve, which runs through the mandibl... Read Full »
My mother had a humerus fracture, and the doctor advised an operation. Is it possible to treat this condition conservatively?
Query: Hi doctor, While coming out of the bathroom, my mother fell and had an arm fracture. We took an X-ray scan, and the doctor said the shaft of the humerus mid-third fracture and the bone was displaced. The doctor advised an operation and, for first aid, did a splint. Does it need an immediate operatio... Read Full »
Answer: Hi, Welcome to icliniq.com. It can be managed conservatively with plaster. Most humerus fractures are united. So the indication of surgery will be if there is no union after weeks. The only benefit of surgery is that the fracture will be fixed, and she can use her arm from the next day. But, in case... Read Full »
Will skull fracture likely to cause hearing loss?
Query: Hello doctor, Before one and a half months ago, I had a skull fracture on the right side of my head. Is it possible to lose hearing? Because I cannot hear from my right ear since then. Read Full »
Answer: Hi, Welcome to icliniq.com. It is possible to have hearing loss after a head injury, especially if it was as severe as in your case where it leads to a fracture. Our ear consists of three little bones called ossicles which help in taking the vibrations of sound from the ear drum to the inner ear ... Read Full »
My father's leg broke 20 years ago, but it started swelling and hurting a few days back. Why?
Query: Hello doctor, My father's leg was broken 20 years ago. But a few days back, that leg started swelling and hurting. He cannot even walk now. Kindly help. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. A 20-year-old injury is a very long time. There are chances that the injury that occured at that time is now causing the development of arthritis in the knee or ankle that is causing recurrent episodes of swelling in the leg. Also, there are chances that due to old a... Read Full »
Please check my DICOM X-ray to check for any fracture in foot.
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 »
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 »
I have a small fracture in thumb. Please advise if surgery can be avoided.
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 »
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 had an accident few months ago and I have not treated my fractured jaw. Is it too late for treatment?
Query: Hi doctor, I had an accident, and I fell from my scooter two months ago. After first aid, the doctor prescribed painkillers and antibiotics. A few days later, I also met an ENT surgeon, and he concluded after an X-ray that there was no fracture to be seen. Later after 20 days, I had pain in my upper... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query, and I can understand your concern. The OPG (orthopantomogram) reveals a fracture on the right angle region involving the impacted wisdom tooth. The clinical picture shows that you have an improper and abnormal bite (attachments removed to protect t... Read Full »
How long does pain last after toe fracture?
Query: Hi doctor, I got injured three months ago. After the injury, I am experiencing pain in my fifth toe. I got a fracture of the middle phalanx of the fifth toe. A back slab was applied as a primary line of treatment, and then after a month, an ankle boot was placed as management. Even after two mont... Read Full »
Answer: Hello, Welcome to icliniq.com. You had a fracture in the proximal phalanx of the fifth toe, and it is undisplaced. You then spent two months splinted and slabbed. The most likely cause of pain at this stage can be 1) Stiffness which gets worse with splinting for a more extended period. I would n... Read Full »
Why do I get sharp stabbing pain inside the bone?
Query: Hi doctor, I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or s... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. I actually need to know the details of your fracture and what management was done at that time. Also right now apart from pai... Read Full »