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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How to cure my thoracic vertebra compression fracture?

Query: Hi doctor, I am a 72-year-old female. Recently I had a thoracic vertebra fracture (compression fracture) for bone number 12. I can hardly stand up and raise my hand. I was in bed for about a week. When I lay flat, I did not feel any pain. I am taking Calcitriol and Vitamin D3 supplements. I have lu...  Read Full »


Dr. Sachin Ranvir

Answer: Hello, Welcome back to icliniq.com. I have gone through your MRI (magnetic resonance imaging) and x-rays (attachment removed to protect the patient's identity). I can see that there is a compressive fracture of the T12 Vertebra, which is stable. Currently, the best treatment is bracing, includ...  Read Full »

Why is my fractured finger swollen and bent?

Query: Hello doctor, I broke the top joint of my right pinky finger, two and a half months ago, late the night, before I was leaving for a two-month trip abroad. I tried to splint it, but it did not work, and it bent down by about 45 degrees, and now the joint is swollen. After getting an X-ray, now that ...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Two and a half months is a very long time for a phalanx fracture to heal. There is no role of splint after two months. So, I would not recommend wearing the splint for six weeks on a trial basis. To decide whether there will be any movement at the joint or not, I need...  Read Full »

Can a calcaneus fracture be treated with casting alone?

Query: Hi doctor, My 72 years 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 reviewing after five days. Will thi...  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 w...  Read Full »

I broke the tip of the fibula during an ankle sprain. Will it get healed?

Query: Hello doctor, I broke the tip of the fibula during an ankle sprain. The broken part is bean shaped. Will it heal properly? Will it cause any problem to me? I am on bed rest since ten days with a plaster on my ankle joint.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I have seen the x-ray (attachment removed to protect patient identity). Yes, this is an avulsion fracture. This actually looks like an old fracture, as the margins are well rounded. But no doubt that you have a small fracture in the fibula, and that bean shaped bone an...  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 »


Dr. Atul Prakash

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 wou...  Read Full »

My son is having severe pain after punching the wall with his fist. Is it a fracture?

Query: Hi doctor, My 14 year old son punched a wall with his fist, and it resulted in an immediate swelling of a knuckle. I applied an ice pack immediately for 20 minutes, which decreased the swelling to some extent. The color of the skin has also slightly changed. He is complaining of severe throbbing pa...  Read Full »


Dr. Jeremy David O'kennedy

Answer: Hi, Welcome to icliniq.com. Sorry to hear about your son's injury. The clinical photograph that you provided (attachment removed to protect patient identity) shows some evidence of soft tissue injury and a small hematoma (a small collection of blood beneath the dermis) in the soft tissue overlying ...  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 »


Dr. Geeth Sadasivam

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 mandi...  Read Full »

Is splinting the best treatment option for my ankle 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 delto...  Read Full »


Dr. Lokesh

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 positi...  Read Full »

I have a displaced clavicle fracture. Is surgery advisable after two weeks?

Query: Hi doctor, I have displaced clavicle fracture. My doctor told me that the surgery depends on my decision. It has been two weeks since I got the accident. Initially, I thought the fracture would heal itself. But, I do like to get surgery. Is it possible for me to have operation after a period of two ...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to icliniq.com. Management of a clavicle fracture depends upon a few factors and surgery is indicated only if it falls in the category of indications. To tell you whether surgery is required or not, I will need your clinical pictures of the affected area and x-rays of the fractured cl...  Read Full »

Does my wife need any more surgery?

Query: Hi doctor, I have doubts on behalf of my wife. Three days back, she met with an accident and got her foot injured. Her heel got severe damage and after diagnosis doctor said the following. Left heel pad avulsion injury, communicated fracture calcaneum left foot and medial malleolus fracture o...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to icliniq.com. You have mentioned that your wife sustained an injury to her left limb with extensive injury of the heel region and around the ankle. I presume an external fixator has been applied along with debridement and suturing the wound. It is an understatement to say that it i...  Read Full »

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