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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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 »
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 »
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 »
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 »
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 »
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 »
I am experiencing sharp neck pain after a fracture. Please help.
Query: Hello doctor,I suffered a spinous process C7 fracture six and a half weeks ago. I experience no numbness, only difficulty in moving my arms due to pain and sharp discomfort in my neck. The doctors advised me to take medication for two weeks, wear a soft collar for eight to ten weeks, and rest. I am ... Read Full »
Answer: Hello,Welcome to icliniq.com.This fracture typically takes nearly eight weeks to heal completely, or sometimes even longer. You can resume daily activities now, such as cooking, but continue using the collar for at least eight weeks while engaging in activities as much as possible to expedite the he... Read Full »
My X-rays show a fractured jaw from an accident. Please help.
Query: Hello doctor,I had a hard crash on my jaw when I was riding a scooter. I went to the dentist to get an X-ray scan. The X-ray showed that my jaw had a small fracture on both sides. I am seeking further examination and evaluation of my condition.Thank you. Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern and have reviewed the X-ray reports (attachments removed to protect the patient's identity).The condyle on both sides of the jaw appears to have a crack or complete fracture due to the accident. A CT (computed tomography) or MRI (magnetic resona... Read Full »
Immunoglobulin levels decreased despite medication. Why?
Query: Hi doctor, I am a 54-year-old woman and I am on immunosuppressant drugs for Behcet's and Sjogren's disease. My latest blood tests are a bit off and I am waiting for a specialist appointment, but I would be so appreciative if someone in the know can let me know what might be happening. IgA is 27.4 ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your immunoglobulin levels are increased due to the fact that you have autoimmune conditions. Yes, the immunoglobulin levels need to be reduced since you are taking immunosuppressant therapy but that will occur only once your autoimmune conditions are adequately contr... Read Full »
My mother has sudden leg pain. Please help.
Query: Hello doctor, My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal. Please advice. Read Full »
Answer: Hi, Welcome to icliniq.com. What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician a... Read Full »
I have sudden ankle swelling and pain. What to do?
Query: Hello doctor,The patient's left leg is swollen at the ankle with severe pain at the joint for the past 10 days. He is unable to walk regularly as before. He has taken antibiotics and still the pain remains the same. The patient has done an X-ray and blood test and everything seems to be fine. There ... Read Full »
Answer: Hi, Welcome to icliniq.com. I guess you are talking about your father here in this query. Acute or sudden onset of ankle pain in a 61 year old male, who was previously healthy, can be due to many reasons such as: Cellulitis. Ankle sprain. Tendinitis. Synovitis of the ankle joint. Retrocal... Read Full »
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