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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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 »

Is splinting sufficient for ulla bone fracture?

Query: Hello doctor, I have a fracture of the ulna bone and visited an orthopedician today. Because of the wounds on my knuckles, as you can see in the picture, the doctor could not cast it. Instead, a splint is put on it that I shall remove only for shower. Shall I take a shower with the splint? Will the...  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. You shall keep the splint on while you shower as reapplication is always a little tricky, and though you may succeed most of the time, it will be impractical if you are in a hurry. So cover it with a readymade waterproof cover with an elasticated mouth. After five weeks...  Read Full »

It is painful after cast removal from a fractured hand. Why?

Query: Hello doctor, My 66-year-old mother had a distal radius fracture in her right hand two months back. She has diabetes, hypertension, hypothyroidism, ASD, and osteoporosis. The doctor performed a K-wire fixation and put a plaster of Paris cast from her fingers all the way up to her shoulder (just a li...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Sorry to hear that the surgery and its outcome have not met your level of expectations. I would like to see the entire set of X-rays before I can comment on the healing of the fracture, as well as the timing of the removal of wires. Usually, the wires are removed aro...  Read Full »

Please see my attached file and advise whether my fracture healed with proper alignment.

Query: Hello doctor,Please see my attached files and advised me that my radius bone is healing in alignment or not. My fracture is 20 days old, and plaster is opened swelling and pain in these areas. I doubt that my bone is not in alignment.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. You are right, and the radius is out of alignment. The dorsal angulation appears to be 15 degrees. This is eyeballing, and I may be off by a few degrees, but the position is not acceptable in a young person, again I am assuming that you are less than 40 years of age ...  Read Full »

Can you please give a second opinion for knee surgery?

Query: Hi doctor,I am a 31-year-old female. When I met with an accident six years my left leg below my knee got injured and the doctors have done wrong surgery. Please help me.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Please send me details of the accident and the surgery done, so that I can help you further. Please also send me the current x-ray pictures and name of the surgical procedure done. Thank you.  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 would ...  Read Full »

My dad has a broken collarbone and is always in pain. Can surgery correct this problem?

Query: Hi doctor, My dad has a broken collarbone but cannot get it fixed, and it has been like this for months. We consulted a doctor six months back, but he is always in pain and feels terrible about himself. Can surgery correct this problem? Is it possible to take away the bump on his shoulder?   Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. I understand your concern. Please mention why your dad cannot seek medical help. Does he have any medical conditions? If your answer is yes, a bone that has not united can be plated and bone grafted to achieve union, which would help with his pain. Also, the shape of ...  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 problems for me? I am on bed rest for 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 ...  Read Full »

Can you please suggest me treatment for a PIP joint fracture?

Query: Hi doctor, I am a 21-year-old female. Last week, I was playing basketball and ended up jamming my finger. The next day, I went to the ER, and they took X-rays and said I had a possible PIP joint fracture around my volar plate. They said I had to go back in 10 days for more X-rays. Since then, the sw...  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. If the fracture (assuming it was there) was not seen on the first X-ray, then it is likely to be very small. Also, it indirectly means that there was no dislocation. I do not think in this circumstance that there will be any surgery indicated unless the joint is highly ...  Read Full »

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