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 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 »


Dr. Sumit Chawla

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 »

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 I ...  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 nee...  Read Full »

Please suggest treatment for a broken ankle.

Query: Hello doctor,My partner, who is 36-year-old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together. He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinde...  Read Full »


Dr. Sumit Chawla

Answer: Hi, Welcome to icliniq.com. Fibula is involved in only 15 % weight transmission in case of fracture. Weight transfer can be effectively taken up by the tibia. However, it forms the ankle joint proper and the fracture site. The fracture pattern is a must to determine before giving any comments on the...  Read Full »

What is the best treatment for an 81-year-old woman?

Query: Hi doctor, My mother is 81 years old. She had undergone one left shoulder surgery due to a fracture in the neck of the humerus four years ago. She also had experienced a cerebral stroke resulting partial paralysis of the left hand and the left leg. Now, due to a sudden fall on the ground, she also h...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. I have gone through your history as well as the images attached to it (attachment removed to protect patient identity). Your mother has fractured her right humerus and she also has osteoarthritis in her right shoulder and osteoporosis. She had a cerebrovascular acciden...  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 »

Is the surgery for fracture advisable for an 80-year-old?

Query: Hi doctor,My grandmother is 80 years old. Her left side is paralyzed. She is incapable of holding or carrying any weight or exerting pressure with her left arm for more than 15 years. Now, she met with a fracture in the same hand. I have attached the x-ray of her left arm. If the fracture and disloc...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Thanks for posting your query along with the x-ray image (attachment removed to protect patient identity). Since the affected side is already paralyzed for more than 15 years, there is no point of going through extensive surgery of fixations of distal humerus in 80 y...  Read Full »

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