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Bone Fracture Tips

Limb Length Discrepancy - Making Uneven Legs Even!

Dr. Atul Kumar Garg 87% (11 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Limb Length Discrepancy - Making Uneven Legs Even!

With the advancement in the medical field, we are blessed to have doctors who specialize in various fields. We have cardiologists who specialize in the treatment of the heart, orthopedics who specialize in treating disorders that are related to the development and growth of muscles, skeleton, and joints in children and neurologists that determine treatment for the brain. Spine and limb deformities mainly occur in children as their bodies are still growing and they react differently to disorders, infections and injuries. Some of the deformities of the limb and spine that are treated by orthopedics include clubfoot, scoliosis, and limb length discrepancy.

Limb Length Discrepancy
Limb length discrepancy is referred to as a deformity when the legs and arms differ in their length. The difference in the length of legs and arms in several cases does not cause any change in the quality of life or in its functioning. However, in certain cases when there is an extreme difference in the length of the legs and the arms, the health of the patient is affected to a great extent. Limb length discrepancy is also caused due to injury to the leg, bone disease or due to bone infections that occur during growth. Depending on the severity of the injury or bone disease it becomes very difficult for the individual to even walk. In certain cases, when the condition is not very severe, then to help the patient to walk comfortably a shoe lift is suggested. It is only in extreme conditions that orthopedics suggest limb length surgery mainly to correct the discrepancy.

Limb Lengthening Surgery
Future proof and innovative solutions are provided these days to the patients for bone reconstruction. The surgery for limb lengthening is performed in many countries all over the world and by professional orthopedics. The patient is at first put under anesthesia after which a large slit is made in the legs, all the way through. The leg bone is sawed, after which a supporting bracket is placed which the patient needs to wear for nearly a year or till the completion of the procedure.

The area of the bone that is fractured is widened every week by the patient by inserting a key into the bracket and by turning it a little. Healing of the bone happens over time and two inches can be added to the height of the patient in six months. The bracket used during the surgery for the legs are very bulky and it is very important that the patient does not put more pressure on them. Immense pain is caused during this time as the limbs are bound to crutches. Hence, proper care should be taken to avoid more stress on the limbs.

Recovering From A Fracture - 5 Quick Tips That Can Help!

Dr. Sanjay Bansal 91% (157 ratings)
MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Faridabad
Recovering From A Fracture - 5 Quick Tips That Can Help!

Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

  1. Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
  2. Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
  3. Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
  4. Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
  5. Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2363 people found this helpful

Wrist Fractures - Things That Can Lead To It!

Dr. Vivek R Nayak 89% (10 ratings)
MS - Orthopaedics
Orthopedist, Thane
Wrist Fractures - Things That Can Lead To It!

Wrist fracture is a medical term used to describe a broken wrist bone. Wrist is composed of 8 small carpal bones and lower ends of the two forearm bones - Radius & Ulna. The fracture may occur in any of the 10 bones that make up the wrist. While some fractures can be severe, most fractures are tiny in nature. The fractures, which are severe, tend to render the bone unstable and a cure for this condition might require a surgery. Open fractures occur when the broken bone spike juts out through the skin. This might lead to an infection in the wounded region. 

Causes of Wrist Fracture

  1. The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand (FOOSH) and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen. 
  2. People suffering from osteoporosis have a high risk of getting a wrist fracture. 
  3. Traumatic accidents might also cause severe wrist fractures. 
  4. Repetitive use of wrists leads to inflammation of the tendons present in the wrists (tendonitis). 

Symptoms of Wrist Fracture

A wrist fracture has symptoms that can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The most common deformity being a Dinner fork deformity (Colles' Fracture). The area around the fracture may experience bruising and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves. 

To confirm and check the level of severity, you are generally asked to get an X-Ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually, in order to treat a fracture, you will have to wear a splint or a cast and move your hand as least as possible. But keep moving your fingers otherwise they might get stiff. 

Most cases of wrist fractures recover well with a very good return to function.

 

Hipbone Fracture - Can It Be Prevented?

Dr. Madhu Thumu 87% (40 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
Hipbone Fracture  - Can It Be Prevented?

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department. 
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule). 

What causes the hipbone fracture?

As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile. 

Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery

Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture. 

How to prevent hipbone fracture

First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age. 
Always remember to maintain a healthy bone. 
Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day. 
Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling. 

Avoid consuming of tobacco and alcohols as it can reduce bone density. 

Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.

Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors. 

As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up.

If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.

Wrist Fracture - Are You Aware Of These Things?

Dr. Bharani Kumar Dayanandam 89% (73 ratings)
MBBS, AFRCSI, FRCS - Trauma & Orthopedic
Orthopedist, Chennai
Wrist Fracture - Are You Aware Of These Things?

A broken wrist is known as a wrist fracture and it may occur due to a variety of causes starting from undue pressure on the wrist which can result in an injury as well as debilitating conditions like arthritis, which makes the bones and joints prone to fractures. There are also non displaced breaks, which are stable kinds of fractures and in which, the wrist remains in its place. Let us find out more about the kinds of fractures and the procedures for treatment of the same.

Type of Fracture: The wrist is basically made up of eight small bones that connect the two long arm bones, which are known as the radius and ulna and create the forearm. The broken wrist can take place in any of these bones. A hand surgeon will generally take a look at this kind of fracture and determine whether it is displaced, stable or open. As discussed earlier, a wrist fracture can be of various types. While a non displaced wrist fracture is a more stable kind that does not really require much more than rest or medication, a displaced wrist fracture is a non stable kind where dislocation happens.

Other Factors: There are a variety of other factors that will be taken into consideration in order to repair this kind of a fracture. To begin with, the Orthopaedic specialist will consider your age and the kind of job, hobbies and other kinds of activities that you indulge in. Also, the doctor will try to ascertain whether or not you are in good health on an overall basis. The presence of other injuries will also be taken into account for this kind of an injury in there has been a bike or car accident that has caused the fracture.

Treatment: The method of treatment will vary as per the considerations listed above. A padded splint may be installed in order to align and support the bones and wrist respectively, so that there is ample relief from the acute pain as well. Further, an unstable fracture will require a cast as to support the entire forearm and give proper rest to the region so that the bone can grow back together and get aligned again. Surgery may also be required for very severe cases, and pins, screws, metals and plates may also be used depending on the exact location and type of fracture.

Recovery: Remember to move your fingers as much as you can so as to prevent them from getting stiff while they are held up in a splint or a cast.
Hand therapy will be helpful in gaining back motion and function of the wrist. In case you have a concern or query you can always consult an expert & get answers to your questions!

2608 people found this helpful

Fractures - Diagnosis And Treatment!

MBBS, DNB - Orthopedics, Mch Orthopedics
Orthopedist, Hyderabad
Fractures - Diagnosis And Treatment!

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.

  1. Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
  2. Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.

Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed. In case you have a concern or query you can always consult an expert & get answers to your questions!

2357 people found this helpful

Osteoporotic Vertebral Fracture - What Causes It?

MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Osteoporotic Vertebral Fracture - What Causes It?

Osteoporotic vertebral fracture, also known as compression fracture, is a condition of the spine. The simplest way to detect the issue is by visiting a doctor when you feel pain in the back. Usually this pain is limited to the lower back, but with time, the discomfort may spread upward. Here is a look at some of the things you should know about the condition, if you have been diagnosed with the same.

Causes of Osteoporotic Vertebral Fracture
Several things may cause the condition. For instance, osteoporosis is a major contributing factor for such a fracture. Other causes for the disease include underlying conditions that can affect proper development of the bone. Furthermore, accidents are often responsible for such fractures. With age, men and women begin to lose bone density and end up with osteoporosis. At this stage of the condition, the bones become hollow and thus, they have a greater chance of fracture than a healthy bone.

Symptoms
Since it is a spinal fracture, affliction with such a condition will mean that much of your mobility and ability to do work diminishes. Here are some common symptoms of osteoporotic vertebral fracture aside from back pain-

  1. Pain increases when you walk or stand
  2. Such a fracture may decrease your height
  3. Trouble having to bend down and twist the body.
  4. Shoulders may stoop.
  5. Strain on the spine will increase the pain experienced and even lifting relatively lightweight objects may become difficult
  6. Lifting heavy items can be difficult and the pain may become too much to bear.

Treatment
Treatment depends on the cause of the condition. For instance, if the compression fracture results from osteoporosis, doctors will prescribe medication for the pain and the underlying osteoporosis as well. The pain can last for anywhere between a few weeks to a month or even longer. Certain medications are used to provide relief from some of the pain.

Apart from the medication, doctors may also advice certain lifestyle changes. For instance, bed rest is recommended to patients during such a fracture. However, osteoporosis patients should ensure not to stay in this inactive state for a long period, as their condition may worsen.

In acute cases of compression fractures in the spine, patients may need to undergo a surgical procedure in order to find relief from the discomfort and pain. Vertebroplasty, spinal fusion surgery and kyphoplasty, are the three common surgeries used to rectify the compression fracture. While Kyphoplasty and Vertebroplasty are minimally invasive procedures, spinal fusion surgery is a complicated treatment, which is usually the last resort.

Can You Treat Bone Fracture With Homeopathy?

Dr. Renu Dwivedi 87% (35 ratings)
BHMS
Homeopath, Lucknow
Can You Treat Bone Fracture With Homeopathy?

Breaking a bone can be counted among one of the most painful experiences that one can possibly suffer from. Inflicted usually by external injuries, fractured bones generally require surgeries for recuperation. In the occasion of minor fractures however, plasters often facilitate recovery. Although these are the primary treatments that are meted out, recovering from fractured bones entail much more. For some, the time to restore normalcy takes longer than others. In such cases, one tends to opt for palliatives to ease out the pain.

Homeopathic medicines not only offer respite to the pain but also provide a holistic cure for the emotional anxiety one goes through in such times. Many therefore seek out homeopathic remedies for treating bone fractures. Some of the most effective antidotes in this regard have been enlisted below.

1. Arnica: Arnica is extremely helpful at curbing swelling and as a consequence, reducing pain. Prolonged use of Arnica can potentially minimize the swelling to absolute normalcy.
2. Hypericum: This soothes the fracture induced pains, especially when the fractures affect the nerves. This is a beneficial remedy for fractures in fingers, toes and the spinal regions.
3. Bryonia: Bryonia is known to bring relief in cases of the jarring pain that surfaces post trauma. Sometimes, even the slightest movement in the affected area can lead to a lot of distress. This is an ideal cure for such cases.
4. Calcarea Phosphorica: This speeds up the healing process following a bone fracture. Consumption of Calcarea Phosphorica accords a calming effect on the moods of the patient and helps to deal better with the pain, anxiety and irritability in the due course.
5. Eupatorium Perfoliatum: This helps in mitigating deep wounds and the consequent aches. The healing powers of Eupatorium Perfoliatum are extremely pervasive and results in quicker recovery.
6. Ruta Graveolens: This re-nourishes the damaged body fibers and soothes the bruised areas. It is also known to reduce restlessness.
7. Symphytum: It is extremely helpful in the rejoining of bones. It enables the body to heal faster and effectively cures joint pains.

Hipbone Fracture In Elders - How To Prevent It?

Dr. Vinod Nair 87% (19 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Pune
Hipbone Fracture In Elders - How To Prevent It?

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department. 
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule). 

What causes the hipbone fracture?

As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile. 

Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery

Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture. 

How to prevent hipbone fracture?

  1. First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age. 
  2. Always remember to maintain a healthy bone. 
  3. Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day. 
  4. Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling. 
  5. Avoid consuming of tobacco and alcohols as it can reduce bone density. 
  6. Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
  7. Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors. 
  8. As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up.

If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.

Bow Legs - Why Do Children Suffer From Them?

Dr. Sameer Desai 87% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedist, Pune
Bow Legs - Why Do Children Suffer From Them?

This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item Quantity Amount of Calcium in each serving
Milk 1 cup (240 ml) 300 mg
Cheddar cheese 1.5 oz (42 g) 300 mg
Spinach cooked 1/2 cup (90 g) 120 mg
Sardines or salmon with bones 20 Sardines (240 g) 50 mg
Sweet potatoes 1/2 cup (160 g) 44 mg

Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short. In case you have a concern or query you can always consult an expert & get answers to your questions!

2460 people found this helpful
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