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Metatarsals

Discussion in 'Ask your questions here' started by Unregistered, Dec 11, 2008.

  1. Unregistered

    Unregistered Guest


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    I have a 13 yo boy who broke his 5th metatarsal in July 08, the break went untreated because it never swelled or turned color, and he was back at sports within a day. He is now in basketball season and has been diagnosed with a stress fracture of the 3rd and 4th and we have found out about the healed 5th, but the bone is now swollen. The diagnosis has been a walking boot for 8 weeks and check ups every two untill then. Do you feel we are on the right treatment process, why or why not?

    Any response will be appreciated and used for discussion purposes only.

    Thanks
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    Injuries can be and often are unique occurrences. Therefore, without knowledge of the specific damage sustained in your son's injuries, as would normally be provided by my own hands-on examination, it would be neither possible nor would it be responsible for me to meaningfully comment upon the appropriateness of treatment which ostensibly has been determined by an actual examining doctor. The general principles of treatment of a closed fracture treatment are:

    1. Assessing the need for and providing either open or closed reduction if required.

    2. Providing for adequate stabilization of the fracture site for sufficient time so as to enable and facilitate bony union.

    3. Providing analgesia as needed and monitoring and mitigating swelling as required.

    4. Providing post-healing rehabilitation and physical therapy as required.

    But, aside from that, I would be curious to know why he is incurring repeated bone fractures, and, as any serious physical injury, especially a young person, generally elicits a vigorous inflammatory response, why the previous fracture had not resulted in symptoms and findings which would have necessitate earlier evaluation.
     
    Last edited: Dec 11, 2008
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