Thank you for your query at DoctorSpring.com.
I have gone through all documents which you have sent me.
In the X-Ray there is positive fat pad sign. This indicates that it is an undisplaced fracture of lateral condyle and there is a minimally displaced fracture of supracondylar region on the medial side.
To put it in simple terms, the fractured bones are in line. There is no displacement, that is the bones have not moved out of place and there seem to be no complications.
You should not worry a lot but should take care of basic precautions which are written in the documents such as elevating the limb, doing active finger movements etc.
There is no need for urgent orthopedic consultation at present. You can consult him/her on a weekday. If there is a slab in place, then it will help in healing.
An orthopedic doctor will probably just review this as all the required measures have been taken. Continue analgesics & keep the splint/slab on.
Please do not worry as with all the precautions being followed well, the fracture will heal without any complications or abnormalities.
Hope this was helpful to you. Feel free to ask queries.
Patient replied :
Thank your very much Doctor for your reply. It’s helpful.
I have follow-up questions here :
- X-ray#5 shows a broken bone piece, separated from main bone. Will it need any surgery or reduction to put it back to proper place ?
- Currently she is wearing a temporary splint, Emergency service suggested that when I visit Orthopedics, they will remove this temp Splint and put a cast later. Is there a recommended timeline which needs to be followed for permanent Cast ?
- Does she needs some exercises at this stage (finger movement etc) or stay in a state which prevents movement as much as possible.
Thanks and Regards.
Here are your answers-
1.It looks that you are asking about epiphysis.This is normal part of bone & contributes to growth of bone in child.The fractured part is miniimally displaced.It will leave no impact on growth of bone of child.
2.The use of temporary splint is for support & give space for normal post trauma swelling.Generally plaster cast is applied after 3-5 days when swelling after trauma subsides.
3.She can do finger movement.This will help in reduction of swelling as well as keep her muscles supple.
Hope this will help you.
Feel free to discuss further,
With best wishes.
Patient replied :
Thank you doctor for your prompt input, really appreciate it.
I will get back to you later if I need any further advise.
Thanks again to you and DoctorSpring for facilitation such a nice platform for patient and doctor interaction.
Happy Janmashtami !!
Thanks a lot for your appreciation!
I am extremely pleased to be able to help you.
Happy Janmasthtami to you too!