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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Casting Necessary For Displaced Fracture Of Mid Diaphysis?

Hi I have an ex-ray that shows a mildly displaced fracture of the mid diaphysis of the first metatarsal. a beam fell and hit the top of my foot. I have been icing and wearing a stiff shoe from the pharmacy . The exrays show a 4mm of medial displacement of the distal fracture fragment with no other fractures. should this be cast? It has been 2 1/2 weeks since the injury, there is very little pain and swelling a redness and more swelling happens when i stand or move around too much. Should it be wrapped tightly where the 4mm displacement on the side of the foot is? What is your opinion ? I would feel better if i could send a picture of my exray and also if i was speaking with a orthopedic doctor. could my foot be tightly tapped and then wrapped?
Thu, 7 May 2015
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Orthopaedic Surgeon,  's  Response
Hello,
Welcome, and thanks for sharing your concern
I went through your query, and I feel, your fracture will be in the healing phase as already 17 to 18 days has passed, the usual time to attain union in these fractures is 21 to 30 days. so now you need
1 Repeat x Ray to see the present status of the healing.
2 use a compression dressing or stocking or crepe bandage on the foot while you walk or keep the limb dependent.
3 take analgesics when required.

I hope thing will settle, if it has displaced more or if there are no signs of union than you may need surgery.

I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.
Thanks.
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Is Casting Necessary For Displaced Fracture Of Mid Diaphysis?

Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, your fracture will be in the healing phase as already 17 to 18 days has passed, the usual time to attain union in these fractures is 21 to 30 days. so now you need 1 Repeat x Ray to see the present status of the healing. 2 use a compression dressing or stocking or crepe bandage on the foot while you walk or keep the limb dependent. 3 take analgesics when required. I hope thing will settle, if it has displaced more or if there are no signs of union than you may need surgery. I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.