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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This X-ray Report Signify?

fx of shaft of 4th metacarpal bone of r hand with malunion as dx (sorry not used to new computer and things jump around. Beginning is on line below) i broke my right hand Wed. Went to ER. X- ray showed closed displaced xray report says minimally comminuted impacted longitudinal fx i am very active (69 y.o.) and hand specialist gave me option of surgery or wait a week to see if healing might be possible without surgery. i chose to wait til 7/14. what can you tell me about that kind of fx? i saw the xray and there is a piece of bone disconnected. This is my first time and i don t see anything about a fee. Just cancel if there is. CANCEL
Wed, 17 Aug 2016
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General & Family Physician,  's  Response
Hi,
I have read your question and understand your concerns.
Your x-ray means that one of the bones which make up the skeleton of your palm was fractured.
The bones needed to be reduced that means to be put back in the same position as they were before.
This can be done by surgery or by immobilizing the hand.
If a fractured bone isnt reduced, it will heal itself and make grow in directions that are not normal, hence the term malunion which means it will not be united in a normal fashion.
I suggest you see your hand specialist again with all your previous and new x-rays as malunion cases frequently require surgical intervention.
Wish you good health.
Do post again if you have any further questions.
Regards.
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What Does This X-ray Report Signify?

Hi, I have read your question and understand your concerns. Your x-ray means that one of the bones which make up the skeleton of your palm was fractured. The bones needed to be reduced that means to be put back in the same position as they were before. This can be done by surgery or by immobilizing the hand. If a fractured bone isnt reduced, it will heal itself and make grow in directions that are not normal, hence the term malunion which means it will not be united in a normal fashion. I suggest you see your hand specialist again with all your previous and new x-rays as malunion cases frequently require surgical intervention. Wish you good health. Do post again if you have any further questions. Regards.