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Scapoid fracture after accident, pain in the hand - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   hi
User :   I have had accident while working on field
Doctor :   Hi
User :   i had scapoid hair line fracture
User :   2 times at same place
Doctor :   How can I help you?
User :   my hand pains in between its not regular pain
User :   and also my hand turns red colour
Doctor :   Ok
User :   is it still in problem?
User :   i have shown to several doctors
Doctor :   Ok
User :   all have different openion
Doctor :   Ok
User :   i have got report of CT scan today
User :   tellme a thing
User :   is it like what ever is written in the report is correct or generally doctors prefer to see xray over reports
Doctor :   Ok
User :   since last 2-3 months
User :   when i had accident 1st tome it healed and never had any issue
Doctor :   Since when are you having this problem?
User :   but when 2nd accident happened
User :   it still pains
Doctor :   Ok
User :   no
Doctor :   You mentioned pain in the hand - which part of the hand do you get the pain?
Doctor :   Is it located over the entire palm?
User :   it pains mostly on scapoid bone and ya some times over whole thumb or wrist
Doctor :   Ok
User :   are the repots in CT scan or xray always right?
User :   1st i had accident on March 13, 210 and 2nd on Dec 4, 2010
Doctor :   When did you have those 2 accidents?
User :   ooh ok
Doctor :   Yes, depending on the expertise of the radiologist, the reports of CT scan is right and not false.
User :   i said so because in case of xray and my previous CT scan doc only saw report and said the wound is healed
User :   he didnt see the cT scan
User :   but since it was still paining and i got CT scan done yesterday
User :   today it showed
Doctor :   May I know what was reported on the CT scan?
User :   small discontinuity in distal cortex of scapoid bone
User :   so i m confused now
Doctor :   Ok
User :   small discontinuity in distal cortex of scapoid bone
User :   and rest everything is fine
User :   hmm
Doctor :   What was the final impression specified on the Scan report?
Doctor :   Let me explain.
User :   ok
User :   but i never had dislocation of bone
Doctor :   Generally following a fracture, changes in the bone surface are expected.
User :   it was always hairline
Doctor :   The small discontinuity that the scan revealed is probably a residual changes following the fracture.
User :   k
User :   ok
Doctor :   It is difficult to predict if the current changes is significant unless a comparison between the past and the current scans are done.
User :   Fine Thanks for helping me out. I have to sleep as i have office early in the morning
User :   i will certaily do that. Thank you for your your valuable time
User :   ok
User :   yes Doctor
Doctor :   I would hence suggest you to consult your doctor who will compare the previous and the current scans.
User :   Good night
User :   bye
Doctor :   If the discontinuity is not significant,
Doctor :   then no major interventions are needed.
Doctor :   Hope it is clear to you.
Doctor :   Thanks for consulting me.
Doctor :   Good night.
Doctor :   Bye for now.
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