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Dr. Andrew Rynne

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Is surgery the solution for fractured proximal phalanx ?

Am I going to have to have surgery on my pinky for fractured proximal phalanx The emergency room doctors call it a Salter-Harris fracture. They say it s pretty bad and I have to go see an orthopdeic surgeon tomorrow. I was wondering what they will do?
Tue, 31 Jan 2012
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General Surgeon 's  Response
welcome to healthcaremagic
if proximal phalanx is fractured and badly as you have said orthopedic surgeon will fix it by methods only after evaluating your condition
do not worry these are done under anaesthasia and you will not feel any thing
hope you be all right soon
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Recent questions on  Salter harris fractures

doctor1 MD

I am looking for the standard of care when an 8 month old infant presents with arm injury(rolled off couch onto hard wood floor).able to flex arm at elbow but obvious pain when arm extended over head. Initial xrays appear to identify a fracture of the proximal humerus ,but subsequent analysis seems to refute the diagnosis. Patient released from ER with prescription for pain meds. Follow up visit with peds and doctor still believes arm is broken and more xrays. Still no evidence of fracture after one week. Child is now using arm more and is in minimal pain.beginning to crawl.Sent to orthopedic specialist and seen by a PA.The PA wants to take more xrays,but the child has had about 5 sets in 2 weeks.That option is refused but the parents of the child suggest alternative test such as CT or MRI. Doctor declines and says she will wait for the results of skeletal survey ordered by CPS who became involved with the case because of the location of the fracture. CPS claims the the result of the skeletal survey show a growth plate fracture.They do not identify what type salter harris fracture it is.The specialist says she is not sure,and the xrays looks fuzzy and wants to do an MRI. This is 3 weeks post injury and the child is doing well and using the arm normally. Is this the standard of care? Is 3 weeks post injury a good time to evaluate a salter harris fracture?

doctor1 MD

Am I going to have to have surgery on my pinky for fractured proximal phalanx The emergency room doctors call it a Salter-Harris fracture. They say it s pretty bad and I have to go see an orthopdeic surgeon tomorrow. I was wondering what they will do?