CT scan Archives - DOC

#825 Best imaging study to assess non-union stability

If you get a metatarsal fracture and it does not heal, doctors call it a “non-union.”

Sometimes, even if you have a non-union you can still run. Maybe without surgery.

The single most important consideration with a non-union is stability.

The more stable the bone is, the more likely the fracture will heal.

The more stable the bone is, the less likely it will cause pain.

The more stable the bone is, the sooner you can start running.

The more stable the bone is, the less likely you will need surgery.

One of the keys to deciding when it’s actually healed enough has to do with that stability. When it comes to assessing it, everybody wants an imaging study.

What’s the best imaging study to assess non-union stability when you have a fracture?

Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#815 3 ways to tell if a fracture non-union is stable without imaging

This episode comes from a discussion I called with a runner who called me for a second opinion. She had a stress fracture non-union and somebody had remained recommended that she have surgery.

I was looking at her CT scan and she asked me an interesting question.

She said,

“Does it look stable?”

And I said, “Can’t tell.”

It looks like a non-union. It looks like it’s broken and never healed.

What are the three ways you could tell whether or not a metatarsal fracture non-union is stable without getting an imaging study?

Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#717 Should I get a CT scan or test walking to see if fracture is healed?

Today’s episode comes from a discussion I just had yesterday with an athlete. He had a metatarsal fracture non-union.

A “fracture non-union” can develop when there is a crack in the bone that moving a little bit too much and doesn’t completely heal.

Non-unions can happen if you get a stress fracture, and you keep running on it and you’re tough and you’re strong and it doesn’t really hurt that bad.

If you keep running and repeatedly stress that crack, it can’t heal.

Should I get a CT scan or should I test walking to see if my fracture is healed?

Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#557 4 Things you need for a running injury second opinion

I do lots of running injury second opinions and I do most of those over webcam. Sometimes I do them over phone, but webcam’s way better because I can see you, we can talk, I can show you some stuff on screen, share if I need to, and I can look at stuff that you have that might be really useful for me to help you figure out what’s going on. Whether you’re seeing me for a webcam visit or if you’re seeing your doctor in your neighborhood, there are four things that you really should make sure that you have together and that you take to get your most valuable running injury second opinion. Today on the Doc On The Run podcast, we’re talking about the four things you need for a running injury second opinion.

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#493 Why runners should always get a copy of X-ray or MRI image disk!

I was just on a second opinion telemedicine call with an injured runner. She had a recurring injury that was still keeping her from running. Unfortunately, that injury first started eight years ago. When you have an injury, and you get x-rays, an MRI or a CT scan, or any kind of medical imaging study that shows more detail than the x-rays, you should always get a copy of that disc. This runner’s story is a great example of why you need those images. Today on the Doc On The Run podcast we’re talking about why runners should always get copies of the x-ray or MRI imaging disk.

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#461 What is a Pseudo-Jones Fracture?

The fifth metatarsal bone goes from your midfoot out to your little toe. And if you break it, it could be one of three things.
You could have a shaft fracture, which heals pretty uneventfully, most of the time.
You could have an evulsion fracture, where it actually rips a piece of bone off when your peroneus brevis tendon tries to pull so hard to keep your foot under you, that it actually cracks the bone.
Or you could get this thing called a Jones fracture. Now, if you have a Jones fracture, that is a bad thing. Out of those three, it is definitely the worst.
But sometimes a doctor will say you have something called a pseudo-Jones fracture, which implies it’s kind of like a Jones fracture, but not really as bad.
What is a pseudo-Jones fracture? Well, that’s what we’re talking about, today, on the Doc On The Run podcast.

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