Re: avulsion fracture healing time
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
By your story, I assume that you had sustained an inversion injury of the foot which commonly results in an avulsion fracture at the styloid process at the base of the fifth metatarsal. If that is the case, because this is the point of insertion of the peroneus brevis tendon, often, instead of the bone fracturing in place or the tendon tearing, the bony insertion is frequently avulsed and continues to dwell within the tendon . . thus it is termed an avulsion fracture. In such a situation, because of the continuing pull of this tendon, it is difficult, without internal fixation (which is rarely appropriate in such a situation unless there is a great deal of torsional or lateral displacement), compression of the fracture segments is difficult and very often, instead of normal bone to bone healing taking place, the injury heals with a fibrocartilagenous bridge, at least to some extent, which generally suffices, but appears on x-ray as a gap, as the fibrocartilage is less radio-opaque than bone. This suggested description is neither intended nor should it be taken as a definitive diagnosis in your individual case, as my comments are always of a general nature based on my previous experiences and not on actual facts of the case in question. Accordingly there may be other and more serious problems which may need addressing. But that has to be left to the decision of the attending doctor. Therefore, whether or not it is sufficiently healed or if it will ever be devoid of an apparent gap, I have no way of determining.
Last edited by FootDoc; 21st February 2009 at 08:00 PM.