X-ray issues
I would like to ask why, after sustaining an injury, I went to a large hospital's emergency department for an X-ray, which revealed a fracture of the fifth metatarsal.
At that moment, I took a photo with my phone.
A month later, during a follow-up appointment, the doctor showed me the X-ray taken on the day of the emergency visit, which looked completely different from the one on my phone.
What does this mean? Is it a case of fraud? The photo on my phone looked quite severe, but the X-ray on the doctor's computer did not appear as serious.
Are they trying to scare me? During the follow-up, they kept insisting that I need surgery?
W, 0~9 year old female. Ask Date: 2021/01/14
Dr. Chen Yongxue reply Orthopedics
Hello, regarding the fifth metatarsal fracture, if there is displacement, surgical treatment should be considered.
As for the difference between the X-ray images from the hospital and what you see on your phone, it may be due to the different angles at which the X-rays were taken (typically, two different angles are required for each area).
Fortunately, the healing requirements for metatarsal fractures are not very high (unlike the hand, which has higher functional demands due to the need to make a fist).
As long as the fracture heals, both surgical and non-surgical options have their pros and cons.
Additionally, the patient's age is also a factor to consider; your message indicates 1 year old? Lastly, please do not harbor resentment towards medical professionals.
Healthcare in Taiwan is very accessible, and it would be quite difficult to deceive you using X-ray images.
Thank you.
Reply Date: 2021/01/14
More Info
When it comes to discrepancies in X-ray results, especially in the context of an orthopedic diagnosis, it can be quite confusing and concerning for patients. In your case, you experienced an injury that led to an X-ray showing a fifth metatarsal fracture, but upon reviewing the images later, the findings appeared to be less severe than what you initially observed on your phone. This situation raises several important points to consider.
First and foremost, it’s essential to understand that the quality and interpretation of X-ray images can vary significantly based on several factors. The images taken in the emergency department are typically reviewed by a radiologist who specializes in interpreting such images. They may have access to advanced imaging techniques and software that can enhance the visibility of fractures or other abnormalities. On the other hand, the images you captured on your phone may not accurately represent the clinical findings due to differences in lighting, angle, or resolution.
Additionally, the interpretation of X-ray images can be subjective. Different radiologists may have varying opinions on the severity of a fracture based on the same set of images. This is why a second opinion or further evaluation is often recommended in cases of uncertainty. If your doctor suggested surgery, it could be based on their clinical judgment regarding the stability of the fracture, your symptoms, and how well you are healing, rather than solely on the X-ray findings.
It's also worth noting that fractures can sometimes appear more severe in certain positions or angles. For example, a fracture might look more pronounced in one view but less so in another. This is why multiple views are often taken during an X-ray examination. If the initial X-ray showed a fracture, but subsequent evaluations indicated that it was not as severe, it could mean that the fracture was either healing well or was not as serious as initially thought.
If you feel uncertain or uncomfortable with the recommendations for surgery, it is entirely appropriate to seek a second opinion. You have the right to understand your diagnosis fully and to be involved in decisions regarding your treatment. Ask your orthopedic surgeon to explain the rationale behind their recommendations, including why they believe surgery is necessary despite the apparent discrepancies in the X-ray findings.
In summary, discrepancies in X-ray results can arise from differences in image quality, interpretation, and the subjective nature of radiology. If you have concerns about your diagnosis or treatment plan, do not hesitate to ask your healthcare provider for clarification or seek a second opinion. Your health and peace of mind are paramount, and understanding your condition is a crucial part of your recovery process.
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