Recovery from Radial Head and Femoral Neck Fractures - Orthopedics

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Closed fracture of the radial head. Right femoral neck fracture?


1.
I sustained an injury on May 13 and had a steel plate inserted.
Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain.
Is that normal? When both arms are extended, the injured arm's inner elbow appears flatter.
Is that normal? There is still swelling.
2.
I have a right femoral neck fracture with internal fixation using bone screws.
Currently, I am experiencing pain on the inner thigh near the groin area.
What could be the cause of this?

A Lun, 30~39 year old female. Ask Date: 2015/06/27

Dr. Huang Minxu reply Orthopedics


Hello: 1.
The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury.
It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situation and arrange for further treatment.
2.
Groin pain after femoral neck fracture fixation with nails may be caused by the fracture itself, but it could also be related to other urological issues in the private area.
It is advisable to have an outpatient X-ray to monitor the status of the fracture.
Thank you.

Reply Date: 2015/06/27

More Info


Recovery from radial head and femoral neck fractures can be a complex process, and it is essential to understand the typical healing timeline, potential complications, and rehabilitation strategies involved.

Radial Head Fracture Recovery
1. Healing Timeline: Radial head fractures typically take about 6 to 12 weeks to heal, depending on the severity of the fracture and the treatment approach. If you had a surgical intervention, such as the placement of a plate, your recovery might be on the longer side of this range.

2. Pain and Sounds: It is not uncommon to experience pain and a "popping" or "cracking" sound during movements, especially when you are trying to rotate your wrist or perform other motions. This could be due to the healing process, as the surrounding muscles and ligaments adjust to the changes in the joint structure. However, if the pain is severe or worsening, it is crucial to consult your physician to rule out complications such as hardware failure or improper healing.

3. Swelling: Swelling is a normal part of the healing process. It can persist for several weeks post-surgery. Elevating your arm and applying ice can help manage swelling. If the swelling is significant or accompanied by increased pain, it may indicate an issue that needs medical attention.

4. Range of Motion: It is essential to engage in physical therapy to regain full range of motion and strength in your arm. Your therapist will guide you through exercises tailored to your specific needs, ensuring you do not overexert yourself while still promoting healing.


Femoral Neck Fracture Recovery
1. Healing Timeline: Femoral neck fractures generally take about 12 to 16 weeks to heal, but this can vary based on factors such as age, overall health, and the type of surgical intervention performed (e.g., internal fixation with screws or a hip replacement).

2. Pain in the Inner Thigh: Experiencing pain in the inner thigh, especially near the groin area, can be common after a femoral neck fracture. This pain may result from several factors, including muscle strain, inflammation, or the healing process itself. It is essential to communicate this pain to your healthcare provider, as they may want to assess for any complications, such as avascular necrosis, which can occur if the blood supply to the femoral head is compromised.

3. Rehabilitation: Similar to the radial head fracture, rehabilitation is crucial for recovery. Physical therapy will focus on strengthening the muscles around the hip and improving your range of motion. Your therapist will likely introduce weight-bearing exercises gradually, depending on your healing progress.


General Considerations
- Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon are essential to monitor the healing process through physical examinations and imaging studies, such as X-rays. These visits will help ensure that the fractures are healing correctly and that there are no complications.

- Activity Modification: During your recovery, it is vital to modify your activities to avoid putting undue stress on the healing bones. This may include avoiding high-impact activities and focusing on low-impact exercises that promote mobility without risking further injury.

- Nutrition and Bone Health: Adequate nutrition plays a significant role in bone healing. Ensure you are consuming enough calcium and vitamin D, as these nutrients are essential for bone health. Your healthcare provider may recommend supplements if necessary.

In conclusion, recovery from radial head and femoral neck fractures involves a multifaceted approach that includes pain management, physical therapy, and regular follow-up care. While some discomfort and sounds during movement can be normal, it is essential to stay in close communication with your healthcare provider to address any concerns and ensure a smooth recovery process.

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