Pelvic Vs Hip Fracture. What’s The Difference?
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- čas přidán 27. 11. 2022
- In this episode the surgeons discuss the difference between a pelvic fracture and a hip fracture. Hip fractures usually (not always) need surgery. Pelvic fractures usually (not always) do not need surgery.
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Shattered hip and pelvis at 52. 50 months later I am defying the odds on my recovery never give people. Do exactly what your therapist says all day everyday and someday you'll get better long road stay positive. DO simple exercises. I lost some weight by daily fasting too and drank alot of water . I also bruised my femer with other injuries. I am telling you movement is the only way you'll get better. I took no pills after 90 days just glad to be alive. You will see light at the end of the tunnel. Pain can be tough but you are tougher.
Thank you for sharing your story. Congrats
Hello docs fortunately I've never had none of those issues thank goodness . My aunt in her late 70's broke the ball of her femur she made it through everything . But not the therapy she wouldn't do it that was her down fall . Now basically stays in a wheel chair . Therapy is so important folks don't realize how crucial it is to get up and move !!!!!!!!!!!!!!! Thanks for your video
Yes you need to exercise Kubota. Thanks for watching and subscribing
I suffered at terrible femoral hip fracture on my right leg. Skin traction was performed at the scene of the RTC…I was obviously anaesthetised before this was done as the leg has to be pulled straight and weighted because the leg muscle contracts pulling lower part of the broken femur side by side with the upper. This causes massive amounts of soft tissue damage and is obviously dangerous. I was operated on immediately and lost 5 pints of blood during 7 hours of surgery. I was given nerve blockers to that leg and IV fentanyl. Swelling was dramatic post opp and I could not bare any weight on it for at least 5 weeks. I was given IV antibiotics for 4 weeks and developed multiple pulmonary embolisms (on my lungs) due to lack of mobility. The rod inserted goes from the top of the femur with a screw into the ball part and 3 screws just above the knee. I will always have a limp it would appear. A very serious and life changing injury to sustain.
Wow so sorry to hear this. It is definitely very serious injury
I also had a traumatic femur fracture, so I understand 100%
It's most definitely life changing and just plain traumatizing. Wishing you continued healing 🙏
Thank you for concern.
On top of my hip fracture I also broke 9 ribs on my left side…7 of which flailed and a collapsed lung to go with that.I now have 5 metal ribs.
I also snapped my left humerus in half and fractured my left wrist which will eventually need fusing. My humerus unfortunately couldn’t be pinned due to my clots so it has healed but with a bend…
I'm not familiar with skin traction, so to clarify, are you talking about a first aid procedure, or an attempt at true treatment that went wrong? Most first aid videos suggest you have to straighten the leg in order to splint properly at the scene of the injury, but if straightening the leg is going to cause that kind of damage, is it just better to not even attempt to splint until EMS arrives?
I have a closed fracture of left inferior pubic ramus and closed fracture of superior ramus left pubis determined by x-ray and ct scan. This occurred in a bicycle accident last weekend. I am 63. I am an avid cyclist and have ridden 7000+ miles per year. In addition to my cycling, I do weight training twice a week. My belief is that cycling improves my cardiovascular health and the weight training builds strength and bone density that the cycling doesn't catch. At this point I am walking with crutches. I can sit or stand still without pain. No pain meds. No problems sleeping. I intend to keep weight off the left side until 6-8 weeks. Many cyclists don't weight train because it makes upper body muscle which they think it makes them slower. I believe the weight training has saved me from worse injury and will speed my recovery from this injury.
I was 61 years old and cooking in my kitchen and I got 2 fractures of my pelvis. I didn’t fall over. I spent 9 days in the hospital then 8 weeks in a rehabilitation hospital and I forced myself to get moving it was very difficult and painful but that was last year and I have fully recovered but just get a niggly pain in my groin. Thank you for your advice 🇦🇺
Thanks Docs, that was interesting. Great information. I would love to see more xrays too!
Take care dear Docs.
Ok Darlene. We will work on that. Thanks for watching and subscribing
Thanks for sharing. Now I'm enlightened.
Very welcome T. Thanks for watching and subscribing
Always learn so much- thank you.
That’s our goal Lynn. Thanks for watching and subscribing
I did ask, thanks for answering!
And thanks for the clarification between a hip fracture and a pelvis fracture. The correct diagnosis would certainly dictate the correct surgeon. Another time when an x-ray is crucial. And leave it to you two to give us a great explanation! 👍
My elderly grandmother had a hip fracture in the mid sixties (circa 1965, not her 60's) and she went to the hospital and never came home. Medical treatment has improved immensely since those days and most patients with hip fractures today will survive and heal. Problems that kept people immobilized decades ago have proven a better outcome with mobilization.
Now we can see the significance of having the right surgeon for the fracture!
These are things that most people don't even think about. But I love how you give us information to think about! And you let us know how these problems will be solved.
Were the mustaches a bet? And why did one of you lose yours and the other didn't? And what happens in 7 days?
It was a bit strange to all of a sudden see you two growing mustaches. Do you realize how difficult it is to get used to someone growing a mustache? I'm not saying I didn't like it but getting used to it isn't easy. But if you want my honest opinion, I never got used to it. 😉
You either grew them for a noble cause or it was probably a lost bet. Will you enlighten us? Inquiring minds want to know!
Thanks for the explanation of the difference between the two different fractures! As always, a great presentation!
Hi Vickie. It was for Movember which is to raise money for men’s health issues by growing a moustache in November. Thanks for watching and subscribing
@@TalkingWithDocs But only one Doc still has a mustache and he said for 7 more days. November only has one day left now. He was talking like November has 35 days. 😋
But I do remember you mentioned mens health awareness for November. And I appreciate you doing videos for men because they are generally bad about their health. And even though everything was about men's health, that didn't stop me from watching. You two are that good! 😘
Great explanations! Thanks!
Welcome Chris. Thanks for watching and subscribing
Both are painful.
We have tendons wrapping around pelvis and hip. Wish you would cover issues in that area.
Thanks for sharing.
We can add it to the list. Thanks watching and subscribing
Very helpful! Thank You.
Very welcome riverbender. Thanks for watching and subscribing
You guys are amazing
Hi docs! I guess that the pelvis and hip fracture is almost the same area… they do look alike… great explanation!😊
Glad you liked it Alida. Thanks for watching and subscribing
Get up and walk.....move it or lose it I was always told. 4 weeks out of THR and I am trying to improve on stairs and walking outside with a walker for safety. Thanks for helping me have the courage to go thru the surgery.
Welcome Sue. Best of luck. Thanks for watching and subscribing
Keep it up Sue I've been threw it all with my recovery. My injuries were the worst case senerio you can do it keep it simple and do your basic body movement. Never give up your way tougher than you'll ever realize. Do everything your therapist says, and keep moving. God bless stay strong
Great info, thx yall! Love the mustach! Keep it!! :)
Ha ellena you are definitely in the minority! Thanks for watching and subscribing
Most interesting info on these two fractures…hope not to have either…question-which joint in the body is the most complicated ?
Hmm. Good question. Would be hard to pick just one. The elbow is a bad one to break but they all have their issues. Thanks for watching and subscribing
Thanks again Docs.. very informative video. Look you’re at 227K! Great! 👏
Getting there JS! Thanks to viewers like you. Thanks for watching and subscribing
Awesome job.
Thank you Monica. Thanks for watching and subscribing
Love the explanations with x-rays to show it. Would you consider doing a video that covers the different type of each type and how they most often happen?
Yes Gregg. You predicted our next video! Thanks for watching and subscribing
Another great vlog guys! Brad the mustache looks great, but i'm not gonna lie; your much more handsome without it LOL! And i'm sure your masks will fit better too. Have a very blessed day you two :)
Ha that’s funny Melissa. 2 more days. Thanks for watching and subscribing
Thanks for another good video. Could you talk about lumbar scoliosis and how that impacts the pelvis and the surrounding muscles and best treatment? I vote to take off the moustache! Much better without. 😀
Yes Joanne we will add it to the list. Shave day is almost here! Thanks for watching and subscribing
I was trying to find out how to tell the difference when assessing a casualty
Great info, Thank you Docs, and nice mustache :D
Thanks Massie. Thanks for watching and subscribing
Thank you
Very welcome. Thanks for watching and subscribing
Love the stash👍😁
Thank you 😁
Hey, Doctors, informative video. I know you two are doctors of human medicine, not veterinary medicine, and I know there’s some difference in anatomy even with body parts we have in common with animals. But I have a question I wondered if you could provide some insight into. My cat is very young, not even two years old, and he decided to play chicken with a car. He came out the loser with a pelvis broken in four places. My vet has a great surgeon who pinned one of the fractures together and said that that repair would make the other fractures line up and heal as well. Unlike your elderly human patients, my cat is on strict cage rest for eight weeks minimum. He’s not to be let out or even handled much. Unfortunately for him, he’s had a case of diarrhea ever since the surgery. The antibiotic prescribed post-op that had diarrhea as a common side effect, he’s been off of for two weeks now. He’s been tested for parasites (negative), given feline-specific probiotics, and a feline anti-diarrheal medication, but he’s still suffering from it. I plan on consulting with his vet tomorrow, but can you think of what might be going on physiologically to cause that? I also worry about his pain level. Cats are pretty good at hiding pain, so it’s possible he’s really suffering without me knowing for sure. At three weeks post-op, how likely do you think that is? Thank you if you took the time to read this, especially if you answer it.
Another kind of hip fracture I heard about recently is in female runners who overtrain and under eat to the point of disruption of menstrual cycle resulting in stress fracture. There was a young Japanese lady Mei Shirai at this year's Princess Ekide race that collapsed on TV from this situation
Yes it can happen Chris. Usually femoral neck fracture. Thanks for watching and subscribing
One more question. Do you perform hip surgeries or replacements on older ones with dementia ?
Thanks for sharing. Please revisit the pros/cons of zero starch (keto) and Paleo diets. Also a dairy free diet? Grass fed full fat milk ok for my coffee? Cheese (non organic) ok? BMI is 26 and having problems to get to 24. Loosing less than 1 lb (0.46kg) per month. Stay safe and thank u.
We will add to the list for sure. Short answer is if you really want to go from 26 to 24 go whole food plant based. Thanks for watching and subscribing
It's true...I have a healing pelvic fracture and it's healing on it's own with the help of physical therapy. And yes, a simple X-Ray detected the fracture. Oh and for anyone who is experiencing pain in the pelvic/groin area and can't bare weight on a leg and your doctor says it could be a pinch nerve but you know it's something worse, persist on that X-ray!
I'm a 63 yr old woman with osteoporosis, plantar fasciitis, groin pain & difficulty walking for about 5 weeks now, using a cane. The regular x-ray showed no fracture. Wondering if I should ask for a CT scan or be tested for A.S.
Hi Dr. Weening and Dr. Zalzal. Thank you so much for clearing up the difference between a hip and pelvic fracture. I was in the hospital when a younger woman was wheeled in with a hip fracture. After talking with her I found out she did it on black ice. That is one of my nightmares. I dream that I break my hip after walking on a sidewalk and I slip and fall. The very next thing is I'm in a hospital bed and my legs are suspended because of hip fractures. I have this dream alot. I wish I knew what it meant. If I never dream it again I would be happy. As always thank you for sharing
Marie you need some happier dreams! Thanks for watching and subscribing
@@TalkingWithDocs lol. I know that
this is a fun dynamic! =]
I did not know any of this! And I turn 70 in a week. This video is going to be saved to my 'Health' playlist! The mustache is being shaved in a week? It's a nice 'stash' but it makes you look older. I think you should keep your baby face as long as you can!!! Just saying!!! Thanks for the info, Docs!!
Thanks for the feedback SandiRose. Everyone seems to be in agreement about the facial hair. Thanks for watching and subscribing
Hey docs, what is your opinion of umbilical and embryonic stem cell injections for muscularskeletal diseases?
Limited evidence thus far but lots of research ongoing. Thanks for watching and subscribing
Thanks for another great video guys. BTW and just an observation - is alopecia a requirement to be an orthopedic surgeon? I noticed that, in your title clip, you're both somewhat "follically challenged." Interestingly, my ortho surgeon also is and shares your sense of humor. I mentioned your videos (which he said he would watch), asked him about this situation and he replied, "Yes, it's absolutely an ortho residency admission requirement for guys. That's my excuse and I'm sticking to it!"
Ha that’s funny. We think it correlates inversely with intelligence 😀. Thanks for watching and subscribing
He essentially agreed with you & said his brain outgrew his hair.
Tomorrow is Nov. 30 can we expect Dr Weening to shave the mustache ? You are a handsome, fun and energetic doc without the fur!
Why thank you Terry. It’s gone! Thanks for watching and subscribing
My pelvis was fractured on 9/4/99 by my seatbelt constricting. The orthopedic surgeon aligned the titanium metal so I can walk without a limp. I’ve learned that using a treadmill or exercise bike aggravates my back muscles with the movement. My legs move, causing the metal to aggravate my muscles. I sustained a traumatic brain injury with coral sheering. God fully restored me and I am working part time.
I have X-rays of the metal in my pelvic bone.
So helpful - you guys are great at speaking so that the basic issues are clear. +1 on shaving - it looks like a hamster under your nose, but I say that in the kindest voice possible.
😂
Hi Laura. Who doesn’t love a hamster! It’s gone now 😀. Thanks for watching and subscribing
A few years ago, a colleague slipped on a wet step, fell and broke the femur... probably what you describe as hip fracture. She was operated on, but somehow the bone didn't heal the fracture (I think it was a rookie surgeon?). This surgeon attributed the problem to lack of blood supply to the socket part of the femur, causing the bone to effectively die. Is this possible and is it a real risk in hip fractures? By the way, my colleague walked with a bad limp since then. She left the company, I lost contact and I don't know if she had subsequent surgeries. What could be the options in such a case?
Hi Manny. So if the ball breaks and you try to fix it it can die - called avascular necrosis. The only other option is to replace it which we try to avoid in younger people if we can. Hope that helps. Thanks for watching and subscribing
Perhaps a video on: upper lipus caterpillus?
lol
Very funny Bill. It’s gone now. Thanks for watching and subscribing
Another great video, well done doctors. Thank you for keeping us informed. Would love to see a video on total ankle replacement. I know it is still fairly rare but I think I may need one and would like some impartial advice. how many per year are done in Canada now? Are we at the point where you would recommend this over fusion?
Ok Don we will add it to the list and get our F and A colleague to join us. Thanks for watching and subscribing
Hey Doc's, what about a femoral or inguinal hernia
these symptoms run so close to the hip and pelvis
How can you tell the difference from a fracture to the hernia? Hope that makes sense
Yes common! The X-ray as ultrasound will help. Thanks for watching and subscribing
@@TalkingWithDocs Great thanks Doc's :×)
Hey Dr Zalzal and Dr Weening
2 months ago I asked a question about a femoral hernia and hip pain. Today I had to have 3 MRI's and a set of X rays to right hip.
Reason being is my new diagnosis of Lewy Body Dementia from my Parkinson's. My left hip which was hurting 2 months ago shows
Non displaced fracture of right superior/inferior pubic Rami w insufficiency fractures mild partial tear gluteus medius. My left knee shows macerated medial meniscus mucoid degeneration versus interstitial tearing of ACL.
Left shoulder is basically shot and has rotator cuff tears. 1 1/2 yrs ago I had a severe fall to my right side of body which ended up with me needing an ORIF to right ankle and 3 middle toes. My left foot some how greatfully did not break but came pretty close. Given this information how would you work on this kind of patient who refuses blood transfusions. I am waiting for my surgeons consultation on what he advises but in the mean time I highly esteem your inputs. I'm a tough cookie 🍪 😊 ha ha but how can this be done as safely as possible? I'm 1 month post op rotator cuff repair surgery right shoulder. Was reinjured in fall.
58 yrs young non smoker with positive attitude 😁🙋
Hard to give specific advice but the pelvic fracture will usually heal without surgery. Walker. 6 weeks. The meniscus may need a scope depending on severity of symptoms. Usually minimal bleeding. Rotator cuff also often responds to physio and injections. Non op always best place to start. Good luck
@@TalkingWithDocs I know you can't give specifics but you nailed it with the walker my Doc said to use a platform walker so as to protect my current rotator cuff repair. I always appreciate your honesty and education on matters 🙂👍
My hip socket dislocated, and the ball blew thru the back of the wall upwards, fracturing my pelvis. It had to be set & rebuilt using plate, steel screws with cadaver bone. Like Humpty Dumpty the Docs put me back together. I do have foot-drop on repaired side and CRPS, but I'm lucky 2 be alive. Hip aches at times tho...like now.
Sorry to hear that Adam. That is a very severe injury. Best of luck with your rehab
@Talking With Docs Ty, it's been about 7 years since. I just live with foot drop n the nerve disorder. The specialists can't do much for CRPS and a completely torn peroneal nerve. Gabbapen & medical marijuana license. The CRPS is the worst of it, but the pain dislocating and shattering my pelvis at the same time is something I wouldn't wish upon anyone. Unbearable agoany and being freshly recovering from opiate addiction made getting me outta pain nearly impossible at that time. They had to give me IV delauted with Ketamine simultaneously. Of course, they didn't like this, considering me high-risk and got me out the door just days after major surgery. Looking back, I understand their concern. Opiate free now 8 years and with the CRPS I could get them easily but that's just a trap to addiction. Cheers doc
Now i am 21 year old ..i met with an accident one year back- I had a fracture shaft femur and apc injury with pubis diastasis and si joint disruption.. procedure done was rod in femur which is removable .and orif symphysus pubis and sacro iliac screw fixation which is permanent..it was done before 10 months..when is it possible to get pregnant..is it hard in pregnancy period..any chances of miscarriage
Motion is lotion!! Move and get better day by day.
Yes Denise it sure is. Thanks for watching and subscribing
Hi, Docs. Are either of you taking referrals right now? Thank you.
Hi Loni. We would say almost every Orthopedic surgeon in Ontario is taking referrals right now. Thanks for watching and subscribing
@@TalkingWithDocs Sorry to bug you, but I've been trying since April to see mine! Sent in two refs , heard nothing back, now told he's not taking patients! Broken plate in foot. Oy! 🙄 So frustrating.
Really appreciate all your videos but the moustache....? That said, totally appreciate why you grew the 'stache.
Yes Myra. It’s for Movember. Fundraising. Thanks for watching and subscribing
Can't wait for the mustaches to go away, LOL!
It is soon Frauke. Thanks for watching and subscribing
Kool mustache 😂😂😂
We thought so! Thanks for watching and subscribing
I’ve been told that once you reach 60 or older (maybe sooner than 60) you don’t want to fall.
Agreed Goth. Thanks for watching and subscribing
I had a slipped left ephisis 46 years ago. The 3 pins are still there. I was watching a porno the other day and the male lead had exactly the same scar as me. His had a better tan than mine. It was good to see it didn't slow him down. Just thought i'd share that with the group.
Might have over shared James. Thanks for watching and subscribing
Great info! Not liking hairy face. 😊😉
Ha Cathy. Won’t be long now. Thanks for watching and subscribing
Hi I saw a video on Facebook that you were an engineer and now became a doctor how long it took and what about medical license how you got that? Any contact number need information
Hi every thing. So most medical schools require an undergraduate degree. It can be in anything. So that’s 4 years. Then 3-4 years of medical school. Then 5 years of residency. Possibly a fellowship for 1-2 years and then presto! You’re an Orthopedic surgeon. Thanks for watching and subscribing
@@TalkingWithDocs I have done 5 years graduation need help with license or some job can you recommend
I believe pelvic fractures can be quite life- threatening
due to the possibility of compromising the femoral artery and other pelvic structures, whereas hip fractures are not as life-threatening, although I suppose they can be under certain situations. Is this true? Also, bye-bye mustache. 👋
So yes they can be in high energy trauma typically rather than a fall from a height. Thanks for watching and subscribing
Does your mustache self destruct in 7 days
Ha ha ha that's so funny Shirley
Less than that! Thanks for watching and subscribing
😂
SHAVE!!!
Soon Annette! Thanks for watching and subscribing
Oh my, I can't wait til that mustache comes off. You look so much older. You look so much younger without it. 👀
It does! It was for Movember for prostate cancer awareness month😀
@@TalkingWithDocsi have pelvic fracuture i need your help
Okay, I love you guys but that mustache needs to go! 😂❤️
Hi Virginia. It’s gone! Thanks for watching and subscribing
Question.
Could u do a video on plasma/blood donation?
Like the process is like.
And what medical conditions or medications could prevent someone from being able to donate.
As well as like how long before or after a surgery do u have to wait before being able to donate?
I recently stopped by a donation center, I just wanted to ask these questions because I was looking into maybe donating plasma.
I know they pay for plasma.
And I have a surgery coming up soon that will require me to be off work for around 6 ish weeks.
So the extra money would be helpful.
But because I came in with my service dog, one of the employees there stopped me while I was standing in line and said I couldn't have my service dog there.
I tried explaining she was there for my medical need and has to stay with me.
But they insisted that she couldn't be there.
I left before I could even get to the front desk to ask the questions I had.
All because I had a service dog.
After doing some research I found out that they legally could not tell me my service dog was not allowed.
But I still didn't get any of my questions answered.
And I am not seeing a list anywhere online of what kind of medical conditions or medications prevent someone from donating.
And very limited info about how the whole process works.
Sorry to hear that Carrie. We are in Canada so the rules are very different and people do not get paid to donate. They just do. Best advice would be to check the website if your local donation Center. Best of luck. Thanks for watching and subscribing
Hi Docs, ok Dr Brad, tomorrow is the 5th day. 🪒
Ha James it’s Movember! Soon. Thanks for watching and subscribing