Missed Fracture Treatment | Missed Bone Fracture Surgery | Healing Time, Recovery, Causes, Symptoms, Types and Diagnosis
One of the problems accident and emergency department inevitably encounter is having complaints from their patients about the failure of their bone treatments. To give you an example, a patient goes to the doctor complaining of possible bone fracture in his foot. The doctor made his diagnosis, ordered an x-ray and then seen the case as a sprain and release the patient. Three days after the patient came back with even swollen foot and bruises is now all over the foot. However, the reality lies there. There is a broken bone in the foot that has not been properly diagnosed by the doctor.
Missed fractures occur due to different reasons. It could be that the doctor is inexperienced with bone fractures or the x-ray which was used is the wrong type of x-ray which did not produce accurate result. There can be different causes why missed fractures happen but however people see it, it is still the doctor’s fault why missing the real problem happens.
Types of Missed Fractures
Missed fractures as have been observed usually happen on patients who love to experience strenuous activities that excite them which cause them tiny fractures in the arms, legs or foot. That is why the most vulnerable parts are the ankle and foot, hip, elbow and wrist. No wonder some doctors always mistaken foot fractures as sprain because sprains are common on athletes. Also, another error doctors do is subjecting a patient to take medicines for pain without asking the patients to undergo x-ray procedures.
For the doctors in order to save themselves from committing errors with their patients, they must not do superficial diagnosis but thorough medical checkup so that the safety of their patients is always prioritized. X-rays can provide doctors good details of the condition of the bones but nowadays some doctors do not rely on x-rays alone because this form of procedure cannot actually provide very accurate image of the bones. The three most usable and efficient tools doctors use today in diagnosing fractures are the CT scan, MRI and bone scans. Even a hairline fracture, micro fracture and stress fracture can be detected by these sophisticated equipments.
According to studies, almost 4.2 percent of the diagnoses made by doctors to their patients are with errors that resulted in further complications. Some of the main causes of missed fractures are the incomplete or inadequate study of the injury, conducted only one view instead of two assessments and ruling out other possible injuries because of pre-determined diagnosis.
Much the same, symptoms of missed fractures are almost the same with the symptoms of detected fractures. Furthermore, the only difference is their manifestations when the patient is subjected to bone clinical procedures. If after going to the doctor and you are diagnosed and treated but still the injury lingers for few days, this could be a case of missed fractures. The manifestations could be the same but will be more severe such as:
• There will be more swelling and bruising on the area of the injured point.
• Fever will be experienced by the patient including chills
• The bruises may turn darker in color
• Pain will become more severe
• The injured part will be more sensitive and in most cases will even lost sensations
• Signs of infections will set in such as formation of blisters to the injured part, fever, and more chills
When missed fractures are already in their advanced stage, the patients must be rushed to the emergency rooms of the hospital because not only the fractured bones are at stake here but the lives of the patients. Antibiotics must be given immediately together with IV fluids to calm the nerves of the patient and minimize systemic poisoning. If the fracture already caused death to some parts of the bone or tissues surrounding it, these can be surgically removed. If the fracture is still healthy although infected then antibiotics and anti-inflammatory medicine plus pain reliever will be used and surgery may follow.
In order to stop doctors on misdiagnosing patients, they must not rely on physical examinations alone or even to the x-ray. There are now more advanced equipments if the x-ray shows nothing but still symptoms of bone fractures show up. Also, the doctors must always scrutinize the person’s medical history and not only rely on question and answer which most of the times patients do not provide accurate data. Hospital records must be required so that the initial diagnosis can lead to exact diagnosis.
When to Call A Doctor
If you are the patient, if you notice that after a few days of treatment your injury seems to worsen, better visit your doctor again for another run of diagnosis. When in doubt he is not looking in the right direction then it is up to you to visit other doctors and seek for second opinion and diagnosis. This will not hurt you and you can be more confident that you are given the required treatment.