How long does it take for a broken bone to heal in a child?

The younger the child the faster the broken bone will heal. The average time for a broken bone to heal in a child is 4-6 weeks. Adult broken bones typically take twice as long to heal than children.

Bone healing time is dependent on the type of fracture and which bone is involved. Typically the higher the energy that caused the fracture will result in a more complex fracture and a longer healing time. For example, if a child falls while running and lands on their out stretched wrist and fractures their distal radius, that fracture will heal quicker than a fracture that occurs in a high energy car accident.

Certain bones such as the tibia (shin bone) take almost twice as long to heal than the distal radius (wrist bone). Imaged below on the left is a higher energy wrist fracture that will take longer to heal than the image on the right. The X-ray on the right is a non displaced distal radius fracture indicated by the red arrows.

Opioid Facts

1. 80% of the world’s opioid use is in the U.S. but the U.S. only makes up 5% of the world’s population.
2. According to the Center for Disease Control and Prevention (CDC), the amount of prescription opioids nearly quadrupled from 1999 to 2015.
3. By 2014, Americans were more likely to die from an opioid overdose than from a car accident.
4. Why? We can start with the introduction of pain as the fifth vital sign. This was mandated in 2001 via the VA medical system.
5. The introduction of prescription opioids were marketed to physicians as non-addicted pain medication when actually they were extremely addictive.
6. We now have a horrible problem. Educating our patients is so important as is using non-opioids to treat pain and discussing expectations with patients prior to surgery or after an injury.

Meet Dr. Michael Orangias!

Michael Orangias, MD came back for a repeat rotation! Dr. Orangias is a fourth-year resident with the Internal Medicine and Pediatrics departments at the University of Louisville. He will be double board-certified when he graduates and passes his boards.

After he completes his double residency he is going to complete a double fellowship. One fellowship will be in pediatric pulmonology and the other one will be in sleep medicine.

However, medicine was not his first love. Dr. Orangias graduated from the University of Louisville with a degree in music. He worked as a professional musician for many years and taught guitar privately. He plays classical guitar and also played guitar in a rock ‘n’ roll band.

Mike always had an interest in medicine and finally went back to medical school after going back to college to finish up his pre-med coursework.

A true Renaissance man! He was an absolute joy to work with. He mastered the technique of giving injections and I think has a pretty good handle on orthopedics. Michael Orangias even hopes to practice in the Louisville, Kentucky area.

 

I Heard a Pop in My Knee

I Heard a Pop in My Knee What Does That Mean?
Unlike the cartoon below you probably didn’t pop a balloon 🎈


The top five conditions that may occur if you heard a pop in your knee after a traumatic event are:
1. Torn meniscus
2. Torn ACL
3. Dislocated patella (knee cap)
4. Bone bruise
5. Osteochondral injury (knocked off a piece of articular cartilage)

What is a Stem Cell?

No photo description available.

Stem cells are progenitor cells: cells that can change into other types of cells. Stem cells contribute to the body’s ability to renew and repair its own tissues. Unlike mature cells, which are the final phase of a cell and cannot change into another type of cell, stem cells can both renew themselves and create new cells of whatever tissue they belong to (and other tissues). For example, once a bone cell is an osteocyte it cannot turn into a heart muscle cell (myocardial cell). A stem cell can turn into any type of cell.

Stem cells can turn into hair if injected into the scalp, bone if injected into a bone, and cartilage if injected into a damaged joint such as a knee.

They are attracted to sites of injury.

When stem cells are used to treat knee arthritis they do not reduce pain overnight like a cortisone injection because they have to repair the damaged area and that process can take months to occur.

Currently this is one or the newest and most exciting areas of medicine: bioengineering. This is a field that is expanding and will continue to see great growth in the future .

Stem cell recruitment therapy, gene therapy, genetic testing to determine medication efficacy, genetic testing to prevent diseases, and using our own growth factors to heal different pathologies is already being utilized in medicine and in orthopaedic surgery.

What is Sarcopenia?

Sarcopenia is muscle loss as you age. Who gets it? Everyone, unless you work to maintain muscle mass.

Adding weight training, weight lifting or some type of resistance exercises after age 35 is important. After age 60 studies have revealed that you have to work harder to maintain your muscle mass and strength. Keeping your muscles strong will reduce the risk of falling which in turn reduces the risk of fracture. Resistance training will help to increase your metabolism and aerobic capacity.
Cardio is important but don’t forget to integrate weight lifting into your workout regiment.

Are Certain Sports Injuries Gender Specific?

The short answer is yes. Here’s a quiz to test your knowledge:

1. Who gets more ACL tears percentage wise?
2. Which gender gets worse concussions ?
3. Do men or women have a higher incidence of stress fractures?
4. Who experiences more traumatic dislocations of the shoulder?
5. What about sports related traumatic fractures in all bones?

Answers:

  1. Ladies

2. Ladies

3. Ladies

4. Men

5. Men

Shattered Talus

This is why cleaning your gutters is dangerous! I saw this patient as a second opinion. He had surgery elsewhere. When he fell off the roof, he landed directly on his feet like a cat and shattered his talus which is one of the major bones in the ankle. He is going to need to have all the screws removed and his ankle fused. My medical advise is to hire a professional to clean out your gutters!!!

Employee of the Quarter: Lindsay Rhodus!

We are happy to announce our second employee of the quarter! Each employee of the quarter is voted on by the staff and receives a special bonus. Here are just a few of the reasons why the staff at Orthopaedic Specialists nominated Lindsay Rhodus to win this quarter:

She works tirelessly on…

  • Getting surgeries booked quickly
  • Getting MRI’s booked for our patients ASAP
  • Getting referrals scheduled ASAP
  • Squeezing last minute surgery patients in
  • She is always willing to help others.
  • She truly loves her job.
  • She stays positive.
  • She has a great laugh.

From everyone on the team, we thank you for your bright attitude and hard work Lindsay! (:

Norton Commons YMCA Campaign

Proud to be chair of the campaign at the Norton Commons YMCA. We exceeded our goal!! The hardworking board raised money to support 171 children at Safeplace, 47 cancer survivors to workout with Lifestrong, 88 children for the swim access program and 77 children for the youth sports program. The YMCA is WAY more than just a gym!