DMOS – Bone Fractures


♪>>>LIVE FROM THE LIVE FROM THE CAL CHEVROLET STUDIO CARL CHEVROLET STUDIOS IN DES MOINES IOWA THIS IS CW IOWA LIVE. AND WE’RE JOINED BY D-MOSS AND WE’RE TALKING ABOUT THE BREAKING AND FRACTURING OF BONES, DOCTOR. LET’S TALK ABOUT THAT. SOME PEOPLE SAY I HAD A FRACTURE AND I HAD A BREAK. IS THERE A DIFFERENCE BETWEEN THOSE TWO? IN MY PROFESSION, THERE’S NOT A DIFFERENCE. I THINK IN LAY PEOPLE’S TERMS, PEOPLE THINK OF A MINOR BREAK — — LIKE A CRACK. BUT WHEN WE TALK ABOUT A FRACTURE, IT’S ANY TYPE OF BREAK WHETHER IT’S MINOR OR MAJOR WHETHER THE BONE IS COMING THROUGH THE SKIN, IT’S A FRACTURE. IT COMPROMISES THE INTEGRITY OF WHAT IT’S FOR. BUT IS IT DISPLACED AND IS IT A BIGGER PROBLEM. SO WHEN YOU HEAR A FRACTURE, IT DOESN’T MEAN A CERTAIN TYPE OF BREAK AND IT’S A PEDIATRIC FRACTURE. IS THERE AN OLD MAN FRACTURE. IT REALLY REFERS TO UNDER 18 AND GIRLS GET THEIR MATURITY A LITTLE FASTER THAN BOYS. AND A GIRL IS STARTING TO GET A WOMAN’S BONES BY 13 AND 14 AND AFTER THAT, THEY’RE MORE LIKE AN ADULT AND FOR BOYS IT’S LIKE 16-17. SO WE’RE TALKING ABOUT UNDER 16 FOR BOYS AND UNDER 17 FOR GIRLS. AND THE GOOD THING IS THEY HEAL FASTER AND THEY’RE PUTTING A TON OF BONE. IF THE BONE IS BENT, WE CAN CORRECT IT THEMSELVES. SERIOUSLY. SO WHY IS THAT? BECAUSE THEIR GROWTH PLATES ARE STILL OPEN AND THEY PUT IN SO MUCH NEW BONE. WHERE AS AN ADULT, IF I BROKE A BONE AND IT’S 30 DEGREES ANGULATED IT WILL STAY AT 30 DEGREES BUT WITH A CHILD, YOU CAN CORRECT IT AS A CHILD. AND WE HAVE TO DO SURGERY LESS OFTEN FOR KIDS THAT DO THAT TO THEIR BONES AND ADULTS THAT BREAK THOSE BONES. SO HOW MANY TIMES ARE KIDS BREAKING THEIR BONES. SO YOU HAVE 50% OF BOYS WHO HAVE BREAKEN A BONE AND ALMOST 35% WHO HAVE BROKEN A BONE IN THAT LESSON. SO HAS IT INCREASED IN RECENT YEARS? THERE HAVE BEEN SOME PROBLEMATIC FRACTURES THAT HAVE BEEN INCREASED SO I WOULD SAY THE SEVERITY HAS INCREASED BECAUSE IF YOU FALL FROM A HIGHER VELOCITY, YOU’RE GOING TO HAVE A TOUGHER TIME? SO LET’S TALK ABOUT THE FRACTURES HERE. WHAT ARE WE LOOKING AT? SO ONE OF OF THE CLSH THE THINGS THE THINGS THAT YOU CAN FIND IS A GREEN STREAK AND YOU CAN FALL AND IT CAN BE GOOD BUT IT CAN ALSO BE BAD AND STAY IN THAT DEFORMED SHAPE. AND WHEREAS IF IT’S A BOY, IT CAN STAY IN THAT SHAPE. SOMETIMES WE HAVE TO OVER CORRECT IT SO WE’LL HAVE A JAWBONE FALL ASLEEP AND WE’LL HAVE TO BREAK IT THE OTHER WAY AND YOU HAVE SO CORRECT IT BECAUSE IT HAS TO STAY THAT WAY. SOMETIMES THE PATIENT IS ASLEEP. SO YOU SAW THE SIMPLE FRACTURE THERE. IT’S JUST BASICALLY, WE’RE ALTERNATING BETWEEN THE DIFFERENT SKIN AND IT’S A BIG DEAL AND WE USED TO CALL IT A COMPOUND FRACTURE. AND THEN THERE’S COMMUNITED AND IT INDICATED THERE’S OTHER FRACTURES IN IT. SO LET’S SAY I’M A PARENT AND I DON’T KNOW IF MY CHILD BROWN A BONE. ANY TELL-TALE SIGNS. WHAT CAN I DO? WELL, I WOULD TRY TO COMFORT THEM AND A LOT OF TIMES WE’LL SEE A DEFORMITY. THAT’S PRETTY OBVIOUS BECAUSE IF YOU HAVE A 90-DEGREE ANGLE AND YOU GIVE IT A FEW HOURS AND IT’S TENDER. AND WE HAVE URGENT CARE AT ANKANY AND WEST DES MOINES, WHERE AS WE CAN GET PEOPLE WALKING OFF THE STREETS. AND I HAVE FOUR KIDS TOO AND I’M BIAS AND I DON’T TREAT THEM AS MUCH AS I SHOULD BECAUSE I’M AN ORTHOPEDIC CENTER SO I LET THE DUST SETTLE SO UNLESS THERE’S A BIG DEFORMITY. SO WE CAN ALL AGREE KIDS KIDS. I FELL OFF A MONKEY BARS AND I HAD A SIMPLE FRACTURE IN MY ANKLE AREA. SO IT DOES HAPPEN WHEN WE’RE ALL KIDS. LET’S TALK ABOUT SOME TREATMENT THAT CAN HAPPEN IF YOU HAVE ONE OF THESE SITUATIONS. SURE, MOST OF THE TIME WE’RE GOING TO TALK ABOUT CLOSED MANAGEMENT WHICH IS SURGERY AND IF THEY’RE AT THE END OF THE ELBOW ON THE TOP OF THE HUMURUS PLATE, IF IT GOES INTO THE GROWTH PLATE, IT’S MORE SERIOUS. WHAT WOULD YOU DO FOR SURGERY FOR SOMETHING LIKE THAT? YOU CAN ADJUST IT AND HAVE PLATES AND WE CAN DO PLATES AND SCREWS. AND SOMETIMES WE CAN DO A CAST WITHOUT STRAIGHTENING THE BONE SO USUALLY YOU CAN DO A CAST AND IT’S THE PERMANENT ONE PIECE CAST. TYPICALLY, THE SPLINTS ARE GOOD AND WE CALL IT A MUSCLE FRACTURE AND YOU MIGHT DO AN SPLINT AND IT’S REALLY GOING TO HOLD THINGS IN PLACE. AND AFTER THAT YOU CAN GO RIGHT BACK TO SOCCER. AND IT USUALLY PICKS UP FOR SIX WEEKS TO HEEL. I JUST SAID, KIDS ARE GOING TO BE KIDS AND MAYBE BE AWARE FOR CERTAIN DEVICES AND IT MIGHT LEAD TO FRACTURES THAT YOU WANT TO AVOID AND IN CASE ONE DOES HAPPEN AND YOU SEE THE EXPERTS TO GO SEE IT DOES. SO PEOPLE THAT NEED TO GET AHOLD OF YOU, WHAT’S THE BEST PLACE TO GET A HOLD OF YOU. AND THAT’S DMOS.COM OR THE NUMBER FOR OUR MAIN NUMBER WHICH

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