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spinal cord injury and hip fracture

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    spinal cord injury and hip fracture

    help...I've been trying to post. My 61 year old husband is c6-c7 for 24 years. He recently found out he has a dislocated, fractured hip. Any one out there with some feedback and advice? Thanks...pmd

    I thought I needed to add some more info because I have not gotten any response from my post. After a hospital stay in late August for increased spasms that caused breathing problems, many cat scans and tests showed some bowel impactions. The spasms continued so the day after Thanksgiving we went to our spinal cord doctor who found the hip problem. He called it a subcapital fracture. The xrays were awful. The hip was out of socket. The spinal cord doctor consulted with an orthopedic surgeon and both advised us AGAINST surgery. Has anyone out there experienced this? We are not too sure what route to take. it just seems weird that nothing can be done.
    Last edited by pmd; 29 Nov 2007, 5:32 PM.

    #2
    Moving your post to Care where you might get more feedback.

    Comment


      #3
      Hi PMD,
      So sorry that all this is going on. I don't have any knowledge with this sort of thing, but my gut tells me that they are probably giving you good advice about not having surgery. You didn't mention if this was causing him pain. If it isn't it seems wise to just leave it alone to me. I have to repeat though that it is just my instinct talking,not any real knowledge. Hopefully someone will post soon that knows a hell of a lot more than I do about it. I'm just not a proponent of any surgery if it can be avoided because of possible complications afterwards.

      Comment


        #4
        I'm a T4 complete and have had a dislocated hip for about the last 3 years. I have yet to see a doctor who has come up with any kind of solution (either surgery or otherwise) for this - they all seem to prefer to just leave it as it is. In my case the hip was damaged in my accident so the thinking is that resetting it would not work. It does cause me a lot of discomfort and sometimes crunches horribly but it's been so long now that I have just become used to it (not happy with it, but just resigned to the fact that nothing will be done).

        Comment


          #5
          I have no real knowledge of this kind of situation. I was told during a seating eval that splaying(spreading out) legs could cause this problem.I think it's called HO(hip ossification?)You may be able to do a search on it here. Best of luck!

          Comment


            #6
            Hi pmd,

            I have had this same experience with orthopedists wanting to treat these fractures conservatively, without surgery but with splinting and immobility.
            This is due to both the surgical risk and mainly because of a SCI persons limited mobility- the extremity is usually not overtaxed by excessive movement. I have seen these hip fractures successfully heal without surgery.

            AAD
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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              #7
              Thanks for your input. Our family doctor will be looking at the xrays and we may seek a second opinion, but after 24 years with the same spinal cord doctor, we really do trust him and value his opinion. My husband is experiencing pain and discomfort from the spasms, but his attitude is getting better. We are getting a quad chair cushion and we have adjusted one of the foot rests. Also, our doctor suggested a memory mattress topper. Even after 24 years, it still is frightening when things seem to be going smoothly, then something like this happens and the injury hits you square in the face again! But...by the grace of God we contiue and know that all things work for good because God is in control!

              Comment


                #8
                Thanks for your input. It helps when you here from someone who has a spinal cord injury and is dealing with the same thing!

                Comment


                  #9
                  my right hips been broken for 3 years..all dr.s i've seen agreed that leaving as is, is safer than surgery

                  Comment


                    #10
                    My name is SKip Bunton MS, ATC [bodyspecs.net for more info] I am a personal trainer. I am currently rehabing a SCI who fractured and dislocated hip. Our training and approach may be of interest. I work closely with orthopedic surgeons. We will be colloborating on a book on SCI training for upper body strength [level T10]

                    I just read your bio and situation. If you would like to know more let me know.
                    Thank you

                    Comment


                      #11
                      I am wondering how you "rehab a SCI"? I work with many people with SCI in rehabilitation, but never have I seen someone work only with the SCI.

                      Not sure why you pulled this topic up to the top, but if you are attempting to advertise your practice, that is definitely NOT allowed on these forums, and such messages will be removed.

                      One person is not an lot of history to try to establish yourself as an expert on hip fractures and people with SCI.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment


                        #12
                        Hip fracture splinting

                        Originally posted by SCI-Nurse
                        Hi pmd,

                        I have had this same experience with orthopedists wanting to treat these fractures conservatively, without surgery but with splinting and immobility.
                        This is due to both the surgical risk and mainly because of a SCI persons limited mobility- the extremity is usually not overtaxed by excessive movement. I have seen these hip fractures successfully heal without surgery.

                        AAD

                        The above message noted splinting. Can anyone suggest a splint to stabilize a hip fracture on quadriplegic? Thanks!

                        Comment


                          #13
                          There are no safe ones that I am aware of. Splints are often used for lower femur and upper tibial fractures, but rarely for the hip as they are neither effective nor safe (many skin problems).

                          Years ago I knew of several people with SCI who were treated with hip spica casts, which are hard casts that go from the arm pits to to just below the knee on the involved side. Horrible skin problems and contractures were common, and generally they required bedrest for 8-12 weeks. Thank goodness we don't see these anymore.

                          (KLD)
                          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                          Comment


                            #14
                            My left hip has been broken since. July 4th 2012. I went in on three sperate occasions to get an aritficial hip installed but was cancelled due to uti's. Now they are saying tough shit we cant do anything for you, although mine hurts like hell, it dwarfs' sci as far as pain goes.

                            Comment


                              #15
                              This thread is kinda old but I recently broke my hip, subcapital fracture with slight dislocation. Is it still the best course to just live with it? Or has hip replacement becoming easier with less possible complications with advancements in medicine? My ortho is not recommending surgery. Its been a month now. not much pain except when straightening the leg. just a little discomfort when sitting. Main issue is my spasms in the injured leg have gotten much worse and are affecting my ADL's, working and driving. spasms like I never had before. also its made my weight shifts more difficult which I guess is currently my biggest worry. Think its giving me a slight case of dysreflexia, mainly sweating above my injury level (c5-c6) mainly at night if I can't get the leg in just the right position. Will this go away with time? Not sure how worried I should be about it. I have a standing chair that I am guessing I will not be able to use ever again. overall I really haven't made a\many changes to my day to day activities..ie, tranfers, (with a transfer board) work, etc. should I? any suggestions/comments would be welcome.


                              I have been a quad since 1979. I have been blessed to have had relatively few of the many possible complications. I am afraid with this break I have started on a slippery slope to declining health with my age creeping up and all these years as a quad.

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