Fracture facts - why you can’t always trust an initial X-rayPrintPdfClose »

25/11/2011

Misaligned fractures are painful, and can be very difficult to put right. If you are unlucky enough to break a bone, you trust that the hospital team will diagnose it properly and fix it correctly. However, that’s not always the case.

The problem is that fractures can be easy to miss on an X-ray, particularly if you’re X-rayed very soon after the break occurs. This misdiagnosis leads to people being sent home with just a ‘bad bruise’. Because the symptoms of bruising are very similar to fracture symptoms - pain, swelling, inability to bear weight – sometimes people don’t seek further medical attention until avoidable damage has been done.

As patients are told to expect pain with the bruising, many don’t like to make a fuss. They trust that the bruising is healing, and that they’re on the road to recovery. Besides, they don’t want to waste the hospital staff’s time with unnecessary visits, so they take no action, and put up with the discomfort. But suffering in silence is not the best option.

If the pain isn’t easing after a few days, or it’s getting worse rather than better, the sensible thing to do is to go back to the hospital and ask to be re-X-rayed. New bone starts forming after 4-5 days, which is much easier to spot on an X-ray. Getting an accurate diagnosis means the bone can be correctly set so that it will heal properly.

Timing is crucial. Depending upon the location of the fracture, there is a limited window of opportunity to get things right as the bone starts to mend. If there is delay in getting the correct medical treatment the bone will reset itself, perhaps in the wrong position. That can be much more difficult and more painful to fix.

So, go back to the hospital for a further X ray if: -

• The pain gets worse rather than better;

• The pain doesn’t lessen after four days;

• You feel something isn’t right.

Do trust your instincts where possible fractures are concerned. If your injury feels like it’s not improving, remember that there is a chance that the initial X-ray will have failed to pick it up. Do go back and ask to be seen again. Don’t suffer in silence.

If you or someone you know has suffered a misaligned fracture through misdiagnosis, we can help. Jane Couch and Richard Blair at WBW specialise in clinical negligence and will be able to ensure that you get the support and care you need. Call Jane on 01626 202413 or Richard on 01803 202632.

Jane Couch

Partner
T: 01626 202413
Email Me

Richard Blair

Partner
T: 01803 407632
Email Me

Martin White

Partner
T: 01392 666524
Email Me