K.R. asks from Evanston, IL on July 10, 2008
Do I Really Need to X-ray My Daughters Arm Again? Any Doctors Out There?
My daughter is heavy into soccer...she keeps injuring her arm. 1st time, she was kicked in the hand while playing goalie. An x-ray revealed no break, just a sprain but she refused to use of her hand for months because of the pain she said it caused. This probably extended the time it took to heal. 2nd time, she got an elbow to the forearm (same one)- pain and swelling. X-ray revealed no break, diagnosed as deep muscle bruise. Again, she tried very hard not to use the arm, but it healed within a couple weeks. NOW,again playing soccer, her wrist was jammed backwards, but it's not the wrist that hurts, it's the side of the forearm. She says moving her fingers or wrist around causes pain in the forearm, yet there is no bruising or swelling. Do I really need to take her in for a 3rd x-ray in 6 months? I'm afraid she'll start glowing in the dark! Not to belittle her pain, but she seems to feel the pain more than the average kid who might have shaken it off by now. Not to mention, we're self-insured and if I ever had to get a new policy, no one would insure her.
So What Happened?™
Thanks for all of your responses.. I took her in to her pediatrician yesterday. He examined her and decided she didn't need an x-ray, just ice & rest. She says it still hurts, maybe not as much as before, but her mind has been taken off of it since she ran into someone else and hurt her nose! I think if/when she does break something, it will be the end of her soccer career!
K.T. answers from Chicago on July 10, 2008
HI, I spent a semester in Radiology before switching to Nursing, and I just wanted to share what I picked up with pediatric orthopedics.
Kids break bones easier than adults, they break in ways that are different than adults, they heal differently too. Alot of breaks/fractures can be set vs. needing pins and surgery. An XRAY just gives the doc better info on the integrity of the bone, so that he/she can reposition the bone(s) for it to heal on its own.
I know you probably already know this. But XRAY give good information, and the dose is so low that having 3 done in 6 months is, BY FAR, NOT HARMFUL.
There is a small wrist bone that is commonly broken, also the medial styloid process of the ulna commonly breaks too. It could also be a ligament attaching the ulna to the wrist bones. But XRAYs will tell you this.
Hope this helps,K.
2 moms found this helpful
A.M. answers from Chicago on July 11, 2008
A 3rd xray wont hurt her and the things that could go undiagnosed could hurt her. If she ever becomes uninsurable, the state has a program All Kids for uninsured children www.allkids.com
R.K. answers from Chicago on July 11, 2008
Why are you asking unknown people with unknown qualifications technical questions that they are not equipped to answer???
Find yourself a pediatrician you can really trust and ask her or him.
K. answers from Chicago on July 11, 2008
It sounds like an x-ray would help diagnose the problem. Yes, there's a good reason to minimize exposure to x-rays, but x-rays aimed at the extremities have a much lower *effective* radiation dose than x-rays aimed at the head or torso. So as long as she is well covered with a lead apron while her arm is being zapped she should be ok. Just ask the technician to take extra care to cover her reproductive organs especially well. I would be much more concerned if you said she was getting repeated chest x-rays - her arm should be ok.
L.B. answers from Chicago on July 11, 2008
How long has she been complaining of the pain this time? If it still hurts just as bad or more than the original day of injury and it is now more than 4 or 5 days since injury I would bring her in to the pediatrician and consider xray after an exam of her wrist and arm if warranted. Hope this helps.
B. Family Chiropractic
J.A. answers from Chicago on July 11, 2008
It sounds like your daughter has been playing really hard. Just a question, are you taking her to the same provider each time? If you see someone new each time this could lead to overtesting. Patients that come into the office are only given the tests necessary to diagnose and treat them properly. Did the doctor recommend the x-rays each time they were taken, or did you request them? Let your provider know her past history with injury and radiation. If her presentation warrents an x-ray, then you may want to get one. This is by no means medical advice, just a thought process.
Dr. J. Aardema
J.E. answers from Chicago on July 11, 2008
sorry but get the x ray. My daughter too hurt her wrist or arm and only could tell by x ray and she was fine unless it wa touched in a certain spot but if not casted would have left to surgery and other problems. It wa a small break and I didnt even want to cast it for the summer etc but even this tiny thing since it was a different kind of break not a hairline fracture something else could ahve popped though her skin if left untreated.
sorry good luck
J.L. answers from Chicago on July 10, 2008
I would. I had a serious injury that was only caught by an x-ray.