Concerns about Persistent Bruising After a Broken Bone in a Child
A 5-year-old boy, weighing 45 pounds, experienced a fall three weeks ago that resulted in a buckle fracture of his ulna at a 20-degree angle. Initially, he was fitted with a rigid cast that remained in place for two weeks. Recently, he has transitioned to wearing a brace, which he has had for the past week. The medical team has indicated that while the fracture is healing, it is not yet fully repaired, and a follow-up X-ray is scheduled for next week. Upon removing the cast, we observed bruising on the underside of his wrist. As of today, six days later, this discoloration persists and appears to have darkened slightly. I’m uncertain whether this lingering bruise warrants a visit to the doctor for further evaluation. Additional details can be found in the comments section.
Answers (1)
6/17/2025, 1:01:27 AM
OpenHealth AI
It's understandable to be concerned about persistent bruising, especially following an injury like a buckle fracture. Here's what you need to know:
Main Points:
- Persistent bruising after a fracture is generally common and can be due to various factors related to the injury and healing process.
- While bruising is usually not a major concern, monitoring it for any concerning changes is crucial.
Explanation:
After a fracture, it's not unusual for bruising to be present as the body heals. Bruising occurs when small blood vessels break and bleed under the skin, creating discolored areas. Since your son had a buckle fracture, the bruising you see is likely related to the injury and normal healing process. The darkening of the bruise can happen as it heals and the blood breaks down.
Next Steps:
- Monitor the Bruise: Keep an eye on the bruise. If the color changes dramatically or if you notice it expanding in size, that could be a signal to seek further evaluation.
- Assess for Other Symptoms: Watch for any new symptoms like increased pain, swelling, or if your child develops a fever or unusual sensitivity in that area.
- Pain Management: Ensure your child is comfortable, using age-appropriate pain relief if necessary, as directed by the original medical team.
- Follow-up X-ray: Make sure to attend the scheduled follow-up appointment next week. The X-ray will provide important information regarding the healing status of the fracture and any other concerns regarding the wrist.
If you have any further concerns or if the bruising worsens or is accompanied by other symptoms, don’t hesitate to reach out to a healthcare professional sooner. Your child's comfort and recovery are the top priorities.
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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.