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Posted on 8/25/15 at 12:33 am
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:33 am
How do you tell the difference between a fracture and a sprain? I had a gnarly bicycle wreck and landed on my arm. I can rotate my shoulder, move my fingers, and bend my lower arm at my elbow. I cannot lift my arm to the side or in front of me. There was never any swelling.
Posted by Bourre
Da Parish
Member since Nov 2012
24255 posts
Posted on 8/25/15 at 12:34 am to
My fracture didn't hurt as much as a sprain
This post was edited on 8/25/15 at 12:35 am
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:36 am to
I am really not in pain unless I suddenly move.
Posted by Scruffy
Kansas City
Member since Jul 2011
78056 posts
Posted on 8/25/15 at 12:38 am to
You should go see someone and get an X-ray.
Posted by King George
Member since Dec 2013
6121 posts
Posted on 8/25/15 at 12:38 am to
quote:

How do you tell the difference between a fracture and a sprain?
Usually with an x-ray.
Posted by Bourre
Da Parish
Member since Nov 2012
24255 posts
Posted on 8/25/15 at 12:39 am to
You should go get that checked out
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20425 posts
Posted on 8/25/15 at 12:39 am to
That could be any number of things including a separated shoulder from your description. Was the majority of the impact to the shoulder? Do you have constant pain or only on movement? No swelling at all?
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:41 am to
Impact was mainly on the left upper arm. Only pain when moving. Never any swelling.
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20425 posts
Posted on 8/25/15 at 12:42 am to
And this happened when?

ETA. The fact you are up writing about this at whatever the hell time it is means you should go get seen. BUT I would skip the special hell of the ER at night at this point and go tomorrow. That being said, this advice is worth what you paid for it.

RICE Rest, Ice it, Compression (in this case sling it to avoid movement) Elevation (doesn't really apply here). So, for a shoulder, the classic sling coupled with a bag of frozen peas on the shoulder and some Acetaminophen would be my middle of the night recommendation.
This post was edited on 8/25/15 at 12:49 am
Posted by Scruffy
Kansas City
Member since Jul 2011
78056 posts
Posted on 8/25/15 at 12:44 am to
Swelling is not a ruling in or out factor in regards to fractures. You need an X-ray.
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:45 am to
Saturday. I also cannot put weight on it. I thought because of the minimal pain (unless moving) and swelling, that movement (lift ability) would come back. It really has not.
This post was edited on 8/25/15 at 12:48 am
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:46 am to
quote:

You need an X-ray.


I am starting to believe that you are correct.
This post was edited on 8/25/15 at 12:48 am
Posted by FLBooGoTigs1
Nocatee, FL.
Member since Jan 2008
59581 posts
Posted on 8/25/15 at 12:47 am to
Dr.Scuffy all up in here.
Posted by FLBooGoTigs1
Nocatee, FL.
Member since Jan 2008
59581 posts
Posted on 8/25/15 at 12:48 am to
Sounds like a fracture to me. Definitely head over and get an xray
Posted by NC_Tigah
Ray Bans for Max Polarization
Member since Sep 2003
140810 posts
Posted on 8/25/15 at 12:51 am to
quote:

I am starting to believe that you are correct.
Believe it.

Regardless you need it checked out.
Fooling around and getting a frozen shoulder is no fun.
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20425 posts
Posted on 8/25/15 at 12:51 am to
Weight bearing is the classic in the field determining factor for fracture actually. For field use, if a guy could walk on the leg/ankle we let them. If they couldn't bear the weight, off to the X-ray machine they went.
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 12:54 am to
Thanks guys. I will go to the ER tomorrow. BR General or Our Lady of the Lake?
Posted by FLBooGoTigs1
Nocatee, FL.
Member since Jan 2008
59581 posts
Posted on 8/25/15 at 12:58 am to
Chem the reason I believe it is fractured is that you are unable to move your arm to certain postions. When I broke my hand I could only squeeze to a certain point. Until my hand was healed with a reset and a cast. After that I had my full squeeze ability back. Just my .02
Posted by Tiger Chemist
Member since Nov 2009
3164 posts
Posted on 8/25/15 at 1:01 am to
I really appreciate your two cents. I will get it looked at.
Posted by WAR TIGER
Death Valley
Member since Oct 2005
4353 posts
Posted on 8/25/15 at 1:06 am to
I'm in orthopedics.
Sounds like a rotator cuff.

You need the X-ray to rule out a couple things:
#1. Fracture (but it would probably hurt to externally rotate your arm too)
#2. AC Joint separation

X-ray can tell both of these.

The other possibility is a labral tear. If your arm popped out of socket or 'almost' popped out, you might have torn the labrum.

I'm betting rotator cuff based on your description and the other limited info I have access to.

Good luck.
This post was edited on 8/25/15 at 7:20 am
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