Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
The type and location of a break in a leg bone will determine what treatment is needed.
If the bones have become displaced or out of alignment, they will need to be put back into alignment. This procedure is called "reduction." In order to do this,
the patient will be given medications for pain prior to the procedure.
An emergency doctor will be able to treat many types of fractures with a temporary plaster splint and will instruct
the patient to follow up with an orthopedic doctor (bone specialist). However, fractures of the thighbone or the shinbone typically will need further care by an orthopedist
as soon as possible. This may mean a cast or even an operation.
Bones are immobilized for healing by several methods.
A plaster splint or cast usually is often used.
When an operation is needed, pins, screws, and metal plates or wires are often used to hold together the broken ends of a bone.
For fractures in the middle part of the thighbone (femur) or the shinbone (tibia), a metal rod sometimes is placed down through the center of the bone. This is done in the operating room.
The doctor will also provide the patient with medicine for the pain.