OPERATION IN DETAIL: After adequate preoperative evaluation, preoperative medication, and signing the informed consent, the patient was taken to the operating room and administered a general endotracheal anesthetic with prominences well padded, she underwent an uneventful reduction and was placed on traction through a well-padded boot, her left lower extremity was flexed and abducted at the hip. All boney prominences and the peroneal nerve were well padded. Fluoroscopic AP and lateral images revealed a good reduction of her intertrochanteric femoral fracture. The right hip was then sterily prepared with Betadine scrub and solution and draped into the sterile field. She was administered IV preoperative antibiotics. A straight lateral approach to the proximal femur was made. Dissection was carried through the skin and subcutaneous tissue. Hemostasis was obtained with electrocautery. The fascia lata was divided in line with the skin incision. The fascia over the vastus lateralis was divided in line with the skin incision, and the…
--There are 3 joints that form the ankle, they include the talocrural joint, the subtalar joint, and the Inferior tibiofibular joint. Jill most likely sprained her ankle. I feel this is the…
Deep to this area of apparent ulceration there is bright T2-signal present at the dorsalateral aspect of the foot at the level of the mid to distal metatarsals suggesting edema and and/or inflammation in the dorsal soft tissues in that region. I do not see definite replacement of the normal bright marrow signal on the T1-sequence within the tarsals or metatarsals. Therefore, I do not see definite osteomyelitis. Certainly the findings are highly suggestive of a rampant cellulitis. Unfortunately, I have no plain films available for correlation at this time. If additional evaluation is required, one could consider combined gallium and bone scanning. In the left foot, I see neither definite remarkable soft tissue abnormalities nor do I see marrow replacement within…
Your 80 year-old great aunt, Persis, was placing a canning jar on the top shelf of her pantry when she stepped awkwardly off the stool and twisted her leg at the hip. She felt a sharp pain in her hip and, after collapsing to the floor, found she could no longer stand. She was taken to the emergency room where an X ray showed that the neck of her femur was fractured. More detailed X ray images revealed reduced bone mass in the head and neck regions of the injured femur, in the ends of other long bones of the body and in the vertebrae. Surgery was necessary to repair the fractured femur and a biopsy of the bone tissue indicated that the composition of the osteoid was normal. Healing of the fractured femur is proceeding slowly.…
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. This is often associated with displacement of bones and widening of the joint, which can only be seen through the use of an X-Ray. The X-Ray is beneficial in this case in order to determine the necessary alignment of the bones during the recovery or surgical process. A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the distal posterior aspect of the tibia, or the posterior malleolus. This fracture is often associated with an extremely unstable joint, ligament damage, or…
Cuong Nguyen diagnosed her with a left-foot fracture after he had taken x-rays of her left foot. She said the x-rays showed that she had two fractures in her left foot. In addition to the left foot fracture, the claimant said she also experienced pain and swelling in her left foot, caused by the fracture. The claimant said her left leg was placed in a hard cast.…
DOI: 6/17/2015. The patient is a 26-year-old female inventory associate/athlete who sustained a work-related injury to her hand/knees when she tripped on a cloth rack and fell down to the ground. As per OMNI entry, the patient sustained injury to her right ankle and right shoulder.…
Operation in Detail: After adequate pre-operative evaluation, pre-operative medication, and signing the informed consent, the patient was taken to the operating room and administered a general endotracheal anesthetic with prominences well-padded. She underwent an uneventful reduction and was placed on traction through a well-padded boot. Her left lower extremity was flexed and abducted at the hip. All boney prominences and the peroneal nerve were well-padded. Fluoroscopic AP and lateral images revealed a good reduction of her intertrochanteric femoral fracture. The right hip was then sterilely prepared with Betadine scrub and solution and draped into the sterile field. She was administered IV preoperative antibiotics. A straight lateral approach to the proximal femur was made. Dissection was carried through the skin and subcutaneous tissue. Hemostasis was obtained with electrocautery. The fascia lata was divided in line with the skin incision. The fascia over the vastus lateralis was divided in line with the skin incision, and the vastus lateralis was divided in line with its fibers, revealing the lateral aspect of the proximal femur which was retracted with the…
Stress fracture is a minor fracture which does not extend through the entire surface of the bone. This is common with runners who either run on hard surfaces or have improper shoe support.…
During Road traffic accident, high jump, trauma to the outer lower limb, more pressure is created on the fibula bone. When this pressure is beyond the power of the bone will lead…
Your 80 year-old great aunt, Persis, was placing a canning jar on the top shelf of her pantry when she stepped awkwardly off the stool and twisted her leg at the hip. She felt a sharp pain in her hip and, after collapsing to the floor, found she could no longer stand. She was taken to the emergency room where an X ray showed that the neck of her femur was fractured. More detailed X ray images revealed reduced bone mass in the head and neck regions of the injured femur, in the ends of other long bones of the body and in the vertebrae. Surgery was necessary to repair the fractured femur and a biopsy of the bone tissue indicated that the composition of the osteoid was normal. Healing of the fractured femur is proceeding slowly.…
Football players may encounter two possible injury scenarios for ankle syndesmotic injuries. One involves a direct blow to the lateral leg, causing internal rotation of the leg, while the foot remains fixed on the ground in relative external rotation. The second injury scenario involves a blow to the lateral knee, with the foot planted in external rotation and the body rotated internally. Both situations force a widening of the ankle mortise and rupture of the ligamentous structures responsible for stabilizing the distal syndesmotic articulation.…
A Lanfranc injury is due to if the bones in the midfoot are broken or the ligaments that support the midfoot are torn. This injury is often mistaken for a simple sprain because a twist of the foot could cause it. You can’t just walk it off like most coaches would say to his player you have to take care of it and it could take a few months and could also require surgery for it to heal properly. You can hurt the midfoot by a slip or fall or in my case just walking on a flat surface. It also can come from a major accident. You see this injury a lot in football and soccer. The midfoot area is comprised of the joints and ligaments in the middle of the foot. Specialized ligaments hold the bones in this area together like puzzle pieces to maintain the arch of the foot. When the ligaments and/or bones in this area are injured, they may shift out of place. (footcareMD)…
SUBCATEGORIES OF ORTHOPEDIC IMPAIRMENT Congenital Anomaly ex. Club Foot Diseases ex. Tuberculosis Other Causes ex. burns or Fractures…
In most cases, a jones fracture is caused by a twisting inversion injury to the foot, though constant stress or overuse is the leading cause of the break. When injuring the fifth metatarsal, the athlete should seek medical attention as soon as possible. By doing so, the injured may reduce the risk of additional problems or worsening. To diagnose the fracture, the doctor will perform an x-ray to determine the extent of problem, confirm the specific type of fracture, and ensure that there are no other complications.…