When she was sent for an X-ray it showed that she had some swelling, but not a fracture. Dr. Scott advised her to think about having reconstructive surgery, which she followed through with. Part
I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.
This was then measured and 85 mm was found to be the appropriate length. The core was cut for the sliding screw without complication using a pre-set reamor set at 85 mm. The tap was then used to tap the way for the proximal screw and an 85 mm sliding screw was inserted across the fracture sight into the head and neck without complication. A four hole 135 degree side plate was then attached. We slid it over the depwheeze sliding screw and attached it to the proximal femur using a lommen turkey claw clamp. With the fixation in place AP and lateral fluoroscopic images throughout the fracture sight and hardware position confirmed good reduction and good placement of the hardware. At this point the side plate was then secured to the proximal femur using the 3-2 drill bit to drill a hole measuring the approximate length with the depth gauge and placing 4-5 cortical screws of the appropriate length without complication. At this point the compression screw was inserted. All traction was left off and the compression screw was tightened impacting the fracture nicely. All screws were then tightened with the screwdriver. The lommen was removed, as was all hardware. Multiple views in the AP and lateral plains of the fracture
The symptoms are described as dull and sharp. Weight bearing and putting pressure aggravate the pain. Current pain level is 6/10. The exam of the left lower extremity showed that the pin sites were completely healed. Skin was intact. Pulses were palpable. He was able to range his ankle comfortably. He virtually had no motion of the subtalar joint. His pain was over the lateral part if the subtalar joint. The foot was warm. Pulses were palpable. He was intact neurovasculay. There was no calf pain. Reported CT scan demonstrated that the calcaceus fracture was healed. The patient has post-traumatic subtalar joint arthritis and calcaneal cubital joint arthritis. Plan: steroid injection, shoe wear and activity modification. If conservative treatment fails, he will benefit from a subtalar joint
The athlete that I was able to facilitate preforming his rehabilitation assignment had a slight fracture in the distal end of his fibula causing a tear in his interosseous membrane, which is the membrane in between the tibia and fibula, and a syndesmosis sprain due to the dislocation of the ankle. The surgery consisted of the athlete having a plate in so the fibula could heal correctly and metal pins in near the distal end of the fibula to connect the tibia and fibula back together. The athlete was not able to put weight on injured leg at all from the time of the surgery until two weeks after the athlete gets their pins removed. At the start of the
An X-ray of the claimant’s left foot performed on March 8, 2018 indicated previous remote trauma. Also indicated was advanced osteoarthritic degenerative changes in the left first metatarsophalangeal joint. The metatarsal fractures in the left foot were healed (Ex. 22F).
Medical Diagnosis: Client was diagnosed with a fractured right tibia bone, and fractured right radial bone. Client has diabetes mellitus type one. Client has history of hypertension and was admitted with chest pain following accident. The client fell off her bicycle while walking her dog.
There is collapse of the medial arch with calcaneal valgus with weight bearing. The IW functions in end range pronation throughout midstance of gait. There is tenderness upon palpation to the posterior plantar aspect of the left heel at the insertion of the calcaneus. There is mild pain with deep palpation to the right foot in the same location. She has pain with dorsiflexion and plantar flexion of the dorsal aspect of the left 1st metatarsophalangeal joint. There is no pain with active dorsiflexion and plantar flexion with resistance.
6. Tammy’s doctor should treat Tammy by providing her with crutches or a wheelchair to reduce weight on her left leg to stop further displacement. In order for Tammy to heal without any disruptions crutches are advised to decrease the amount of weight on Tammy’s left leg. For a stable SCFE treatment can involve surgery (Hart, 2007). The surgery includes using an in-situ fixation to connect the femoral neck back to the proximal femoral epiphysis. This surgery treats SCFE by pinning the proximal femoral epiphysis in its original position (Bennison,
The patient was admitted into the hospital. In the morning after admission was taken to the operating room where she under went open reduction internal fixation of her right ankle fracture. She had an uncomplicated post operative course and gradually returned to assisted ambulation, she was then discharged in good condition.