Omnal Case Studies

Shortly the incision made off the weight bearing surface of the posterior heel. Guide wire from the 70 cannulated

Per the report obtained Mr. Smith had good alignment of both ankles and his hardware was in

Based on the progress report dated 03/28/16 by Dr. Bakhos, the patient presents for follow-up of his right knee

Attend the next appointment with Dr. Taha on 10/24/17 to address work status, bone healing, replacement services, attendant care. Obtain projections for recovery.

His dressings are removed along with the brace and his incision is a curvilinear laceration through the medial retinacular region. Extensor mechanism of the knee is intact and a straight leg raise is painful but normal. Range of motion is grossly limited in flexion secondary to pain but full extension is easily achieved. He is stable with varus and valgus stress testing at 0 and 30 degrees. Gentle Lachman's test does not demonstrate any gross instability. The ankle shows some dependent edema but no acute injury. Range of motion, dorsiflexion, plantar flexion, inversion, and eversion are all intact with adequate strength. Extensor hallucis longus, dorsiflexion, plantar flexion function of the ankle are all intact with 5/5 strength, L3-S1 sensory dermatomes are intact to light touch, though the patient does describe some mild periwound numbness. There is no streaking erythema. Wound is benign and shows no signs or symptoms of infection. Vascular tone is full and compartments are

Per medical report dated 01/23/15, the patient reported of middle and lower back pain and bilateral leg pain with tingling. He was diagnosed with thoracic compression fracture and lumbar spondylolisthesis.

Per verification to the provider’s office IW has had 13 PT visits for the back from 10/13/15 through 12/31/15. Requested for recent PT notes, however, no medical records received at the time of submission of the review to PA.

On the statement of medical necessity on the MG2 form dated 06/08/16, PT is requested at a rate of twice per week for 6 weeks for her left knee and secondarily, the left hip pain that is related directly to her altered gait.

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).

Patient has a history of a myocardial infarction (MI, or also known as a heart attack) in 2004, she had a hip pinning in 2005, and a traumatic amputation of fingers on her left hand in 1974 from a lawnmower accident.

Of note, anteroposterior and lateral views of the left foot taken on this visit reveal no evidence of fracture or dislocation. There is mild periarticular osteophyte formation, however, no Joint space narrowing is noted.

DOI: 3/12/2013. Patient is a 57-year-old male service technician who sustained injury when he slipped and fell in mud while delivering a propane gas. Per OMNI, he is status post right knee surgery on 05/12/14.

It will take time for this to improve. This may be on the order of a few months for the strength of her left foot and ankle to improve. She states she understands this. She has a fairly large walking boot, which she wears on her left calf, ankle, foot and states this is cumbersome for her. She is asking if there may be something smaller she can use to support the ankle and toes of the left foot until the strength returns. I wrote her a prescription for an AFO brace, which she can place into her left shoe and then around the back of the ankle over the left calf to support the ankle and toes of the left foot. At this point, I do not have a reason for her not to return to work. She states that the van she drives at work has an automatic transmission, so she does not need to use the left foot or ankle to control the van. I have scheduled her back to see me in two to four weeks to perform an EMG of her left lower extremity for further evaluation of a peroneal neuropathy at the knee and to make sure she does not have any evidence of lumbar radiculopathy adding to her symptoms. This will also evaluate for degree of injury to the peroneal nerve to help give her prognosis of when to expect return of improvement of the strength of the ankle and toes of her left

O: Right Foot: mild erythema dorsal top of the right foot, able to move all toes except the middle toe, edema present,

A twenty-one year old female, basketball player experienced an ankle sprain by accidentally stepping on another player’s foot. The player was going up to make a shot landed on the opponents foot when she came back down, which made her ankle invert. The head athletic trainer evaluated her then taped her ankle to provide support and keep the swelling to a minimum at that time, so the player could return to play. Immediately after the game, the player’s ankle was iced down to control the swelling and was receiving NSAID’s to help with the pain or discomfort she was feeling. The player was referred to the team physician for x-rays and MRI to help rule out fractures. Treatment was started to help relieving the swelling and pain.