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10 Step Cure for Ankle Sprain & or Fibula Fracture. Exercises & Rehab
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate a 10 step program to rehab an ankle sprain and or fibula fracture. Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA
Просмотров: 57924 Physical Therapy Video
Knee Pain Caused By Fibular Head :: WODdoc :: Project365 :: Episode 474
 
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For more episodes and additional information about this post visit www.thewoddoc.com www.thewoddoc.com Subscribe Now.... New Episodes Daily Check WODdoc out on Facebook, Instagram, Twitter, & SnapChat: https://www.facebook.com/thewoddoc
Просмотров: 44500 WOD doc
Knee pain ,arthritis and Injured Cartilage  - Everything You Need To Know - Dr. Nabil Ebraheim, M.D.
 
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Dr. Ebraheim’s educational animated video describing knee arthritis and knee pain . Causes of knee pain may be related to: •Sports •Trauma •Inflammation or arthritis •Osteoarthritis Cartilage is a tough and flexible connective tissue that gives shape, support and provides a cushion between bones in the joints. Unlike other connective tissue, cartilages do not have its own blood supply, instead, it is composed primarily of water, chondrocytes, collagen, and proteoglycans, which produce and maintain a structural matrix giving cartilage tissue its form and function. Proteoglycans are composed of numerous glycosaminoglycans attached to a core protein. The predominant glycosaminoglycans in cartilage are chondroitin sulfate and keratin sulfate. Within the cartilage matrix, there are numerous prototype and monomers attached by link protein to a molecule of hyaluronic acid. This is all woven with collagen to form an elastic and compressible structure. Normal articular cartilage also known as hyaline cartilage provides a smooth crystal clear gliding surface to aid in the motion of the joint. The structure of hyaline cartilage is divided into four layers; superficial, middle, deep and calcified layer with the calcified layer representing a transition from articular cartilage to bone. This cartilage is designed to achieve and maintain proper function over the majority of a person’s life. If the cartilage is subjected to excessive weight, overuse, improper alignment or injury, it begins to wear away leaving bone to rub on bone. Articular cartilage does not have the ability to heal itself, however, there are several treatment options available to aid in the repair of injured cartilage. The knee is the most common joint in the body with cartilage injury issues. The knee joint is composed of femur, tibia, and patella. There are two types of cartilage in the knee joint, the articular cartilage and the meniscus, which is a shock absorbing cartilage. There are also important ligaments within the knee joint, the anterior and the posterior cruciate ligaments. The goal of treating cartilage injury is to reduce pain and improve the function of the affected area. Anti-inflammatory medications are commonly used to combat-injured cartilage but they can potentially cause cardiovascular or gastrointestinal toxicity. Damaged cartilage can also be treated with a series of injections. Steroid injections such as cortisone are powerful anti-inflammatory drugs used in the treatment of osteoarthritis. Hyaluronic acid is a substance produced naturally in the body and is present within cartilage when isolated. Hyaluronic acid is a thick viscous solution that can be added to the natural hyaluronic acid of the knee joint. This solution uses purified Hyaluronic acid derived from either rooster combs or genetically engineered cells. Glucosamine is another option for treatment that can be injected directly into the joint. Glucosamine is a modified sugar that is formed by the human body and is used to form larger molecules involved in the formation and repair of cartilage. Other methods include gene therapy, platelet-rich plasma, growth factors, stem cells, drilling and debridement of cartilage may help with injured cartilage. Occasionally the cartilage is replaced, regrowth and implanted. When the cartilage is damaged, the choice is often simple as the patient will need a total knee replacement. Many different types of designs and materials are currently used in total knee replacement surgery. Nearly all consists of three components, a patellar component, which consists of durable plastic, a tibial component, made of a durable plastic cushion often held within a metal platform and the femoral component, which is usually made of highly polished metal. Total knee replacement is the most predictable option to treat severe arthritis of the knee joint. When the arthritis is minimal, almost all treatment methods will work, however, when the extent of arthritis is moderate, there are many different treatment options presented, but none of them are predictable. It is logical to pursue and recognize the efficacy of platelets and stem cells in cartilage regeneration, simply because it is better for the patient to be able to regenerate their own cartilages and for it to be replaced with an artificial joint.
Просмотров: 1467340 nabil ebraheim
Signs your foot or ankle injury is serious
 
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If you suffer an injury to one of your feet or an ankle, how can you know if it is serious? How can you tell if it’s worth seeing your doctor or an orthopaedic surgeon? http://challenge.drdavidgeier.com/ds/906ca4c8 I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here! http://www.drdavidgeier.com/signs-foot-ankle-injury-serious Click the link above for more information about serious foot and ankle injuries and other resources for your sports or exercise injury. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. Foot and ankle injuries are among the most common injuries active people suffer playing sports and exercising regularly. Fortunately, most of these injuries don’t require surgery. This list is far from comprehensive, but here are three signs you have a foot or ankle injury that might require surgery or an extended absence from physical activity. Your pain is getting worse as you proceed through the workout. It might not be a big problem if you have soreness in your foot, or maybe your ankle, that stays at the same intensity through your exercise. If your pain keeps getting worse and worse as you keep going, it could be a sign that you have a more serious problem. You can’t walk without limping. Whether you suffer a traumatic event that started your foot or ankle pain, or if it developed over time with no specific injury, limping can be a bad sign. If you cannot walk with a normal gait and have to limp, it could be a sign that you should get it checked out. You really hurt the next day. If you exercise or play sports one day and find yourself to be miserable the next day, you might have a serious ankle or foot injury. It could just be pain, or you might have difficulty standing or putting weight on your foot. If you are that uncomfortable, you might consider seeing your doctor or an orthopaedic surgeon. Again, this list is not comprehensive, so it should not replace the advice of your doctor. If anything, I hope you would consider seeing your doctor or an orthopaedic surgeon soon after an injury if you have any of these complaints. Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
Просмотров: 204521 Dr. David Geier
Proximal Tibiofibular Joint Mobilization
 
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Просмотров: 56484 tsudpt11
Ankle Fractures and the Syndesmosis - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle fractures - syndesmotic injury. Educational video describing fractures of the ankle X - rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. how do we know if we have a syndesmotic injury? By getting the intra-operative stress exam, external rotation of the talus within the ankle mortise, this test determine if syndesmotic instability is present, you will do that test after fixation of the other fractures. The abduction external rotation of the talus will try to displace fibula from the incisura fibularis, the talus will move laterally and displaces the fibula. The ankle will show a valgus talar tilt or increase in the medial clear space. Before you do syndesmotic reduction and fixation, it is important to restore the length and rotation of the fibula. When instability is present, you have to do syndesmotic screw fixation. How do you know if there is instability? Always have a high index of suspicion. Syndesmotic fixation is more required when the fibular fracture is high and there is a deltoid ligament injury. Be skeptical about some of the statements such as fixation is not typically required when the fibular fracture is within 4.5 cm from the joint because that is not true. Just remember: Weber C is commonly associated with syndesmotic injury. So we get the stress views and look at certain measurements to determine if the syndesmosis is injured or not. At 1 cm above the joint we will measure the tibulofibular overlap which will be decreased if there is a syndesmotic injury. We also measure the tibiofibular clear space which will be more than 5 mm if there is a syndesmotic injury. Then we look at the medial clear space which will be increased, normally it should be less than 4 mm. Some people believe that the instability of the ankle appears more in the AP plain. The medial clear space can be increased preoperatively due to injury to the deltoid ligament. This is used to differentiate between supination – external rotation stage II and stage IV injuries. The medial clear space can be helpful intraoperatively after fixation of the fibula to diagnose syndesmotic injury on stress view radiographs. Syndesmosis fixation techniques: - You must restore the length and rotation of the fibula, which is not good enough by itself. - An Accurate reduction of the syndesmosis is required and direct inspection of the syndesmotic reduction is helpful, and this should be supported by x-rays. - Check for widening. - Check for the chenton’s line, dime sign, and that will be done after reduction and after using the reduction clamp. - This is the time to get an AP view and lateral view radiographs, and you assess before you place your screws. Try to use multiple techniques to check on the syndesmosis injury, one of them is the external rotation view the intraoperative one. The other one is the cotton test, get a hook and pull on the fibula and see the movement. The third one is direct inspection of the syndesmosis, make sure the crural fascia may be intact and covering a major syndesmotic injury. After that we go to the technique: 1- You dorsiflex the ankle. 2- Directly inspect and reduce the fibula. 3- Use reduction clamp. 4- Get x-rays to prove that the syndesmosis is reduced and then you put the screws, about 2-4 cm above the joint, with an angle of 20° to 30° posteriorly to anteriorly. Do not use lag screws and do not over compress the syndesmosis with the position of the talus in planter flexion, although a lot of people think it is not possible. Screws are really controversial ad no consensus about them. But there are a few important points about the screws: 1- The 4.5 mm are not used a lot nowadays. 2- When the widening is bad you are going to use more screws and more cortices, the more the better. 3- When you put the screws proximally and you don’t aim anteriorly you may miss the tibia. 4- Make sure when you go from cortex 1 to 2 and 3 in the tibia that you don’t miss cortex number 3 in the tibia. 5- Try to elevate the ankle a little bit so your hand will be allowed to do some anterior direction of the screws, so the screws will be angled a little bit. 6- Occasionally I cross the screws, so will be one direct straight forward and the other one will be oblique. 7- Screw removal: it’s controversial but you will not remove the screws before 3 months. What are the problems with the syndesmosis? • Missing the injury: Reading the x-ray, I use the 5 mm for reading the x-rays, whatever it is in the medial clear space or tibiofibular clear space as my mark, 5 mm is abnormal. • Malreduction of the syndesmosis: I want to make sure the fibula is anatomically reduced to the incisura before inserting the syndesmotic screws; I want to make sure and get an x-ray to check the talus both in the AP and lateral planes.
Просмотров: 22315 nabil ebraheim
Ankle Fractures, Surgical Treatment ,tactics - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle and the surgical treatment. Educational video describing fractures of the ankle X - rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery You start fixing these fractures by fixing the fibula, the fibula is the key for the ankle stability, when you fix it you need to provide length and stability to the ankle joint, except in 2 situations: 1- Supination adduction injury: you will do the medial side first because the fibula is short and fixation of this will not give you enough stability, you need to go after the joint injury first, which is the fracture of the medial malleolus, and you fix that by antiglide plate (buttress plate) or by screws parallel to the joint. 2- When the fibular fracture is comminuted, so that will facilitate positioning of the talus within the mortise and will help to achieve anatomic reduction of the fibula, the line of the articular surface of the talus should be parallel to the ankle (shenton’s line), the dime sign is interrupted. How do you fix the fibula? By regular lateral plate, but that can cause irritation of the soft tissue, there may be violation of the joint as the screws may be so long. I like to get the mortise view to be able to see the screws, contrary to the medial malleolar screws; I like to get an AP view to see if these screws are violating the joint. Usually this plate is a neutralization plate after you do lag screw for the fracture itself. The second method is the antiglide technique and that’s the buttress plate posteriorly, so it is a posterior technique that means if you go distal you may irritate the peroneal tendons or you may injure the posterior peroneal retinaculum, this technique is biomechanically superior to the regular plate technique. • In the pronation – external rotation: you will do probably lag screws followed by neutralization plate. • In the pronation abduction injury: you probably will do the classic operation, try to test the syndesmosis, because it is very important, and if the fibular fracture is comminuted, then I will start by exposing, reducing and fixing the medial side first. • Supination – external rotation: do reduction then lag screws and neutralization plate fixation, this plate can be applied lateral or posteriorly. When to do the surgery? What is the timing of the surgery? Usually when the ski condition permits, when the skin wrinkles are present and the abrasions becomes epithelialized and no bacteria on skin surface. The wrinkle sign will be present when all the interstitial edema has left the skin and tissues. It may take 2-3 weeks to get the wrinkle sign. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 28530 nabil ebraheim
Amazing Chiropractor In India Fixing Ankle Sprains : Traditional Bone-Settler In Indian Village
 
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संपर्क राकेश पहलवान , अजमेर, राजस्थान - 9414252695 # contact Rakesh pehalwan, ajmer -9414252695 , Rajasthan , निम्नलिखित बिमारियों का इलाज़ न्यूरोथेरेपी ट्रीटमेंट द्वारा - Back Pain, Knee Pain, Neck Pain, Cervical, Depression, Insomnia, Acidity, Gas, Calf Muscles Pain,एवं सर दर्द में तुरंत राहत के लिए | सेंटर पर अन्य सफल ट्रीटमेंट हें Constipation, Asthma, Arthritis, Slip Disc, Spondylitis, Skin Problems, Cold and Cough, Colitis, Dandruff, Diabetes, Epilepsy, Cancer, Mensuration Disorder, Paralysis, Piles, Sciatica, Seizures, Sinuosity, Varicose Veins. ================================================= Amazing Traditional bone setting method (Chiropractic ) is quite popular in India. Traditional bone setters (TBS) are one of the largest specialist groups practicing traditional medicine in Rajasthan, India. These are the indigenous specialists who have never been to any medical college but are able to treat and cure many orthopedic problems effectively. Many people in Rajasthan still find 'pehalwan ' an inexpensive and effective alternative to heal broken bones.These professionals are called as ‘Pehalwan ’ in local parlance and these healers have inherited such method of treatment from their forefathers. The technique neither uses X-Rays nor painkillers. ये वैध चोट-मोच फ्रैक्चर का देशी जडी-बूटी से इलाज़ करते हैं | Moreover he cured sciatic nerve pain of my wife.He uses twisting bone technique, heating, herbal techniques to relief patients from back pain and other nerves related problems . Amazing India: Ancient Indian Orthopedics Still Survives! | Art of Living ( hueseros )Traditional Bone-Settler In Indian Village Of Rajasthan : Chiropractor In India : Health & Treatment
Просмотров: 2350769 SANJEEV KUMAR GUPTA
Ankle Fractures , Special Situations - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures special situations, describing fractures of the ankle X – rays and ankle fracture classification, ankle fracture dislocation . It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery Ankle fractures and driving: Normal base line breaking time is about 9 weeks after surgery. For total hip is about 6 weeks. For long bone and periarticular fractures of the lower extremity, the breaking time is significantly reduced up to 6 weeks after initiation of weight bearing. Diabetes: in patients with diabetes, the first thing we have to check is if the patient have peripheral neuropathy, or Charcot- fracture. Diabetic patient has also high risk of infection, hardware failure, and delayed healing; the bone takes more time to heal. You have to do more percutaneous fixation, a lot of screws from the fibula to the tibia; it gives you more strength of the fixation because the screws are engaged into the tibia, so they are stronger than the small little screws in the fibula. Then delay weight bearing time and half more than the normal so usually you delay the weight bearing for about 3 months. Remember: surgery in displaced fracture in the ankle in diabetics is better than no surgery, but the complication rate is high. Ankle malunion: Usually the fibula is short and malreduced, and the syndesmosis is disrupted, usually you correct that by corrective osteotomy of the fibula to restore the fibular length, alignment, and rotation. You have to do anatomic reduction of the fibula and the Mortise, you have to do the plating of the fibula, and bone graft if needed, in addition to syndesmotic reconstruction. And you do ankle reconstruction to prevent arthritis by reducing the talus to the ankle mortise. Fibular fracture and unstable ankle mortise will allow the talar shift. 1mm shift of the talus will decrease the tibiotalar contact area by 42%. What are the fracture variants? - Maisonneuve fracture: it is a fracture of the proximal fibula with syndesmodic disruption, you can miss this fracture because you may think the patient has an ankle sprain, especially if the injury of the deltoid ligament is not apparent on the x-ray, you probably need to get long leg films to diagnose the fracture. So you need to fix the syndesmosis because in these patients the syndesmosis is disrupted, so you need to restore the fibular length and alignment before the insertion of the syndesmotic screws. Accurate reduction of the syndesmosis is needed. - Volkmann fracture: it is a fracture of the posterolateral aspect of the tibial attachment of the posterior inferior tibiofibular ligament. - Tillaux fracture: it is a salter type III fracture, it is a fracture of the tibial attachment of the anterior inferior tibiofibular ligament in the young. - Wagstaffe’s fracture: it is a fracture of the medial part of the fibula with that part being avulsed at the insertion of the anterior- inferior tibiofibular ligament. The anterior- inferior tibulofibular ligament remains intact. - Chaput’s Tubercle fracture: it is a fracture of the anterolateral part of the tibia in adults. It is similar to Tillaux fracture. Chaput’s tubercle fracture is different from Chaput’s fracture which is mid tarsal joint injury. So the ligament remains intact with: - Tillaux fracture - Wagstaffe’s fracture - Chaput’s Tubercle fracture The ligament is avulsed from the tibia in: - Tillaux fracture in the young - Chaput’s Tubercle fracture in adults The ligament is avulsed from the fibula in: - Wagstaffe’s fracture Bosworth fracture dislocation: rare fracture of the ankle, the fibula become trapped behind the tibia and become irreducible. The posterolateral ridge of the distal tibia will block reduction of the fibula. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 18953 nabil ebraheim
Knee Pain: Symptoms, Treatment, and Prevention
 
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What is this pain in my knee? Treatment and prevention tips for Runner's Knee, IT Band Syndrome, Arthritis of the Knee and Chondromalcia. Shop Now: http://goo.gl/u8RnLB Subscribe: http://www.youtube.com/user/footsmart
Просмотров: 1433276 FootSmart
Ankle Rehabilitation: Phase 1
 
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A CHOP sports medicine physical therapist and a patient demonstrate the first phase in a home program to rehabilitate your foot or ankle following an injury. http://www.chop.edu/sportsPT
Просмотров: 26473 The Children's Hospital of Philadelphia
Ankle  fracture / Fractures and its repair- Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing the anatomy the injury the diagnosis and treatment of ankle fracture. Surgical tactics and strategy. The goal of surgery is to reduce the talus in an anatomical position under the tibia. Once the fractures have been fixed then stress views can be used to rule out a syndesmotic injury. The most effective method utilized to rule out the presence of syndesmotic injury is the use of stress view examinations. Rule out syndesmotic injury using intraoperative stress views which is the most relieable method. Check medial clear space which is the distance between the lateral border of the medial malleolus and the medial border of the talus, measured at the level of the talar dome. Check tibiofibular clear space. Direct inspection of the syndesmosis: excessive movement of the fibula with the use of a bone hook is another diagnostic method for syndesmotic injury. Excessive movement is abnormal. How do you do the intraoperative stress views? •Place ankle into neutral position. •Apply external rotation stress. •Get mortise view radiograph. Syndesmotic injury fixation •Reduction •Screw fixation
Просмотров: 390877 nabil ebraheim
Big Toe Pain - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes painful conditions of the big toe. Big toe pain is fairly common, since the feet are constantly exposed to stress, overuse and injury from waling and running such as with sports activity. Arthritis When the big toes has limited movement, it is often associated with arthritis of the big toe. Degenerative arthritis of the big toe is painful stiffness and swelling of the first metatarsophalangeal joint. The patient may need fusion of the joint. Hallux Rigidus Arthritis of the big toe joint may be present with large dorsal bone spurs. This is referred to as hallux rigidus. The condition restricts dorsiflexion of the big toe with swelling. There will be some cartilage remaining within the joint space and there will be bone spurring around the joint. The condition is treated by dorsal cheilectomy. Remove 25% of the dorsal aspect of the tarsal head including the dorsal osteophytes. The procedure is contraindicated if the pain is located in the mid-range of joint motion (advanced arthritis need fusion). Hallux Valgus (Bunion Deformity) The condition is more common in women than in men. Once a bunion gets to be painful and shoe wear is uncomfortable, surgery may be needed. Gout The first metatarsal joint is the most common joint in the body to be affected by gout. Recurrent pain in the big toe occur from gout. Gout is caused by the build up of uric acid that looks like needles and the deposit of uric acid crystals inside the joint are negative. Gout may resemble infection. Sometimes there is white tophus or cloudy aspiration. Aspiration and analysis of the joint fluid is the best method for diagnosis. Xrays will show punched out periarticular lesions. Most people with high levels of uric acid do not have a gouty attack. Turf toe Turf toe is the common term used to describe an injury to the plantar plate and sesamoid complex of the MTP of the big toe. It is an injury to the joint at the base of the big toe caused by hyperextension of the big toe. Occurs in contact sports. The injury is seen more from playing on artificial turf since it is harder surface than grass with little “give” when force is placed on it. Xray may show fracture or displacement of the sesamoid. MRI may show disruption of the volar plate. Sesamoiditis There are two sesamoid bones, one tibular and one fibular. The sesamoiditis bones act like pulleys for the flexor tendons and are embedded into the tendons of the flexor hallucis brevis muscle. Sesamoiditis is generalized big toe pain at the bottom of the big toe. Sesamoids are important to the big toe region by absorbing weight-bearing pressure and reducing friction on the metatarsal head and they protect the flexor hallucis longus tendon as it glides between the two sesamoid bones. Any chronic sesamoid condition that is unresponsive to conservative treatment may require surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Просмотров: 214296 nabil ebraheim
Ankle Fractures & X Rays - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes about fractures of the ankle X - rays, ankle fracture classification,ankle fracture dislocation, it also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. The Mortise view is about 15° of internal rotation. The medial clear space should be 4-5 mm or less, and it should be equal to the superior clear space which is between the talus and the distal tibia on the mortise view. If the medial clear space appears widened before surgery, then there is a deltoid injury. If the medial clear space does not appear widened, then make sure that you do not have a supination- external rotation type 4 injury. You may need to do stress view x-rays before surgery in order to prove that the deltoid ligament is or is not injured. The tiblofibular clear space should be less than 6 mm on the mortise view and it is the distance between the medial border of the fibula and the tibial Incisura notch. If the tiblofibular clear space is widened and the ankle mortise is unstable, this allows the talus to shift because the syndesmosis is unstable. 1 mm of talar shift will give a 42% decrease in tibiotalar contact area. This will cause future, accelerated arthritis. The tiblofibular overlap is about 10 mm in the AP view and you measure that from the medial border of the fibula. In the mortise view, the tibiofibular overlap should be more than 1 mm. Talo-Crural Angle I don’t use this and find not much value in this measurement except on exam questions! The lateral malleolus is longer than the medial malleolus, if the fibula is short, I can rely on two other x-ray measures that can help me: 1- Shenton’s Line: The subcondylar bone of the tibia and fibula should form a continuous line around the talus, so if the fibula is short then the spike of the fibula will too proximal. - If the fibula is long then the spike of the fibula will too distal. - Always look for the broken line from the lateral part of the articular surface of the talus to the distal fibula. 2- Dime Test - Look for the sprung mortise. - Look for the spike of the fibula to proximal. - Look for the broken Shenton’s Line. - Look for the Dime Test. - Look for medial clear space widening. - Get a lateral x-ray to see if there is a posterior malleolus fracture. - See if there is any talar subluxation. - See if there is any other associated Injuries from the talus and the calcaneous. The most important thing you will see on the lateral view x-ray of the ankle is the type of fracture: is it a Pronation - External rotation or Supination - External rotation Injury. - you will see that from the direction of the fracture. or Is the fracture comminuted? So you can say this is Pronation - Abduction Injury. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 20534 nabil ebraheim
Ankle Fractures
 
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An animated description of the anatomy and treatment of ankle fractures.
Просмотров: 116076 sagaciousStudios
Best Ankle Rehabilitation Exercises for an Ankle Injury (Sprain or Fracture)
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the Best Ankle Rehabilitation Exercises for an Ankle Injury- after Sprain or Fracture. Make sure to like Bob and Brad on FaceBook https://www.facebook.com/BobandBrad/ Check out the Products Bob and Brad LOVE on their Amazon Preferred Page : https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our Website: https://www.bobandbrad.com/ Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain Brad’s Book “Martial Arts Manual: For Stretching, Strengthening, Prevention, and Treatment of Common Injuries” is also available on Kindle. https://www.amazon.com/Martial-Arts-Manual-Stretching-Strengthening-ebook/dp/B0722J3PZL/ref=sr_1_fkmr0_1?ie=UTF8&qid=1494292881&sr=8-1-fkmr0&keywords=brad+heineck+martial+arts WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites
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How to Regenerate Joints
 
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How to Regenerate Joints Joints can regenerate IF you give them 3 things. 1) Proper nutrition/hydration (a dry joint is a malfunctioning joint) 2) Nerve Connection (if the brain can't get the right "perception" of a joint, then it won't move correctly) 3) Movement (PROPER movement of a joint keeps it nourished and strong) At http://bergmanchiropractic.com and http://Owners-Guide.com we strive to educate people on natural solutions to health. http://www.theArthritisReversalSystem.com is my online video course with 21 videos, 3 manuals and an online forum! http://SkypePackage.com for online consults. SUBSCRIBE at http://www.youtube.com/user/johnbchiro CALL TOLL FREE 1-855-712-0012 to get bonus materials not on YouTube or text your first name and email plus 89869 to 1-817-591-2905.
Просмотров: 547875 Dr. John Bergman
Fractures Of The Calcaneus - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes fracture of the calcaneus - heel bone. Fractures of the calcaneus could be open or closed. Open fractures can be a big problem. The primary fracture line is caused by an axial load injury. The primary fracture line goes from anterolateral to posteromedial. The primary fracture line divides the calcaneus into two main fragments. Superomedial fragment: •Constant fragment. •Also called sustentacular fragment Superolateral fragment •Tuberosity fragment Superomedial fragment includes the sustentaculum tali and it is stabilized to the talus by ligaments. Talus is attached to constant fragment. The flexor hallucis longus tendon lies underneath the sustentaculum and if screw placement to the sustentacular fragment is too long, this could affect the flexor hallucis longus tendon, causing fixed flexion of the big toe. Type I-- Nondisplaced/Non-operative treatment Type II--Two-part fracture of the posterior facet. Type III--Three-part fracture of the posterior facet. Sander’s type II & type III calcaneal fractures will benefit from surgery of reduction and fixation. Type III usually gets more arthritis because it has more fracture fragments and may end by fusion. Type VI •Highly comminuted •May require primary subtalar arthrodesis. Calcaneal avulsion fracture is an important topic. Calcaneal avulsion fractures need urgent reduction and internal fixation to prevent skin complications. Avulsion fracture of the calcaneus is an emergency. Do not wait, do emergency surgery. For joint depression fracture, wait for swelling to go down before surgery. Open reduction and internal fixation of the calcaneus is generally delayed for 1-2 weeks to allow for improvement of the soft tissue swelling, except with fractures of the posterior tuberosity (avulsion fracture) which can cause skin tenting and urgent reduction is recommended. Associated conditions •Spine fractures-10% •Compartment syndrome of the foot -10% : if neglected will lead to claw toe due to contracture of the intrinsic flexor muscles. •Calcaneocuboid joint fractures-60% •Bilateral fractures of calcaneus -10% •Peroneal tendon subluxation: may be detected on axial CT scan. May be seen as an avulsion fracture of the fibula on x-rays. Complication rate is high. Factors associated with poor outcome are: •Age (older than 50 years) •Smoking •Early surgery •History of a fall •Heavy manual labor •Obesity •Males •Bilateral injury •Workman’s compensation •Peripheral vascular disease. Men do worse with calcaneal fractures than women. Calcaneal fractures are better if the patient is a female. •Young females less than 40 years of age. •Patient has a simple fracture pattern. Man with calcaneal fracture: •Workman’s compensation •Heavy labor •0-degree Bohler angle: measured on lateral x-ray (Harris view and axial view) •Probably will need subtalar fusion. Bohler angle is formed by a line drawn from the highest point of the anterior process of the calcaneus to the highest point of the posterior facet and a line drawn tangential to the superior edge of the tuberosity. A decrease in this angle indicates the collapse of the posterior facet. Stress fracture of the calcaneus may be misdiagnosed as plantar fasciitis. •Occurs in female runners. •Swelling •Tenderness with medial and lateral compression of the hindfoot. •A compression test or squeeze test. Positive squeeze test could mean there is a stress fracture of the calcaneus. •Get an MRI if x-ray is negative •Will see a fracture in T1 as a linear streak or a band of low signal intensity in the posterior calcaneal tuberosity. •T2 will find an increased signal. Complications 1-Wound-related complications are the most common complications (20%). Occurs more in smokers, diabetics and in patients with open fractures. 2-Open fractures of the calcaneus--May lead to amputation & there is a high risk of infection. 3-Malunion of the calcaneus 4-Peroneal tendon irritation and impingement from the lateral wall. Surgery decreases the risk of post-traumatic arthritis. Tongue-type fracture may benefit from closed reduction and percutaneous fixation or open reduction and internal fixation. Joint depression type usually needs open reduction. Some surgeons advocate conservative treatment of the calcaneus. Subtalar distraction arthrodesis plus insertion of a bony block and rigid internal fixation The lateral calcaneal artery provides blood supply to the lateral flap associated with the calcaneal extensile approach. Be aware that the sural nerve is in the vicinity of the surgical area. The extensile approach has delayed wound healing in about 20% of cases. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Просмотров: 20588 nabil ebraheim
Big Toe Pain  - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes painful conditions of the big toe. Big toe pain is fairly common, since the feet are constantly exposed to stress, overuse and injury from waling and running such as with sports activity. Arthritis When the big toes has limited movement, it is often associated with arthritis of the big toe. Degenerative arthritis of the big toe is painful stiffness and swelling of the first metatarsophalangeal joint. The patient may need fusion of the joint. Hallux Rigidus Arthritis of the big toe joint may be present with large dorsal bone spurs. This is referred to as hallux rigidus. The condition restricts dorsiflexion of the big toe with swelling. There will be some cartilage remaining within the joint space and there will be bone spurring around the joint. The condition is treated by dorsal cheilectomy. Remove 25% of the dorsal aspect of the tarsal head including the dorsal osteophytes. The procedure is contraindicated if the pain is located in the mid-range of joint motion (advanced arthritis need fusion). Hallux Valgus (Bunion Deformity) The condition is more common in women than in men. Once a bunion gets to be painful and shoe wear is uncomfortable, surgery may be needed. Gout The first metatarsal joint is the most common joint in the body to be affected by gout. Recurrent pain in the big toe occur from gout. Gout is caused by the build up of uric acid that looks like needles and the deposit of uric acid crystals inside the joint are negative. Gout may resemble infection. Sometimes there is white tophus or cloudy aspiration. Aspiration and analysis of the joint fluid is the best method for diagnosis. Xrays will show punched out periarticular lesions. Most people with high levels of uric acid do not have a gouty attack. Turf toe Turf toe is the common term used to describe an injury to the plantar plate and sesamoid complex of the MTP of the big toe. It is an injury to the joint at the base of the big toe caused by hyperextension of the big toe. Occurs in contact sports. The injury is seen more from playing on artificial turf since it is harder surface than grass with little “give” when force is placed on it. Xray may show fracture or displacement of the sesamoid. MRI may show disruption of the volar plate. Sesamoiditis There are two sesamoid bones, one tibular and one fibular. The sesamoiditis bones act like pulleys for the flexor tendons and are embedded into the tendons of the flexor hallucis brevis muscle. Sesamoiditis is generalized big toe pain at the bottom of the big toe. Sesamoids are important to the big toe region by absorbing weight-bearing pressure and reducing friction on the metatarsal head and they protect the flexor hallucis longus tendon as it glides between the two sesamoid bones. Any chronic sesamoid condition that is unresponsive to conservative treatment may require surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Просмотров: 5589 nabil ebraheim
Top 3 Ankle Braces for Ankle Sprains, Ankle Pain, & Ankle Arthritis.
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck present the Top 3 Braces one should consider for Ankle Sprains (grade 1-3), Ankle Pain, and Ankle Arthritis. If interested in the Yosoo Brace https://www.amazon.com/Yosoo-Ankle-Brace-Breathable-Compression/dp/B01IEGCJJ6 Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain
Просмотров: 60622 Physical Therapy Video
Tibial plateau fracture: Mechanism of injury and treatment options
 
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A tibial plateau fracture is a break of the bone at the top part of the tibia (shin bone). That bone makes up the bottom part of the knee. You typically suffer this fracture with a direct blow or impact to your foot that drives the tibial plateau into the rest of your knee, such as a fall. http://challenge.drdavidgeier.com/sf/2632f9c2 When it comes to a knee injury, there is no one-size-fits-all answer. But if you take a moment to tell me about your situation, I can give you the #1 thing you need to do next to overcome your knee injury, designed specifically for YOU (absolutely free). Click the link above! https://drdavidgeier.com/tibial-plateau-fracture-treatment-surgery Click the link above for more information about a tibial plateau fracture and other resources for your sports or exercise injury. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. TREATMENT OPTIONS AND SURGERY FOR A TIBIAL PLATEAU FRACTURE Occasionally, a tibial plateau fracture that is nondisplaced, and lines up perfectly, can heal without surgery. If it is out of place even a few millimeters, the surgeon will likely choose to fix it surgically. Most of the time, the surgeon opens the knee to put the fracture pieces back into good position. He then holds the fracture with screws or a plate and screws. REHAB AND RECOVERY FOR A TIBIAL PLATEAU FRACTURE Initially the surgeon might keep you from putting weight on your leg, so you might walk in a brace and with crutches. Then as the fracture heals, you add more weight and work on knee motion and strength. Working with a physical therapist can be helpful. As the fracture finishes healing, you should be able to start walking and jogging before progress back to exercise and sports. The entire process can take 4 to 6 months or more.
Просмотров: 2050 Dr. David Geier
Avulsion Fractures & Bone Bruises Around The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim's animated educational video describes avulsion fractures and bone bruises around the knee. Medial collateral ligament avulsion •It can be avulsed with a piece of bone from the femur. It is a proximal avulsion fracture. Pellegrini-Stieda syndrome •The injury is sometimes indicated by calcification occurring on the medial epicondyle. Chronic calcification seen on x-rays on the medial epicondyle of the femur. Anterior cruciate ligament avulsion •Avulsion of a piece of bone from the tibial eminence anteriorly. Avulsion of a piece of bone can be seen on the AP and lateral x-rays. ACL avulsion fracture may be an isolated injury or it may sometimes be associated with other injuries and fractures such as tibial plateau fractures. Tibial spine fractures in children mimic ACL avulsion fracture in adults. Posterior cruciate ligament avulsion •Avulsion of a piece of bone posteriorly. This is the most common presentation of avulsion of PCL. Fibular head avulsion (arcuate sign) •Fibular head avulsion fracture will indicate that the posterolateral corner is involved. Fibular head avulsion fracture will indicate that the posterolateral corner is involved. The arcuate sign should be recognized as a significant injury. Sometimes the avulsed piece is too small and the injury can be missed. If not diagnosed and dealt with properly then posterolateral instability of the knee can occur. Failure to diagnose it may result in failure of the cruciate ligaments because the posterolateral corner instability was not diagnosed or treated properly. The arrangement of the insertion of ligaments or tendon into the fibular head from anterior to posterior: 1-Lateral collateral ligament 2-Popliteofibular ligament 3-Biceps femoris tendon. Lateral capsule segond (indicates torn ACL) Bone bruises Lateral subluxation of the patella causing a contusion (bruise) on the medial aspect of the patella and on the lateral femoral condyle. ACL tears may cause bone bruises laterally on the middle of the femoral condyle and on the posterior aspect of the tibia laterally. How do you know it is lateral? Check for the fibula on MRI. None bruise laterally indicates an ACL tear. Fat within the aspirate if the knee, indicates an occult fracture. Because fat is less dense than blood, it floats on the surface. The blood is heavier so it stays at the bottom. The presence of fat/fluid level is diagnostic of a fracture even if a fracture is not seen on x-ray (occult). Fat/fluid level is seen in some cases of tibial plateau fractures, chondral injuries and patellar fractures (not seen on x-rays). Lipohemarthrosis is seen better with cross-table lateral view of the knee. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
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Should you have your plate and screws removed after your ankle fracture heals?
 
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Many of the surgeries we perform as orthopaedic surgeons involve placing implants, whether they are screws, plates, nails, or suture anchors. In this Ask Dr. Geier video, I discuss whether the hardware should be removed routinely after a very common orthopaedic surgery – surgery to fix an ankle fracture. http://challenge.drdavidgeier.com/ds/906ca4c8 I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here! http://www.drdavidgeier.com/ask-dr-geier-ankle-fracture-hardware Click the link above for more information about plates and screws and other resources for your sports or exercise injury. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. Vikas writes: I broke my right ankle a year ago while playing football. Can I play football while there’s a plate still in? Or should I remove it and then play? After most surgeries, the hardware causes little trouble to the patient. Because people have little fat or muscle over the bones around the ankle, many people can feel the screws there with sports and exercise. If you do have discomfort, removing the screws or plate and screws can relieve that pain. It does take time to recover from the second surgery and return to play. There are situations where orthopaedic surgeons do remove the hardware. Complications such as infection or nonunion (the fracture doesn’t heal) that we would likely remove the hardware from the ankle. Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
Просмотров: 62120 Dr. David Geier
Knee Fractures
 
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In this video, our lead litigation Tim Williams discusses knee fracture injuries. There are several types of knee fractures that you might sustain in a serious accident such as a car collision in which your knee hits the dashboard or in a slip and fall accident. You can fracture the outside of your knee, you can have a fracture where the fibula connects the tibia, and if your knee sustains a particularly jarring injury from the outside, the joint can actually tear apart. These knee injuries are very common, but unfortunately insurance companies undervalue them. This is why you need an experienced personal injury lawyer in your corner, fighting for you. If you have sustained a knee injury in any kind of serious accident in Oregon and don't know what comes next, feel free to call the experienced personal injury attorneys at Dwyer Williams Potter Personal Injury Attorneys at 888-247-9023. We can explain the legal process and help you get the settlement you deserve.
Просмотров: 52869 Roy Dwyer
Ankle Fracture , Stress View Radiographs - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle - external rotation stress view radiographs. Educational video describing fractures of the ankle X - rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. You will do the stress view of the ankle before surgery to check the medial clear space. Check to see if the medial clear space is greater than 5mm which is a sign of a deltoid ligament injury. The injury is supination external rotation type IV and not type II, and this one will need surgery. The truth is, an isolated femoral fracture without talar displacement is a difficult problem, ans clinical examination is unreliable in predicting medial injury. Swelling, tenderness or ecchymosis is of limited value in predicting ankle instability. So we do 1 of 2 things, either: (both of them are more sensitive in predicting ankle instability): 1- external rotation stress radiograph: do external rotation of the foot with the ankle in dorsiflexion. Check the ankle in the mortise view. I personally like to inject the ankle with numbing medicine in order to make this less painful for the patient. The whole idea with abduction and external rotation of the talus is to attempt to displace the fibula from the incisura fibularis. When the talus moves laterally, freely because the deltoid is injured and it displaces the fibular fracture that will cause an increase in the medial clear space. 2- gravity stress test: support the leg with pillow and allow the ankle to rotate with gravity. Occasionally I get a CT scan of the syndesmosis and compare both sides. Magnify the view and measure it by the computer. So the most predictive factor of the medial side ankle injury is the presence of a high fibular fracture at or above the joint level. If you have a stress radiograph showing the medial clear space 4-5 mm or 1mm greater than the superior joint space. That means there is a deltoid ligament incompetence, & the talus is free, and it is probably a supination- external rotation injury type IV not II. Also look for any talar subluxation, it means that the ankle is unstable. The most important point in assessing ankle for surgery is the position of the talus within the mortise. The deltoid ligament is the primary stabilizer of the ankle point under physiological loading conditions. During surgery, you can use the stress views or cotton test. You want to make sure you don’t have syndesmotic injury, and you can use the criteria that decrease tibiofibular overlap or decrease in the medial clear space which should be less than 4mm. Or increase in the tibulofibular clear space more than 5 mm, which you will measure 1 cm above the joint. You do stress view after fixing the malleoli, just remember: you will need more syndesmotic screws in weber c, especially if the deltoid itself is injured. I have never seen an exam that doesn’t have something about assessing the stability by abduction, external rotation, stress view of the ankle, either before surgery or during surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 8543 nabil ebraheim
Ankle Fractures , Anatomical Considerations - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle, anatomical considerations, this video also explains fractures of the ankle X-rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment, ankle fracture surgery, and ankle fracture recovery. The talus is wider anteriorly than posteriorly. When the ankle dorsiflexes, the fibula rotates externally through the syndesmosis to accommodate the wider anterior part of the talus. The fibula is connected to the tibia by the interosseous membrane proximally, and then around the ankle you have ligaments: - The anterior inferior tibiofibular ligament - Posterior inferior tibiofibular ligament - Interosseous ligament These are the ligaments that are involved in the stability of the syndesmosis, responsible for stability of the ankle in external rotation, and they are different from the lateral collateral ligament. The lateral collateral ligaments that are involved in ankle sprains are: - Anterior talofibular ligament - Posterior talofibular ligament - Calcaneofibular ligament These are restrains to the inversion of the ankle and anterior translation of the talus. Then you have the medial malleolus with a groove for the posterior tibial tendon. So when posterior collicular fracture occurs, this tendon of the tibialis muscle supports the fracture so the fracture doesn’t displace. The medial malleolus has 2 collicular parts: • Anterior colliculus: is about 5mm longer than the posterior colliculus • Posterior colliculus The anterior and posterior collicular parts are separated by the intercollicular groove. The deltoid ligament supplies the medial support to the ankle. It’s composed of 2 parts: • The superficial deltoid: arises from the anterior colliculus. • Deep deltoid: arises from the posterior colliculus and intercollicular groove. It is an intra-articular ligament that can’t be repaired but we can debride it. When a fracture in the medial malleolus occurs, it can be one of these types: • The Supracollicular fracture: above both of the anterior and posterior colliculus, plus the deep deltoid ligament. • Anterior collicular fracture When fracture of the medial malleolus occurs, it can be one of these types: • The supracollicular fracture: above both the anterior and posterior colliculus • Anterior collicular fracture: involves anterior colliculus alone, or involves anterior colliculus plus the deep deltoid ligament. • Posterior colliculus fracture: needs an external rotation to see, it’s an AP external rotation view which is different from the posterior malleolus fracture which you get lateral external rotation view. If you have a vertical fracture of the medial malleolus which is supination and adduction, make sure you don’t have anterior medial marginal impaction. Make sure you put the screws parallel to the joint or use anti-glide plate. If you have an anterior intercollicular fracture, the fragment may be too small to fix with screws and you may want to use tension band technique. If it is posterior collicular, it’s probably stable, you may not need to fix. If it is supracollicular you probably need to use the screws that you use routinely, which is perpendicular to the fracture, and make sure they are not being placed inside the joint by getting an AP view of the ankle itself. The Nerves around the ankle: 1- The Saphenous nerve: is at risk of injury when you fix the medial malleolus, its usually superior and anterior to the tip of the medial malleolus. 2- The Superficial Peroneal nerve: it crosses from the lateral to the anterior compartment and this crossing may vary, and its vulnerable to injury during lateral plating of the fibula, it crosses the ankle anterior to the fibula and it is usually about 10 cm from the fibula tip, and it runs above the extensor retinaculum. 3- The Sural nerve: it’s vulnerable to injury distally, especially when you do posterolateral plating or posterior plating of the fibula, and the superior peroneal retinaculum also could be injured when you do posterior plating of the fibula. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 10241 nabil ebraheim
AI Diet: Foods to Help Heal a Broken Bone
 
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AUTOIMMUNE DIET: FOODS TO HELP HEAL A BROKEN BONE // Check out this video for dietary tips to help your recovery from a broken bone or fracture. I recently broke my ankle, and after researching what I should be eating to help support my body's healing, I discovered incredible similarities between what we eat for autoimmune health and what we can eat for bone health! ___________________ **Click here to download the "WHICH AI DIET IS RIGHT FOR YOU?" Quiz and get on my mailing list: http://vanessasorenson.com/#resource **Click here to join my "Autoimmune Wellness with Vanessa" Facebook group: https://www.facebook.com/groups/thrivingwithAI/ ___________________________ **The contents of this video are for informational purposes only and do not render medical or psychological advice, opinion, diagnosis, or treatment. The information provided through this website should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. We assume no responsibility for any circumstances arising out of the use, misuse, interpretation, or application of any information supplied in this video. Any application or use of the information, resources, or recommendations presented in this video is at your own risk.
Просмотров: 307 Vanessa Sorenson
How growth plates impact broken bones in children
 
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Learn why kids with broken bones need special care to avoid damaging their growth plates. This video features Dr. Roger Lyon from Children's Hospital of Wisconsin. Learn more about orthopedic and fracture care for children: http://bit.ly/1o8Y7kb Growth plates are the parts of bones that make you grow taller, so an injured growth plate could lead to crooked or misshapen bones, limbs that are too short or even arthritis later in life.
Просмотров: 9622 Children's Hospital of Wisconsin
The worst Tibial Plateax Fracture
 
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Information on cause of injury, x-rays, photos and a short video of a movement lesson soon after surgery. Introduction to 'Practitioner Heal Thyself ' series of video's on Rehabilitation Process.
Просмотров: 6334 Kim Wise
Knee Dislocations - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Educational video describing the types and treatment available for knee dislocations and possible vascular or nerve injuries. The knee joint allows for flexion and extension. These functions allow the body to perform activities like walking, running and sitting. Knee dislocations occur as a result of violent trauma. The femur and tibia are not articulating with each other. The bones of the knee are held together by strong ligaments. For a knee dislocation to occur, 3 out of 4 of these ligaments have to become ruptured. Types of knee joint dislocations: •Anterior •Posterior •Medial-lateral •Rotary: usually posterolateral. The medial femoral condyle can button-hole through the medial soft tissues resulting in a “dimple sign”. It is often irreducible. Posterior dislocation/ dashboard injury Most common mechanism of injury includes exaggerated hyperextension of the knee and dashboard injuries. Posteriorly directed force with the knee flexed in 90 degrees. The peroneal nerve is tethered at the fibular neck. The incidence of nerve injury ranges from 14% to 35%. Arterial injury •Vascular damage is most common in anterior and posterior dislocations in approximately 40% of the cases. Arterial damage in approximately 20-40% of all knee dislocations. Knee dislocation is associated with a high incidence of popliteal artery injury. •With an established popliteal artery and resultant ischemia, blood flow must be restored within 6 hours. •Posterior tibial and dorsalis pedis pulses should be carefully evaluated and compared to the other side in any patient with a knee dislocation. •Look for any evidence of ischemia, diminished blood flow, or compartment syndrome. •Urgent reduction of the knee dislocation is mandatory •Be aware of spontaneously reduced knee dislocations and its associated pathology. •Reevaluate circulation after reduction, if pulses are normal, serial follow-up up to 48 hours with clinical examination and non-invasive studies (ABI). If ABI is 0.9 or more, then the patient will not have an arterial injury. If pulses are abnormal or different, do arteriography. If no pulses then do an immediate exploration in the OR. Treatment •Arterial injury is treated with excision of the damaged segment and reanastmosis with a reverse saphenous vein graft and prophylactic fasciotomy. •Early surgery if ligament avulsion is present- important ligament to reconstruct is the PCL- if posterolateral corner disruption. •After reduction, the patient is placed into a knee immobilizer or external fixator. •Delayed elective reconstruction of the knee ligaments is usually done at a later date. •The PCL is an important ligament to reconstruct.
Просмотров: 83073 nabil ebraheim
How to rehab an injured ankle
 
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Everything you need to know about fixing football's most common injury How to get a scan: 0:29 How to test range of movement: 2:56 Functional assessment tests: 4:00 Rehab exercises: 5:30 SUBSCRIBE: http://fft.sm/6lZeN3 WEBSITE: http://fft.sm/XLBtaK Follow FourFourTwo Performance on: Instagram: http://fft.sm/TfnkQl Facebook: http://fft.sm/UXATZS Twitter: http://fft.sm/HcBNn9 Follow FourFourTwo on: Twitter: http://fft.sm/IVvx5C Facebook: http://fft.sm/8h27Gv Google+: http://fft.sm/tBDyjD Snapchat: FourFourTwoUK
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Structures Inserted Into The Fibular Head  - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes the structures that insert into the fibular head is a simple and easy way and explains the anatomy of the region with simple and clear images that provides you with all you need to know. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 8218 nabil ebraheim
What Happens In Scenarios Of Tibial Plateau Fractures In Personal Injury Cases?
 
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What happens in scenarios of tibial plateau fractures in personal injury cases? http://www.michigancityinjurylaw.com (219) 874-4878 Pejic & DiMartino, P.C. 1000 Washington Street Michigan City, IN 46360 (219) 874-4878 Personal injury defense attorney Guy DiMartino explains the scenario of tibial plateau fractures in car accident incidents in Michigan City, Indiana. For More Information about Personal Injury Please Visit http://en.wikipedia.org/wiki/Personal_injury For More Videos Of Attorney Guy S. DiMartino Please Subscribe https://www.youtube.com/channel/UCPQC0ZtxpmZQX_--zMyTrWw Related Videos https://www.youtube.com/watch?v=eydwnXxJArs https://www.youtube.com/watch?v=pTmwpZGpqRc https://www.youtube.com/watch?v=rGKc9ZUxm08 https://www.youtube.com/watch?v=ubv2LqFhToM https://www.youtube.com/watch?v=M8l1e3S0V3g
Просмотров: 14240 Guy DiMartino Law
Bone Fracture - Types, Fracture Repair and Osteomyelitis
 
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http://armandoh.org/ https://www.facebook.com/ArmandoHasudungan Support me: http://www.patreon.com/armando Instagram: http://instagram.com/armandohasudungan Twitter: https://twitter.com/Armando71021105
Просмотров: 397039 Armando Hasudungan
What you need to know about Popping Peroneal Syndrome, Ankle Popping / instability by Dr. Kevin Lam
 
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www.NaplesPodiatrist.com talks about a common cause of ankle instability and popping about the ankle joint. Popping is really a tendon dislocating in this instance. Dr. Kevin Lam discussing and doing clinical tests to confirm diagnosis. An MRI will be helpful in these cases. #NaplesFL #topdoc #anklesurgeon #boardcertified Call: 239 430 3668 or request and appointment online via our website: www.NaplesPodiatrist.com
Crooked or "splayed" toe surgery - Arthrex plantar plate repair system - Dr Moore
 
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Dislocated joints due to a plantar plate rupture is a very common problem in the forefoot. This patient had a unique 'splaying' of the fourth toe away from the third due to trauma. Furthermore, she had a large neuroma in-between her second and third toes that was removed. Several conservative treatments over a year failed so surgery was discussed with the patient using the Arthrex plantar plate repair system or 'scorpion' vs. a total MTP joint implant. These unstable joints are very difficult to correct once they deviate from the normal, straight position. This surgery video demonstrates how using the Arthrex system on one side of the joint can correct this problem without the use of a joint implant. For more information or questions, please visit our site at http://www.MyFootFix.com. Stay healthy and one step ahead!
Просмотров: 19987 Moore Foot and Ankle Specialists
Dislocations Of The Talus - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes the Dislocation of the Talus Bone, which can be either Total or Subtalar, Subtalar could be Lateral or Medial. Dislocations of the talus can be a total dislocation or a subtalar dislocation. Types of dislocation Total dislocation of the talus which is not accompanied by a fracture is a very rare injury. Most of the injuries are open. Urgent care is necessary to avoid soft tissue complication. High risk of avascular necrosis of the talus, arthritis and soft tissue infection. Subtalar (the foot is lateral or medial ). Subtalar dislocation of the talus is a rare injury that results from excessive pronation. It involves simultaneous dislocation of the distal articulations of the talus at the talocalcaneal and talonavicular joints. Lateral subtalar dislocation/ tibialis posterior tendon entrapment It is often a result of high energy trauma. Worse long-term prognosis. Irreducible lateral dislocation due to interposed tibialis posterior tendon. Could be unstable and may sublux. May need CT scan to check for fractures. Medial subtalar dislocation 85% of the dislocations are medial and often result from low energy trauma. Irreducible medial dislocation due to interposed extensor digitorum brevis or extensor retinaculum. The direction of subtalar dislocation has important effects with respect to management and outcome. Complications of subtalar dislocation may include stiffness and subtalar arthritis. Treatment •Stable- closed reduction with 3-4 weeks of immobilization followed by physical therapy. •Unstable- after closed reduction internal fixation may be required. The anteromedial incision is used for medial dislocation. Lateral approach is used for lateral dislocation.
Просмотров: 23698 nabil ebraheim
Intraarticular Fracture Base of Thumb Metacarpal Surgery by Dr. Thomas Trumble
 
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A distal radius fracture that extends into the joint (articular) surface is the most severe pattern of these injuries. In these cases, traumatic arthritis can rapidly develop if the joint surface is not realigned and stabilized. Specially contoured plates are used to align the articular surface. With successful treatment of intraarticular distal radius fractures, patients can avoid traumatic arthritis and restore function with good range of motion and pain relief.
Просмотров: 117735 Dr. Thomas Trumble, MD
tibial plateau fracture 8 weeks (end of non weight bearing).
 
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Me attempting to get around on be leg just after the 8 Weeks non weight bearing period ended. Using just one crutch since when I came off my ebike I landed first on my left leg and then on my left shoulder... Exiting an ebike backwards at 30Kph with the front wheel up at the 12 oclock position isn't a really good thing to do to your body oops... All foward momen tum was absorbed by my left leg and a lot of vertical movement by my left shoulder
Просмотров: 12957 rwhitenz
Fibula Head Mobilisation for ankle and knee pain
 
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Mobilise the head of the fibula to improve ankle mobility and reduce lateral knee pain
Просмотров: 31987 Andrew Tully
29.9 SECONDS Knee Arthritis Pain Tip WITHOUT EXERCISE
 
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I Know Exactly The Feeling…... Your Knees Ache… Feel Tight….. And THROB Like Mad….……Your Knees Feel Unsteady..…..You FEAR & DREAD Your Arthritic Riddled Knees Will Give Way…. • Give This knee arthritis pain RELIEVER a try…. It Will REALLY HELP You…..AND …….the BEST PART It is NOT an Exercise and It takes Only 29.9 seconds http://www.physioblu.com/physio/ Knee Anatomy The knee is a modified synovial bi-condylar joint with 3 articular surfaces: The lateral condyle of the femur and the tibia. The medial condyle of the femur and the tibia. The patella and the condyles of the femur. The strong, fibrous articular capsule attaches to the articular margins of the joint, except where popliteus passes out of the joint on the lateral side. The synovial membrane lines the internal aspect of the fibrous capsule and attaches to the menisci and the patella. It reflects onto the cruciate ligaments and the infrapatellar fatpad to separate them from the joint cavity. The joint cavity extends superiorly into the suprapatellar pouch (bursa, deep to vastus intermedius). The knee joint relies on the patellar ligament, and the medial and lateral collateral ligaments for strength The distal end of the femur comprises 2 curved condyles (medial and lateral) which articulate with the tibia inferiorly and the patella anteriorly The fibula articulates with the tibia inferiorly to the knee joint line on the lateral side The patella is a sesamoid bone that lies anterior to the distal end of the femur The patella is continuous with the quadriceps tendon and increases quadriceps' strength by increasing leverage The medial collateral ligament (MCL): This fan shaped ligament extends from the femur to the shaft of the tibia. Attaches to the medial meniscus. The lateral collateral ligament (LCL): This cord-like ligament extends from the femur to the fibula. Does not attach to the lateral meniscus. The lateral and medial menisci These are C shaped fibro-cartilaginous avascular structures. The medial meniscus is larger that the lateral. The menisci are attached anterior and posterior to the intercondylar eminence of the tibia. The cruciate ligaments join the tibia to the femur within the capsule BUT OUTSIDE the synovial membrane The anterior cruciate ligament (ACL): Arises anteriorly from the intercondylar area of the tibia Extends superiorly, posteriorly and laterally Attaches posteriorly to the medial side of the lateral femoral condyle (weakest) Becomes taut when the leg is extended Prevents anterior displacement of the tibia on the femur, and hyperextension of the joint Is the larger and weaker of the 2 cruciates 86% of restraint to Anterior displacement Size ratio of 5:3 compared with PCL 2 or 3 bundles ? Arguments go on….. PhysioBlu BluTube and the PhysioBlu Knee pain video.. I Know Exactly The Feeling…... Your Knees Ache… Feel Tight….. And THROB Like Mad….……Your Knees Feel Unsteady..…..You FEAR & DREAD They Will Give Way…. . • Give This knee arthritis pain RELIEVER a try…. It Will REALLY HELP You…..AND …….the BEST PART • IT Puts YOUR Knee In The MOST SAFE KNEE POSTURE THERE IS.. Knee Bother ? here we go 1)First Sit When Possible With LONG FLOPPY Legs…. TOES UP 2)Second Squeeze YOUR HEEL Down To THE FLOOR….. 3)Third Hold For 29.9 SECONDS Once Per Day…… 4)Fourth…..AVOID Bending & Kicking FORWARD Knee Curls This IS SHOCKINGLY UNSAFE For YOUR MAIN & Most VITAL KNEE Ligament…… I Am On My 3rd Anterior Cruciate Ligament SO Trust Me Avoid IT AT ALL COSTS. And THAT IS IT …. That is “BEST KNEE POSTURE”………… Fast Quick And Easy…… PhysioBlu Know This KNEE ARTHRITIS PAIN VIDEO Will Work For You. Go on Try it. NOW LISTEN UP All you LADIES …..You Should See the NEXT video IT Really is AMAZING and is Absoultely perfect timing for the Summer season !!...... Plus IT’S A CELEBRITY CALF SECRET !!!!! SO YOU MAY NOT WANT TO MISS OUT ON THIS crafty one ladies… http://www.physioblu.com/physio/about-us/
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What You Need to Know About Ankle and Lower Leg Fractures Under Georgia Workers Compensation Law
 
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Over the past few months, I have seen an increasing number of work injuries involving my clients’ lower body. These work injuries include #anklefractures, #tibula fractures, #fibula #fractures or severely strained ligaments in the legs below the knee. My experience has been that you need to see a lower extremity specialist for care of a leg or ankle fracture or even a traumatic displacement. Your future work will likely involve standing and walking and if your current leg or ankle injury is not properly treated, you will continue to experience pain and weakness long after your settlement money runs out. Needless to say, an industrial clinic doctor is probably not the right medical provider for a serious lower body injury. Further, I often find that insurance adjusters do not fully understand that a leg or ankle injury often precludes any light duty work. Driving to work may be a problem as would performing any job involving physical activity as it is all but impossible to avoid putting pressure on your legs, ankle and feet no matter what you are doing. You will not heal well if you are rushed back to work prematurely. If you are getting the runaround from a Georgia workers compensation insurance company following a #fibula, #tibula or #ankle injury, please contact me for help. #georgiaworkerscompensationlaw #hurtatworkatlanta #workerscompensationclaims ===============Free Case Evaluation=============== If you or a loved one would like a case evaluation for your Georgia workers' compensation claim, please call me at 770-351-0801 or email me at https://bit.ly/jodi-help. ===========Georgia Work Injury Survival Kit=========== **Get my Free Survival Kit If you don't know where to begin, then start with my "Georgia Workers' Compensation Survival Kit" that I created for you. Get immediate access at https://www.georgia-workers-compensation.com. =============================================== Jodi Brenner Ginsberg Georgia Workers Compensation Attorney https://www.georgia-workers-compensation.com Telephone: 770-351-0801
Просмотров: 58 Jodi Ginsberg
How Long Will A Broken Ankle Hurt For?
 
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X rays revealed a clean break in the fibula, (the thin outer bone) which would require six to seven weeks plaster. Some distal tibia fractures can involve the rear or 10 mar 2018 complications of a broken ankle foot are uncommon but may include arthritis. The orthopedic doctor will examine and x ray or do a scan of the hi, i'm now 7 weeks in after break have had boot last 2 where i been able to put weight on. As mentioned above, your doctor will most likely monitor the bone healing with repeated x rays. Crutches may also cause pain in the arms and hands, or falls if not used correctly. But how long does a foot take to stop hurting? Particularly in time stressed little girl from high power suburban note of any loss function you experience your ankle. Osteoporosis ankle fracture aftercare medlineplus medical encyclopedia. However, depending on your general health and the condition of bone soft tissue, healing can take much longer 17 apr 2016 read patient information from medlineplus ankle fracture aftercare it takes at least 6 weeks for broken bones to heal. What to expect when you break your ankle broken. The fibula is located on the outer, or lateral, side of leg. A broken bone and the surrounding soft tissue damage need a minimum of six to eight weeks heal. This is typically done more often during the first 6 weeks if surgery not chosen 9 jun 2015 when three days brought no improvement, i visited our local minor injury clinic on two walking sticks. How to treat a broken ankle (with pictures) wikihow. The ankle actually involves two joints, one on top of the other. It's so scary and my ankle is actually hurting i've sat down again as has made me feel unsettled the severity of fractures can vary greatly from minor cracks in a single bone, to multiple displacement joint. Also, these broken ankle crutches will not allow you to keep your injured 16 oct 2016 it is often impossible diagnose a fracture (broken bone) rather than sprain, dislocation, or tendon injury without x rays of the. In a child it might be faster, in an older person probably bit longer. The distal ends of the tibia and fibula bones are also known as medial lateral malleoli, respectively. It may take longer for the involved ligaments and tendons to heal. The tibia is the shinbone and located on inner, or medial, side of leg. If your bone is fractured, moving it nearly impossible, while you will still be able to move if sprained. How to identify an ankle fracture aofasbroken broken foot symptoms and causes mayo clinic. A broken ankle can fibula, or both bones. General information about pain after a fracture. How long does it take to heal from a broken ankle. If you have an open fracture. An x ray is needed to lower leg and foot. This is a good way to tell if your ankle fractured or just sprained. Of course, if you have incurred an ankle injury, the only definitive way to tell bone is fractured visit orthopedic doctor in jacksonville. Pain!! how long does it last? ? Ankle fractures (br
Просмотров: 106 Aile Aile
Tibial Plateau Fracture with Metal Plate Fixation
 
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Open reduction and internal fixation of tibial plateau fracture. Side plate and multiple screws used to hold fracture fragments together. Fracture lines run into the knee joint and, once healed, can develop into an abrasive opposing surface for the femoral condyles. This situation can eventually result in joint arthrosis and possible total knee replacement.
Просмотров: 367031 Trial FX
Ankle Sprain? Is it BROKE? How to Tell & What to Do. How to Wrap.
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck instruct you in how to handle a recent ankle sprain. They will instruct you on whether or not you need x-rays. They will also demonstrate the proper way to wrap a sprained ankle. SORRY misspelled "Problem" in opening quote ( : Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA
Просмотров: 204443 Physical Therapy Video
Ankle Fracture Surgery
 
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Ankle fractures are one of the most common injuries at all ages. The current recommendation is to treat a displaced fracture with surgical intervention.
Просмотров: 155172 Munjed Al Muderis
5 Steps to Ankle Pain Relief
 
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Dr Saran's 5 Steps to Ankle Pain Relief Ankle is an intricate network of bones, ligaments, tendons and muscles. Strong enough to bear your body weight, your ankle can be prone to injury and pain. You may feel ankle pain on the inside or outside of your ankle or along the Achilles tendon, which connects the muscles in your lower leg to your heel bone. Although mild ankle pain often responds well to home treatments, it can take time to resolve. Severe ankle pain should be evaluated by your doctor, especially if it follows an injury. Here are 5 steps to pain relief. Keep training Dr Saranjeet Singh drsaranjeet@gmail.com
Просмотров: 1307390 Saranjeet Singh