Doctor insights on:
Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?
Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema
When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more
Chronic radial artery occlusion. Pain in hand arterial doppler shows interosseos artery enlarged. Ulnar artery responsbile for profusion. Advice?
Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment?
In derotational osteotomy tibia, which muscle compartments usually get fasciotomy? Have CS in anterior & deep compartments of leg and medal of foot.
Derotational or high: 4 DJD?derotational R usually done in kids with severe deformity, & no compartments released. If it was high & derotational or 4 DJD, compartments R not routinely released. CS is a complication that must B watched 4 & addressed if develops post op. I have not had this as a complication but it's always in Ur mind post op, then all 4 should B released. Some use cont pressure monitoring & do the high ...Read more
Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?
Yes: The distal (lower end) fibula is also know as the lateral malleolus. The weber classification of ankle fractures classifies based on the location of the fracture (break) with respect to the syndesmosis (connection between tibia and fibula just above the ankle joint. A = below syndesmosis, b = at level, c = above. As you go from a to b to c, the risk of syndesmosis injury increases. ...Read moreSee 3 more doctor answers
Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?
Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more
3 fx of med and post malleolus w oblique fx of fib, disruption of syndesmosis, several ligaments torn via eversion injury. Classification?(weber, etc)
Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome? Venous? No known injury.
PAD: Yes, the peroneal artery is also known as the posterior tibial. The ankle brachial index is used to diagnose and follow the progression of peripheral arterial disease. The arteries' pressure measured are the posterior tibial and the dorsailis pedis. If you have an abnormal abi, there is a problem with the blood flow in your lower legs. I hope this helps. ...Read more
MRI showed in left ankle chronic full-thickness tear of the anterior talofibular ligament superior bundle. Is surgery required?
Usually not.: For most lateral ankle ligament injuries, including tears, surgery is not required. Of course, different circumstances call for different treatments. Most respond to immobilization, physical therapy and eventual rehab with some injuries. Consult your physician you considerations about your specific circumstances. ...Read more
Bilateral tibs, heels, mid feet, tib fibs, and femoral stress fractures after 1 month in army basic. Is this average?
Left knee medial compartment joint replacement hardware with abnormal
uptake of tracer in the medial left femoral condyle proximal to the prosthesis.
Varies : It varies in part on the type of scan you underwent and the timing of when your knee replace my was done as well. A standard bone scan will light up with increased bone activity and would be concerning for loosening, infection, or fracture. A white blood labeled scan that lights up whilst be concerning for infection. I would discuss with your surgeon. ...Read more